Spinal Cord

Question 1

Brown Squid ward syndrome

Answer 1

I/L loss of proprioception
I/L spastic weakness
C/L loss of pain and temperature

Question 2

Central Cord

Answer 2

Upper limb> Lower limb

Question 3

Posterior column syndrome

Answer 3

Impaired position and vibratory senses

Sensory ataxia

Question 4

Anterior cord syndrome

Answer 4

Paralysis below level of lesion

Pain/Temp loss

Question 5

Know how the lesion level is determined

Answer 5

Most common designation is to indicate the most distal uninvolved nerve root segment with normal function along with the skeletal level

Question 6

What is medically done in the acute phase of spinal cord injury

Answer 6

Stabilize the injury site through immobilization/primary
Imaging to determine the extent of injury
Decision for conservative treatment or surgery
More immediate stabilization (surgery) a long recovery requiring immobility
No surgery /allows more movement but may result in more damage to spinal cord

Question 7

Signs and symptoms of autonomic dysreflexia?

Answer 7

Hypertension
Pounding headache
Flushed face
Red blotches on skin above the level of the lesion
Sweating above the level of the lesion
Nasal stuffiness
Nausea
Bradycardia
Goose bumps below level of the lesion
Cold, clammy skin below level of the lesion

Question 8

What causes AD?

Answer 8

Acute AD is a reaction of the autonomic (involuntary)

nervous system to overstimulation

Question 9

What is the management for AD?

Answer 9

Check BP
ID and remove noxious stimuli 
Avoid anticholingergics and vasodilators
hydration
Elastic abd bindings