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Function
- Structure
- Load Bearing
- Protect Spinal Cord
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Role of C1 & C2
- C1 - atlas: say yes, shake head up & down
- C2 - axis: say no, shake head right and left
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Common geriatric spinal injury level from fall:
T12 - L1
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Spinal Cord Assessment:
Find life threats, fix them, move on
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Dermatomes: key nerve location
- C1 - C5 Respiratory, phrenic nerve
- C5 - T1 Brachial, arms
- T1 - T12 Chest, thorax, upper back
- T12 - L4 Groin, Quads
- L4 - S3 Legs, lower back of legs
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Dermatomes:
topographical region of the body surface innervated by one nerve root
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Signs and symptoms of Spinal injury
- Paralysis
- Pain with and without movement
- Tenderness along spine
- Impaired breathing
- Spinal Deformity
- Priapism
- Posturing
- Loss of bowel or bladder control
- Nerve impairment to extremities
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Brown Sequard syndrome
condition caused by partial cutting of one side of the spinal cord resulting in sensory and motor loss to that side of the body
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Spinal shock
the loss of spinal reflexes after injury of the spinal cord that affects muscles innervated by the cord segments below the site of the injury
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Autonomic Hyperreflexia Syndrome
Condition associated witht he body's adjustments to the effects of neurogenic shock; presentations include sudden hypotension, bradycardia, headache, blurred vision, as well as sweating and flushing above the point of injury
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Nuerogenic shock
vasodilation caused by spinal cord injury, cerebelar trauma or hemorrhage
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