Spina Bifida P2 Flashcards
T6-12 spared
(+) UE
(+) or weak trunk flexors/extensors
leg paralysis - frog leg
kyphosis and scolio
flail paralysis - hip ER, abd, ankle PF and equinus
hip and knee flexion contractures
bowel and bladder dysfunction
L1-L3 spared
(+) hip flexors and adductors
(-) hip ext and abd = hip disloc
gravity related aquinus
hip flex and add contracture
knee flex contracture
scolio and lord
bowel and bladder dysfunction
amb c brace if young
L4 spared
(+) knee ext but weak hip ext and abd
coxa valga and acetabular dysplasia
late disloc
pos: hip flex and add c knee ext
L5 spared
(+) glut max, meds and hans
less likely for contractures and disloc
calcaneovarus - foot in DF bcs no gastroc and peroneus counters inversion
sacral lesions
(+) gastrocs and toe flexors/ext
weal intrinsic foot msucles
pes cavus and clawing
can amb
discuss paraplegia
depends on level and extent of SC anomaly
discuss mental retardation
higher lesion = low IQ
hydrocephalus: concentration and attention deficits
mas kaya verbal task kesa visual
discuss hypotonic bladder
weak or absent detrusor = di na empty = naiipon wiwi
sacral lesion
discuss hypertonic baldder
contract lagi si detrusor = inc pressure = pee reflux
thoracic lesion
discuss detrusor-sphincter dyssenrgia
sabay sila nag ccontract = high pressure = reflux
most common cause of death in NDT
kidney problems
discuss physiology of bladder emptying
SY: filling of detrusor and close sphicnter; thoracolumbar
PSY: contract blandder open sphincter; sacral
how to test function of bladder
anal wink
bulbocavernosus reflex
pull catheter/hair
when does NDT leak fetal CSF
13-15th weak
kaya testing is 16-18th wk
when do we do US testing
16-24th wk
(+) lemon sign
