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Medicine II - OSCE > Spinal Cord > Flashcards

Spinal Cord Flashcards

1
Q

Lesions of Spinal Cord

A
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2
Q
A
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3
Q

Def of Paraplegia

A
  • Total or partial (paraparesis) loss of lower limbs motor & sensory functions d2 bilateral pyramidal tract lesion.
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4
Q

Etiology of Paraplegia

A
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5
Q

Etiology of Paraplegia

  • Central Causes
A
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6
Q

Etiology of Paraplegia

  • Cerebral Causes
A
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7
Q

Etiology of Paraplegia

  • Brainstem Causes
A
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8
Q

Etiology of Paraplegia

  • Spinal Coed Causes
A
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9
Q

CP of Paraplegia

A
  • Vertebral Manifestations
  • Radicular Manifestations
  • Cord Manifestaions
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10
Q

CP of Paraplegia

  • Vertebral Manifestations
A
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11
Q

CP of Paraplegia

  • Radicular Manifestations
A
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12
Q

CP of Paraplegia

  • Cord manifestations
A
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13
Q

Cord Manifestations of Paraplegia

  • Motor
A
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14
Q

Cord Manifestations of Paraplegia

  • Sensory
A
  • Complete level
  • Level with preservation of deep sensation
  • Jacket
  • Brown-Sequard syndrome
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15
Q

Cord Manifestations of Paraplegia

  • Autonomic
A
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16
Q

Compare between Extra & Intra Medullary

A
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17
Q

Managment of Paraplegia

A
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18
Q

Managment of Paraplegia

  • General
A

Care of Vital signs, Skin, Sphincters “Bladder & Rectum”

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19
Q

Managment of Paraplegia

  • managment of the Cause
A

Surgical or Medical according to the etiology

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20
Q

Managment of Paraplegia

  • TTT of Spasticity
A
  • Muscle relaxant
  • Selective injection of the severe spastic muscle groups with Botulinum toxin.
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21
Q

Etiology of Cauda Equina Syndrome

A
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22
Q

Etiology of Cauda Equina Syndrome

  • degenerative
A

Spondylosis and/or lumbar disc prolapse.

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23
Q

CP of Cauda Equina Syndrome

A
24
Q

CP of Cauda Equina Syndrome

  • Side?
A

Unilateral or Bilateral Asymmetrical

25
Q

CP of Cauda Equina Syndrome

  • Sequence of symptoms
A

Painful Onset, pain precedes motor or autonomic symptoms

26
Q

CP of Cauda Equina Syndrome

  • Pain
A
27
Q

CP of Cauda Equina Syndrome

  • Sphincter
A
28
Q

CP of Cauda Equina Syndrome

  • Radicular Motor Symptoms
A
29
Q

CP of Cauda Equina Syndrome

  • Radicular Sensory Symptoms
A
30
Q

CP of Cauda Equina Syndrome

  • Stretch Signs
A

Lassegue (straight leg raising test), Kernig’s sign,

31
Q

CP of Cauda Equina Syndrome

  • Back
A

A. Obliteration of lumbar lordosis.
B. Scoliosis.
C. Pain - Tenderness.
D. Paravertebral muscle spasm.

32
Q

INVx for Cauda Equina Syndrome

A
  • Plain X-ray
  • CT Lumbosacral
  • MRI Lumbosacral
33
Q

TTT of Cauda Equina Syndrome

A
  • Medical
  • Surgery
34
Q

TTT of Cauda Equina Syndrome

  • Surgery
A
35
Q

TTT of Cauda Equina Syndrome

  • medical
A
  • Complete bed rest
  • Analgesics.
36
Q

Site of Conus Medullaris Syndrome

A

Conus = S3,4,5 segments

37
Q

Symptoms of Conus Medullaris Syndrome

A
38
Q

Site of Epiconus Medullaris Syndrome

A

Epiconus = L4,5 S1,2 segments

39
Q

CP of Epiconus Medullaris Syndrome

A
40
Q

Causes of Hemiplegia

A
41
Q

CP of Hemiplegia

A
42
Q

CP of Hemiplegia

  • Onset & Course
A
43
Q

CP of Hemiplegia

  • Symptoms
A

On the hemiplegic Side

  • Paralysis
  • Ms Tone
  • Deep Reflexes
  • Superficial Reflexes
  • Babniski Sign
  • Clonus
44
Q

CP of Hemiplegia

  • Side
A

These are found on the hemiplegic side

45
Q

CP of Hemiplegia

  • Paralysis
A
46
Q

CP of Hemiplegia

  • Ms Tone
A
47
Q

CP of Hemiplegia

  • Deep Reflexes
A
48
Q

CP of Hemiplegia

  • Superficial Reflexes
A

The abdominal and cremasteric reflexes are lost.

49
Q

CP of Hemiplegia

  • Babniski Sign
A

Positive

50
Q

CP of Hemiplegia

  • Clonus
A
  • May be present in the ankle.
  • Less frequently in the knee and wrist.
51
Q

Level of the lesion in Hemiplegia

  • Spinal Cord
A
52
Q

Level of the lesion in Hemiplegia

  • Brain Stem
A
53
Q

Lesion in Hemiplegia

  • Cerebral
A
54
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
55
Q

Managment of Hemiplegia

A
  • General
  • Symptomatic
  • Physio-Therapy
  • Specific

Medicine II - OSCE (32 decks)

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