OVCMT, NA- lec. 2

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    MeningesMeninges

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    Intracranial hematomasIntracranial hematomas

    subdural epidural

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    Subarachnoid hemorrhageSubarachnoid hemorrhage

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    External Anatomy of the Spinal CordExternal Anatomy of the Spinal Cord

    note that the lumbar

    enlargement is located

    in the thoracic region

    lumbar nerves then

    extend inferiorly as the

    cauda equina, into the

    lumbar region

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    Internal Anatomy of the Spinal CordInternal Anatomy of the Spinal Cord

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    Comparison of Spinal Cord RegionsComparison of Spinal Cord Regions

    cervicaland lumbar- enlarged anterior

    grey horn corresponds with innervation

    to the upper and lower extremities

    thoracic- slightlyenlarged lateral grey

    horn corresponds with sympathetic

    outflow

    sacral- enlarged anterior grey horn

    corresponds with parasympathetic

    outflow

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    Internal Anatomy of the Spinal CordInternal Anatomy of the Spinal Cord

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    Sensory and Motor TractsSensory and Motor Tracts

    tracts are named according to origin, destination and spinal

    location

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    Sensory tractsSensory tracts

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    Motor tractsMotor tracts

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    Conditions Affecting the Spinal CordConditions Affecting the Spinal Cord

    spina bifida cystica lumbar spondylolisthesis

    with degenerative disc and

    narrowed IVF

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    Anatomy of the Spinal NerveAnatomy of the Spinal Nerve grey rami located along the length of

    the cord

    white rami only found inthoracolumbar region

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    Conditions Affecting Spinal NervesConditions Affecting Spinal Nerves

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    Bells PalsyBells Palsy

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    Cervical Plexus (C1 4/5)Cervical Plexus (C1 4/5)

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    Brachial Plexus (C5 T1)Brachial Plexus (C5 T1)

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    Conditions Affecting the Brachial PlexusConditions Affecting the Brachial Plexus

    Erb duchenes palsy

    injury to the upper brachial plexus (C5-6)

    resulting arm position is adduction, medial

    rotation and elbow extension

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    Lumbar Plexus (L1 4)Lumbar Plexus (L1 4)

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    Sacrococcygeal Plexus (L4 S3, S4 - Co)Sacrococcygeal Plexus (L4 S3, S4 - Co)

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    Intercostal Nerves (T2 12)Intercostal Nerves (T2 12)

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    Dermatomes and Cutaneous InnervationDermatomes and Cutaneous Innervation