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SCI-CH.16

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Answer
Autonomic dysreflexia (hyprreflexia)   Uninhibited & exaggerated reflex of the ANS to stimulation; response occurs in about 85% of patients who have SCI above the level of the 6th thoracic vertebra; potentially dangerous bc of attendant vasoconstriction & immediate elevation of BP.........  
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Catheterization   Passage of a catheter into a body channel or cavity, especially introduction of a catheter via the urethra into the urinary bladder.  
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Cauda equina   The collection of dorsal and ventral nerve roots descending from the lower spinal cord and occupying the vertebral canal below the cord at the L1 region.  
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Crede’s maneuver   Use of manual pressure on the bladder to express urine, particularly in bladder training for individuals w/paralysi; hands are held flat against the abdomen, just below the umbilicus; firm downward stroke toward the bladder is repeated 6-7x.......  
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Decubitus ulcers   Ulcer caused by local interference w/the circulation, usually occurring over a bony prominence at the sacrum, hip (trochanter), heel, shoulder, or elbow; begins as a reddened area & can quickly involve deeper structures & become an ulcer; bedsore....  
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Heterotopic ossification   The formation of bone in soft tissue and periarticular locations. Early clinical signs include warmth, swelling, pain, and decreased joint motion. Common joints for heterotopic ossification are the shoulder, elbow, hip, and knee.  
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Peristalsis   The worm-like movement by which the alimentary canal or other tubular organs with both longitudinal and circular muscle fibers propel their contents, consisting of a wave of contraction passing along the tube.  
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Reflex arc   A reflex, which is built in and does not need conscious thought to take effect, is the total of any particular automatic response mediated by the nervous system. A reflex arc is usually a simple reflex such as a knee jerk.....  
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Scoliosis   Lateral curvature of the vertebral column. This deviation of the normally straight vertical line of the spine may or may not include rotation or deformity of the verterbrae.  
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Spinal shock   Result of an acute transverse lesion of the spinal cord that causes immediate flaccid paralysis and loss of all sensation and reflex activity (including autonomic functions) below the level of injury. On return of reflex activity, there is increased spast  
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