335958
Head/Spinal Injuries
- skull fractures -
simple, comminuted,
depressed, basilar
- CM's depend on severity & location -
basilar: nose/ear/pharynx/conjunctival
CSF draining or bleeding
- CM's depend on severity & location -
basilar: nose/ear/pharynx/conjunctival
CSF draining or bleeding
- brain injury
- confusion, alt LOC, gag
reflex loss, pupillary abn, no
corneal reflex, VS changes,
sudden neuro dysfx,
hearing/vision impair, HA,
seizures
- confusion, alt LOC, gag
reflex loss, pupillary abn, no
corneal reflex, VS changes,
sudden neuro dysfx,
hearing/vision impair, HA,
seizures
- Spinal Cord injuries
- most frequent are
C5-C7, T12, L1
- Clinical
Manifestations
- Central cord -
sensory loss/motor
deficit in upper extr.
- C7-8 - independant,
manual wheelchair
- C6 - independant
in transfer and
wheelchair
- C5 - electric/modified
wheelchair, needs
transfer assist
- C4 - limited to
shoulder-head
wheelchair
- C1-C3 -
sip n
puff
- Anterior cord -
motor power, pain,
temp sensation loss
below lesion level
- Lateral cord
(brown-sequard) -
pain/temp sensation
loss on opposite side,
voluntary motor loss
on same side
- Central cord -
sensory loss/motor
deficit in upper extr.
- most frequent are
C5-C7, T12, L1
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