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Y4R3 - Medicine II 🩺 > L7: Disc Prolapse > Flashcards

L7: Disc Prolapse Flashcards

1
Q

Types of Disc Prolapse

  • Acc to Timeframe
A
  • Acute & Gradual
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2
Q

Types of Disc Prolapse

  • Acute
A
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3
Q

Types of Disc Prolapse

  • Gradual
A
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4
Q

Types of Disc Prolapse

  • Type of protrueded Material
A
  • The protruded material in both acute & gradual being first soft, then become fibrotic and later calcified and bony hard.
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5
Q

Direction of Protrusion in Disc Prolapse

A
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6
Q

Site of Cervical Disc Prolapse

A
  • C5-6, C6-7 discs.
  • C5-6-disc compress C6 root
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7
Q

Direction of Protrusion in Cervical Disc Prolapse

A
  • Lateral: in intravertebral foramen → root pain (brachialgia) Due to pressure by disc, osteophytes, ischemia & later fibrosis of root sheath.
  • Posterior → cord (by direct pressure or ischemia) → quadriplegia.
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8
Q

Cervical Disc Prolapse

  • CP
A
  • Neck Stiffness
  • Sensory
  • Motor
  • Cord
  • Brainstem
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9
Q

CP of Cervical Disc Prolapse

  • Sensory
A

Radicular & Cord

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10
Q

CP of Cervical Disc Prolapse

  • Motor
A
  • Radicular & Cord
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11
Q

CP of Cervical Disc Prolapse

  • Neck Symptoms
A

STIFF NECK, FLEXES TOWARD SIDE OF LESION.

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12
Q

CP of Cervical Disc Prolapse

  • Radicular Symptoms
A
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13
Q

CP of Cervical Disc Prolapse

  • C5 Compression (Sensory)
A
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14
Q

CP of Cervical Disc Prolapse

  • C6 Compression (Sensory)
A
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15
Q

CP of Cervical Disc Prolapse

  • C7 Compression (Sensory)
A
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15
Q

CP of Cervical Disc Prolapse

  • C8 Compression (Sensory)
A
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16
Q

CP of Cervical Disc Prolapse

  • Inverted Supinator Reflex
A

Inverted supinator reflex → C5 lesion

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17
Q

CP of Cervical Disc Prolapse

  • C5 Compression (Motor)
A
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18
Q

CP of Cervical Disc Prolapse

  • C6 Compression (Motor)
A
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19
Q

CP of Cervical Disc Prolapse

  • C7 Compression (Motor)
A
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20
Q

CP of Cervical Disc Prolapse

  • C8 Compression (Motor)
A
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21
Q

CP of Cervical Disc Prolapse

  • Cord Symptoms
A

UMNL Below the Disc

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22
Q

Site of Lumbar Disc Prolapse

A

Between L4-5, L5-S1

23
Q

CP of Cervical Disc Prolapse

  • Brainstem Manifestations
A

Vertebral artery ascends in Ts foramina of cervical vertebrae.

24
Q

Investigations for Cervical Disc Prolapse

A
25
Q

Def of Sciatica

A

Pain along distribution of sciatic nerve, commonly d2 Lumbar Disc Prolapse

25
Q

Anatomy of Sciatic Nerve

A

Sciatic nerve derived from L4-5, S1,2,3 segments

25
Q

Direction in Lumbar Disc Prolapse

A
26
Q

Etiology of Sciatica

A

A. Degenerative changes
B. Trauma usually bending to lift heavy objects

27
Q

What are Lumbar Disc Syndromes?

A
28
Q

Compare between Lumbar Disc Syndrome

A
  • Compressed Roots
  • %
  • Reflexes affected
  • Motor Weakness
  • Decreased Sensation
  • Pain Distribution
29
Q

Compare between Lumbar Disc Syndrome

  • Compressed Roots
  • %
  • Reflexes affected
  • Motor Weakness
  • Decreased Sensation
  • Pain Distribution
A
30
Q

Compare between Lumbar Disc Syndrome

  • Compressed Roots
  • %
  • Reflexes affected
  • Motor Weakness
  • Decreased Sensation
  • Pain Distribution
A
31
Q

Compare between Lumbar Disc Syndrome

  • Compressed Roots
  • %
  • Reflexes affected
  • Motor Weakness
  • Decreased Sensation
  • Pain Distribution
A
32
Q

Compare between Lumbar Disc Syndrome

  • Compressed Roots
  • %
  • Reflexes affected
  • Motor Weakness
  • Decreased Sensation
  • Pain Distribution
A
33
Q

Compare between Lumbar Disc Syndrome

  • Compressed Roots
  • %
  • Reflexes affected
  • Motor Weakness
  • Decreased Sensation
  • Pain Distribution
A
34
Q

Compare between Lumbar Disc Syndrome

  • Compressed Roots
  • %
  • Reflexes affected
  • Motor Weakness
  • Decreased Sensation
  • Pain Distribution
A
35
Q

CP of Lumbar Disc Prolapse

A
36
Q

CP of Lumbar Disc Prolapse

  • Motor
A

Radicular

37
Q

CP of Lumbar Disc Prolapse

  • Sensory
A
  • Radicular
38
Q

CP of Lumbar Disc Prolapse

  • Meningeal
A
  • Lassegue & kernig
39
Q

CP of Lumbar Disc Prolapse

  • Radicular Sensory
A
40
Q

CP of Lumbar Disc Prolapse

  • Radicular motor
A
41
Q

CP of Lumbar Disc Prolapse

  • L4 (Sensory)
A
42
Q

CP of Lumbar Disc Prolapse

  • L5 (Sensory)
A
43
Q

CP of Lumbar Disc Prolapse

  • S1 (Sensory)
A
44
Q

CP of Lumbar Disc Prolapse

  • L4 (Motor)
A
45
Q

CP of Lumbar Disc Prolapse

  • L5 (Motor)
A
46
Q

CP of Lumbar Disc Prolapse

  • S1 (Motor)
A
47
Q

Investigations for Lumbar Disc Prolapse

A

As Before

48
Q

Def of Radiculopathy

A
49
Q

CP of Radiculopathy

A
50
Q

Def of Mechanical Low Back Pain

A
51
Q

Incidence of Mechanical Low Back Pain

A
52
Q

Causes of Mechanical Low Back Pain

A
53
Q

Mechanical Low Back Pain Excludes …..

A
54
Q

Sciatica

A

Y4R3 - Medicine II 🩺 (16 decks)

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