NPTE Neuromuscular
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show | disruption/tearing of axions and small blood vessels from shear strain of angular acceleration
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show | contusions, lac, mass effect from hemorrhage and edema
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show | injury at point of impact and opposite side of impact
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show | systemic problems that compromise cerebral circulation
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show | concussion
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show | momentary LOC, maybe retrograde amnesia
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Classic concussion | show 🗑
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show | LOC for >24hr, diffuse axonal injury & coma
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Glasgow Coma Scale | show 🗑
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Primary injury in SCI | show 🗑
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show | ischemia, edema, demyelination, necrosis of axons, progressing to scar tissue formation
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show | indicates most distal uninvolved nerve root segment with normal function (3+/5)
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show | C1-C8, all extremities and trunk
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Paraplegia | show 🗑
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Complete SCI | show 🗑
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Incomplete SCI | show 🗑
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ASIA A | show 🗑
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show | Incomplete, sensory but not motor fxn preserved below level and includes S4-5
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ASIA C | show 🗑
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show | Incomplete, motor fxn preserved below level, most key muscles below level have grade > or = 3/5
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ASIA E | show 🗑
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show | loss of motor, pain, temperature. Preserved light touch, proprioception, position sense
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Brown-Sequard syndrome | show 🗑
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Central cord syndrome | show 🗑
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show | below L1. Sensory loss and paralysis with some capacity for regeneration. LMN. Autonomous or nonreflex bladder.
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Sacral sparing | show 🗑
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Respiratory insufficiency or failure occurs in lesions above | show 🗑
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show | transient period of reflex depression and flaccidity, hours up to 24wk
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Autonomic dysreflexia | show 🗑
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Immediate tx for Autonomic dysreflexia | show 🗑
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show | electric W/C, tilt in space, microswitch or puff&sip, respirator can be attached
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W/C for C5 | show 🗑
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show | Has radial wrist extensors. Manual w/c with friction hand rims, independent
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W/C for C7 | show 🗑
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W/C for C8-T1 and below | show 🗑
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Amb/orthotics for T6-9 | show 🗑
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Amb/orthotics for T12-L3 | show 🗑
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Amb/orthotics for L4-5 | show 🗑
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CV endurance training precautions with SCI | show 🗑
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show | Autonomic dysreflexia, skin infected, hypotension, UTI, uncontrolled spasticity or pain, unstable Fx, hot/humid environ
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