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Surgery II - OSCE > L2: NTDs > Flashcards

L2: NTDs Flashcards

1
Q
A
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2
Q

Types of Neural Tube Defects

A
  • Spina Bifida Occulta
  • Tethered Cord
  • Meningocele
  • Myelomeningocele
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3
Q

Incidence of Spina Bifida Occulta

A

Very mild but Common

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4
Q

Spinal Cord Affection in Spina Bifida Occulta

A

Very rarely causes disability

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5
Q

How to detect Spina Bifida Occulta?

A
  • x-ray
  • investigating a back injury.
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6
Q

Incidence of Myelomeningocele

A

Most serious and common

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7
Q

Spinal Cord Affection in Myelomeningocele

A
  • The spinal cord is damaged or not properly developed resulting in motor and sensory deficit.
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8
Q

CP of Myelomeningocele

A
  • The cyst not only contains meninges and CSF but also the nerves and spinal cord.
  • Majority have bowel and bladder problems
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9
Q

Dx of NTDs

A
  • MSAFP
  • US
  • Amniocentesis
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10
Q

Senseitivity of AFP in detection of NTDs

A

91% sensitivity in spina bifida

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11
Q

AFP in detection of NTDs

  • Normal
A
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12
Q

AFP in detection of NTDs

  • What is Diagnostic Level?
A

High maternal serum AFP > 2 multiples of median for appropriate week of gestation.

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13
Q

US in detection of NTDs

A
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14
Q

US in detection of NTDs

  • Advantages
A
  • Diffrentiate NTD fron non-neurological causes of elevated AFP e.g. omphalocele
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15
Q

Amniocentesis in detection of NTDs

A
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16
Q

Amniocentesis in detection of NTDs

  • Uses
A
  • Show elevated AFP between 12-15 week earlier than serum AFP
17
Q

Amniocentesis in detection of NTDs

  • Disadvantages
A

Carries 6% risk of abortion and fetal loss

18
Q

Amniocentesis in detection of NTDs

  • Indications
A
  1. Pregnancies subsequent to NTD
  2. Elevated AFP with Normal US
19
Q

Factors associated with Increased Risk of NTDs

20
Q

The only most significant risk factor associated with NTDs is

A

Folic Acid

21
Q

Prophylaxis against NTDs

22
Q

Nursing Care in NTDs

23
Q

TTT aspects of NTDs

A
  • Nursing Care
  • General Assessment
  • Neurological Pre-operative Assessment
24
Q

General Assessment in NTDs

25
Q

Neurological Pre-Operative Assessment in NTDs

26
Q

Check Mamdouh Notes

Surgery II - OSCE (20 decks)

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