Spinal cord disorders Flashcards
What is autonomic dysreflexia
an acute episode of exagerated sympathetic reflex responses that occur after someone has a SCI from T6 and above
What sensation do you lose
the sensation to pee
What causes it
usually a stimulus in the bladder or bowl
What are the degenerative spinal disorders
Degenerative disc disease
Spondylolysis
Spinal Stenosis
What is degen disc disease
process of N aging
What is spondylolysis
bony mass between the facet joints
What is spinal stenosis
narrowing in spinal canal from trauma & arthritis
What are the causes of low back pain
Tension, disk prolapse, inflammation, bone pressures, osteoporosis, degen disease, sport injury
What is the pathology of Autonomic dysreflexia
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
Does autonomic dys go away easily when stimulus is removed
yes, so make sure you take a shit as soon as you can
What are the manifestations of autodys
Hypertension vasodilation above injury vasoconstriction below HA Flushed skin above injury pale moist skin below vasopasms gooseflesh confusion and anxiety forehead sweating