Term
| Effects of lesions between the pontine micturition center and the sacral spinal cord |
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Definition
1. Hyper-reflexic bladder 2. Detrusor-sphincter dyssynergia 3. Poorly sustained detrusor contraction 4. Increased post-micturition residual volume |
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Term
| Effects of anatomically complete conus medullaris / cauda equina lesions |
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Definition
1. Loss of voluntary initiation of micturition 2. Atonic/hypotonic bladder 3. Impaired urethral sphincter |
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Term
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Definition
| an abnormal or pathological increase in sensitivity to sensory stimulus (thermal hyperesthesia) |
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Term
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Definition
| pin from a stimulus that is normally not painful |
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Term
| Sx during autonomic dysreflexia |
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Definition
1. HTN 2. Headache 3. Diaphoresis 4. Anxiety 5. Reflexive bradycardia 6. Nasal congestion 7. Flushing above and pallor below the SCI level 8. Extensor spasms 9. Piloerection |
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Term
| Triggers for autonomic dysreflexia |
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Definition
1. Bladder infections 2. Bladder distention 3. Constipation 4. Skin lesions/pressure sores 5. Tight fitting clothes, shoes 6. Fractures |
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Term
| Regimen for acute autonomic dysreflexia |
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Definition
1. Sit pt up 2. close BP monitoring 3. bladder catherterization 4. Examine for signs of noxious source (tight fitting clothes, shoes, skin lesions, etc) 5. Rectal exam 6. Pharm tx of HTN |
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Term
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Definition
1. Spine immobilization 2. Imaging of spine (x-ray, CT, MRI) 3. Methylprednisolone (30mg/kg IV bolus, then 5.4 mg/kg/hr for 24 hr if <3 hrs of inj, tx cont 48 if not 4. Surgical decompression of spinal cord and spine stabilization |
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