Spinal Trauma Teaching

Question 1

neurogenic shock spinal injury level

Answer 1

T 6 and above

Question 2

why not neo for neuro shock

Answer 2

alpha 1 without B1 leads to reflex bradycardia

Question 3

persistent bradycardia with neuro shock tx?

Answer 3

atropine or robinul

Question 4

In what region are most spinal injuries?

Answer 4

CErvical 55%

Question 5

percent of patients with cervical fracture with non contiguous lesion

Answer 5

10%

Question 6

what does nexus stand for?

Answer 6

Neuro def
Etoh (AMS)
eXtreme distractor
Unable to provide history(AMS)
Spinal tenderness

Question 7

canadian C spine automatic scans(3)

Answer 7

over 65
neuro s/s
dangerous mech

Question 8

start and end of spinal cord

Answer 8

medulla oblongata to L1

Question 9

What does spinal cord turn into below L1

Answer 9

equina

Question 10

why is thoracic region very susceptible to complete injury

Answer 10

narrow

Question 11

how many C , T , L vertebra

Answer 11

7,12,5

Question 12

what nerves make up the cervical cape?

Answer 12

C2-4

Question 13

T8 dermatome? T10? 12?

Answer 13

xyphoid
umbo
PSymph

Question 14

where are the spinothalamic and cortico spinal tracts located
funcitons?

Answer 14

anteriolateral

Question 15

where are the spinothalamic and cortico spinal tracts located
funcitons?

Answer 15

anteriolateral
pain and temp opposite
motor same

Question 16

4 parts of classic neurogenic shock presentation

Answer 16

hypotension with bradycardia OR normal HR
Fracture T 6 or higher
Warm extremities
motor deficit

Question 17

3 things causing hypotension in neuro shock

Answer 17

dec symp innervation to heart, adrenal and periphery

Question 18

what is more important than operation on first assesment of unstable spine with deficit?

Answer 18

hemodynamics and perfusion

Question 19

corticospinal location and function?

Answer 19

anterior and lateral cord
motor

Question 20

spinothalamic tract location and function

Answer 20

anterolateral cord
pain and temp

Question 21

Dorsal columns, location and function

Answer 21

posteromedial
proprioception

Question 22

T4 dermatome? C8? T1?

Answer 22

nipple
pinky
inside medial arm

Question 23

s characterized by a disproportionately greater loss of motor strength in the
upper extremities than in the lower extremities,
with varying degrees of sensory loss

Answer 23

Central cord

Question 24

mech of central cord

Answer 24

hyper extension with canal stenosis

Question 25

Anterior cord syndrome

Answer 25

pain temp and motor
due to ischemia