Thompson 2

Question 1

Lower motor neruon injury***

Answer 1

• decreased reflexes
• decreased tone
• muscle atrophy

Question 2

Upper motor neuron injury***

Answer 2

• spasticity
• increased tone
• increased reflexes

Question 3

Brown-sequard sydrome

Answer 3

• ipsilateral paresis, loss of vibration and proprioception
• contralateral loss pain and temp

Question 4

Cauda equina syndrome****

Answer 4

• From peripheral nerve injury (low back injuries)
  
  • motor/sensory loss lower extremity and pelvic region
  • BOWEL and BLADDER DYSFUNCTION
  • Saddle anesthesia
• EMERGENCY!!!!!

Question 5

CLEARING A C-SPINE AFTER TRAUMA!!!****

Answer 5

NEXUS CRITERIA

• No bony tenderness
• no neuro deficits
• no intox
• no altered level of consciousness
• no distracting injuries

Question 6

hospital care suspected spine injury

Answer 6

• ABCDEs
• life threatening injuries get priority
• GET THEM OFF THE BOARD

Question 7

Lumbar spine injury

Answer 7

• Very common with calcaneal fractures
• Transverse fractures of L1 assocaited with renal injury

Question 8

Chance Fractrues

Answer 8

• Horizontal fracture through spinous process, lamina, pedicle and vertebral body
• 50% have organ involvement (abdominal injuries)
• MVCs (seatbelt) and falls

Question 9

Calcaneal fx

Answer 9

• 10% have assocaited lumbar injury
• 26% other injury
• CHECK Urine analysis if suspicious

Question 10

long term podiatric care of spinal injuries

Answer 10

• Increased risk of fractures (because no weight bearing –> osteopenic)
• hypertrophic skin changes –> higher lesion/longer injury
• Hypertrophic nail chainges –> higher the lesion/longer injury
• PRESSURE ULCERS
• DVT

Question 11

Spinal cord injury without radiographic abnormality (peds)

Answer 11

• 25-50% peds spinal injury –> have no imaging abnormality
• vertebral bodied are displaced, then return into place so not visible on xray
• WEAK, BURNING, PARESTHESIA