Physical Examination

After the primary survey has been performed and any immediately life-threatening conditions have been addressed, a complete neurologic examination should be performed. The motor exam should assess the strength of all extremities. Any deficits should be localized to a nerve root level ( Tabje... 2.64-.1). The sensory exam should ensure that sensation is present in all extremities. Sensory innervation follows the dermatome pattern. The loss of sensation at and below a given dermatome can localize the level of the injury (Fig 2.6.4:1). Priapism should be considered as evidence of a spinal cord injury. Rectal examination may reveal decreased tone due to spinal cord injury. Prognosis can be difficult to determine in the early stages of a spinal cord injury owing to the temporary condition of spinal shock. Spinal shock as defined here is different than the spinal neurogenic shock discussed in Chap, 31. Spinal shock, a condition seen frequently in the first 24 h after injury, is defined by a complete loss of segmental cord reflexes in addition to paralysis. Only after the spinal shock has remitted can any definitive prognosis be given. Resolution of spinal shock is heralded by return of segmental reflexes (bulbocarvernosus in males).

TABLE 264-1 Motor Examination

Was this article helpful?

0 0
Spiritual Weight Loss Mentality

Spiritual Weight Loss Mentality

Awesome Ways To Get Over Your Mentality That Keeps you Overweight! This Book Is One Of The Most Valuable Resources In The World When It Comes To Results In Your Slim-down and Health Efforts! Day in day out we keep ourselves absorbed with those matters that matter the most to us. A lot of times, it might be just to survive and bring in some money. In doing so we at times disregard or forget about the extra matters that are essential to balance our lives. They’re even more essential to supply real meaning to our world. You have to pay attention to your wellness.

Get My Free Ebook

Post a comment