Systemic- Back

rpopple's version from 2015-08-28 09:37

Section 1

Question Answer
does brushing teeth exaggerate back pain in patients with herniated disc?yes... the bacteria from the mouth will get into the blood stream and then will go and thrive at the disc and cause backpain
how many vertebrate33
how many cervical vertebrate7
what happens to the spine around 3 months and how is it shaped before handit is c shaped, and babies cant hold up their heads. they start to be able to and the cervical part of the spine will bend and form a concave to the back
what happens to the spine when baby starts to walk around 9 to 12 monthsthe thoracic will concave to the front and the lumbar will concave to the back.
kyphosis and what causes italso called hunchback, is increased posterior convexity by erosion (osteoporosis) of the anterior part of one or more vertebrate
when there is a spinal cord issue, what is the doctor more concerned aboutthe respiratory system bc the spine opens the lungs, so in kyphosis will increase the diameter of the AP anterior- posterior diameter and reduce the pulmonary capacity
lordosisincreases the anterior convexity and is associated with weakened musculature
scoliosisincreases lateral curvature and rotation of the thoracic. might cause restriction of the thorax and lung expansion
where does the spine does the spinious process startc7
what rod is inbetween the transverse process and the spinuous process?the articulating process, it is what is contacting the rib bone
how many ribs contact each vertebrate2 ribs per vertebrate
what are a unique feature of the thoracic vertebratit has articulating process with the articulating process and the transverse process
what hole is right next to the vertebrate foramen for C1 and c2the transversarium
what is the odontoid process alternative name calledden
what rib number contacts vertebrate 1rib 1 and 2
do all vertebrat have 2 ribs that contactnooo not 10, 11 12, they are one for one
each rib articulates with which vertebrateits corresponding one and the one above it
what is the key feature of the lumbar vertebratit is huge bc it bears the weight of the body
how many sacral nerves are there and how many sacral foramen5 nerves and 4 foramen
what exits the sacral hiatusthe s5 nerve, the coccygeal nerve and the filum terminal
what part of the spinal cord starts at L2 to S2the cruda equina
what forms the vertebral canal all the vertebral foramen
is there any joints between the articular process? what does that meanyes, very small zygapophyseal joint. .so there is no movement in that area

Section 2

Question Answer
what type of joint is the intervertebral discit is a secondary cartilage. meaning it will not ossify into bone
what are the type parts of the interverberal discannulus fibrosus on the outside and nucleus pulposus
what is the makeup of the nucleus pulposis and how does it relate to its functinthe nucleus pulposus is 80 percent water it is a gelatinous structure,,, this acts to provide the spine with mobilty and a shock absorber
why do you get shorter over timebc the nucleus pulposis loses its water absorption and will shrink
what protects the nucleus pulposis from leaking out... what is it called when it does leak outthe annulus fibrosis keeps that from happening and when it does its called a herniated disc
solid component of the nucleus pulpulus 65 proteoglycans
how is the nucleus pulpulus locatedit is located posteriorly... so the annulus is more thick anteriorly.
what is the weakest part of the spinal cordthe posterior lateral bc there is no ligament there.
what nerve is between 4 and 54
what is perpendular to the superaspinal ligamentthe interspinal ligament
what ligament forms a jacket around the spinal cordthe ligamentum flavum
what ligament takes the place of the superaspinous ligamentumthe nuchae ligamentum
what foramen does the spinal nerves leave the spinethe intervertebral foramina
when doing lateral flexion.... bending to the side... and then flexion and extension... what part of the body is movingthe cervical and lumbar regions
where is all the blood to the spine coming fromfrom the aorta
what supplies the neckvertebral artery
what supplies the thoraxinferior thoracs and intercostal artery
what supplies the absthe lumbar artery
what supplies the pelvisthe lateral sacral artery
arteries from the aorta goes to the inferior vena cava
what are the two vertebral venuous plexusexternal and internal vena plexus and they communicate by the intervertebral foramen along with the spinal cord nerves.
what goes through the intervertebral foramen the recurrent meningeal branches of the spinal nerves, the spinal nerves, and the veins that connect the venous plexus
what innervates the zygapophyseal jointsthe articular branches of the posterior rami of the spinal nerve

Section 3

Question Answer
what innervates the superficial back muscles- the trapezuis, the rhomodial, latimus dorsi, levator scapulatraps is CN#11, the rest are the ventral rami of cervical nerves
what is deep to the rhomodialthe sarratus posterior superior
what is deep to the latimus dorsithe sarratus posterior inferior
what is the main function of the sarratus musclessuperficial resporatory muscles for propreception
what is the innervation of the sarratus musclesintercostal nerves
origin of the trapezuissuperior nuchal line, external occipital protuberance, ligamentum nuchae, spines c7 to t12
insertion of trapezuisclavicle, acromion, spine of scapula
nerve supply of trapezuis#11
what is the role of the trapezuisit raises, rotates, and elevates the scapula
how far can the trapezuis rotate the scapulaup to 90 degress max
origin of the latissmus dorsilliac crest, (which is your butt bone), spine t6 to t12, thoracolumbar fascia,
insertion of latissmus dorsibicupital groove of humerus
innervation of latissmus dorsithoracodorsal nerve
what is the action of the latsanything related to the arm
where is the better to hear someone breathing with a stethyscope on their backtriangle of auscultation and lumbar triangle
nerve supply of levator scapulae, rhomboideus(both) dorsal scapulae nerve c5
what innervates the internal or intrensic musclesthe semispinalis capitis, the erector spinae ( I love Spiagigii) is the dorsal rami of the spinal chord
patter to remember about innervation of the backthe extrensic is ventral rami... the serratus is in the middle or intercostal and the intrensic muscles are dorsal rami
what is the role of the intrensic muaclesposture of the vertebrat
what is the insertion of the splenius capitismastoid and the superior nuchal line
what does the psoas SO US doflexon of the trunk
what muscle is responsible for trunk extension and lateral flexon quadratus lumborum...
why is the posterior lateral area so susceptible for to injury bc the annulus fibrosis is very thin in the posterior and there isnt anything that can prevent it from happening
why does the hernated disc cause pain at specific spotsbc at c5, the disc is close to the spinal nerve. and at L4/5,
what nerve is pressed on for L4/5L5 nerve

Section 4

Question Answer
myofacialpainful muscle spasm
osteoporosisbone resorption is greater than bone formation
osteoartheritiserosion of weight bearing joints
ankylosing spondylitisold man bending forward--- chronic inflammation of spine joints... cant look up
sciaticapaint that travels down the lower back and hip and down the leg. herniated disc around L5 or S1 onto
do most people know if they have a herniated disc?noo.
cervical prolapsepain or numbness in the shoulders, arms or chest
lower back prolapsesciatica may occur and cause leg pain and other nerve-related symptums... ONE LEGweakness or numbess of the leg
cauda equina syndromeweakness in BOTH legs, loss of bladder and/ or bowel control
positive test of the straight leg testflex the hips... raise the leg and if postive and have pain at 40 degrees or less
spurlings testrotates head to the siad of the symptomatic side then you push down and pain will go down their shoulder
what is the best test for a herniated discMRI
how to treat herniated discmost heal on their own by bone resorption
what is spina bifidaa neural tube defect and failure of fusion of laminae and the spine. a lot of patients have bowel and bladder issues as well as hydrocephalus. nerve damage is permanent and varying degree of paralysis of the lower limbs
occulta spina bifidaextremely small splits in vertebrate... nothing else... maybe a patch of hair
meningeocele spina bifidahermination of only the meningeal covering with CSF... this is covered by skin with no symptums
meningeomyelocelethe spinal cord is pushed out all the way, and NERVE IS OFTEN DAMAGED