Spinal cord disorders Flashcards

1
Q

What is autonomic dysreflexia

A

an acute episode of exagerated sympathetic reflex responses that occur after someone has a SCI from T6 and above

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2
Q

What sensation do you lose

A

the sensation to pee

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3
Q

What causes it

A

usually a stimulus in the bladder or bowl

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4
Q

What are the degenerative spinal disorders

A

Degenerative disc disease
Spondylolysis
Spinal Stenosis

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5
Q

What is degen disc disease

A

process of N aging

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6
Q

What is spondylolysis

A

bony mass between the facet joints

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7
Q

What is spinal stenosis

A

narrowing in spinal canal from trauma & arthritis

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8
Q

What are the causes of low back pain

A

Tension, disk prolapse, inflammation, bone pressures, osteoporosis, degen disease, sport injury

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9
Q

What is the pathology of Autonomic dysreflexia

A

A stimulus (usually a full bladder or bowl) stimulates afferent nerves to send a “go to the bathroom/relieve me” signal up to the brain, as a result you get a massive symp response causing constriction of blood vessels. This only happens from t6 down. Even though the signal to release the stimulus never reaches the brain because of the damage to the spinal cord, the body recognizes the vasoconstriction causing hypertension so the heart starts to work harder. As a response to the vasoconstriction below t6, vasodilation occurs above T6, the cycle continues as constrition increases below t6, which increases vasodilation above, causing heart rate to increase further and further as hypertension continues to rise

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10
Q

Does autonomic dys go away easily when stimulus is removed

A

yes, so make sure you take a shit as soon as you can

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11
Q

What are the manifestations of autodys

A
Hypertension 
vasodilation above injury vasoconstriction below 
HA
Flushed skin above injury 
pale moist skin below 
vasopasms
gooseflesh 
confusion and anxiety 
forehead sweating
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