Analysis of Spinal Cord Compression for Patient Wilma
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Added on  2023/06/13
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Spinal cord compression is a serious condition that can lead to loss of mobility and nervous system injury. This presentation discusses the aetiology, pathophysiology, and clinical manifestations of spinal cord compression, using the case study of patient Wilma. It also covers diagnostic tests and treatment options for the condition.
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Decline in calcium and oestrogen levels Lowered bone density leading to osteoporosis Vertebral bone fracture occurrence Tissue compression Pathophysiology Risk Factors Aetiology Clinical manifestations Diagnostic tests Treatment Gender Age Reduced bowel movement spinal cord compression on fractures of T5-T6. Increased tenderness on the t5-t6 Urinalysis assessment Admission of verterbroplasty Urinary Incontinence Elevated blood pressure Apoptosis on the nerves and thoracic borne Decline sensation on the feet Paralysis of limbs Reduced sensory and motor signal on lower extremities Menopause status Administration of NSAIDs X- ray and spine MRI admission Bone density medication Surgical management Urinary and faecal incontinence Burning pain sensation MRI scan Key Trauma Examination of blood pressure and medication application Fall Administration of oral laxatives Neuro Vascular AssessmentsAdministration of Analgesia Concept map ofspinal cord compression
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Spinal cord injury results from process which compresses or displaces the venous, arterial and spinal fluid space on the spine. This can be exhibited by the extrinsic causes and lesions which occur on the cord substances. Some of the actions which can lead to this are trauma affecting the cord substance and lesions which affect the functioning of cord function. Spinal cord compression is characterized by the loss of the motor sensory and the relevant functionality on the damaged spinal cord area, for factors such as fall or trauma, (Shah & Tisherman, 2014). The injury has devastated effects on the patient in that it causes loss of mobility and nervous system injury. It is associated with acute compression and concussion on the spinal cord. It causes cascade of features on the grey matter and leads to hemorrhagic necrosis on the patient. This leads to hypo fusion on the grey matter, yielding to intracellular calcium loss reperfusion causing injury. Spinal cord compression is linked to the mass impinges which affects the spinal cord leading to parenchyma pressure, this leads to gliosis, loss of axon and demyelization. This is often observed in the grey matter, (Gensel, 2014). Rapid compression often results in collapse of micro vascular which leads to vasogenic edema. This edema further leads to exacerbation of the parenchyma pressure leading to dysfunction progression, (Winter, Pattani & Temple, 2017). The main path physiological issue occurring is the underlying problem link to lack of energy due to impaired and dysfunctional perfusion on the cellular level, (White & Black, 2016).The patient in the case study is exhibiting loss of bone mass density due to associated age factor and risk of being female, further the menopausal statusand decline estrogen levels have affected bone strength. These aspects contribute to the perfusion of the grey matter on the spinal cord for the patient. Further the prolong occurrence of the injury has lead to secondary damage thus making the patient immobile, causing numbness on the patient. Further fall tremor on the patient has had dilapidating effects on her state. The localized vascular effects are often associated with changes on the blood pressure levels. Spinal cord injury is linked to blood pressure changes and hemodynamic effects which causes effects on the blood flow. The patient is exhibiting increased blood pressure due to associated vascular changes due to the occasioned injury due to osteoporotic spinal compression fractures of T5-T6, (Santos-Nogueira et al, 2015). The characteristic of the spinal injury with spinal cord compression often leads to increased back pain and increased sensation . The patient exhibits upper back pain which has lasted for approximately 3 months which can worsen the status of the patient. Further paralysis of the limb can occur due to the injury,(Eldahan & Rabchevsky, 2018). Due to the immobility of the patient, there are increased risks of leg numbness as observed which causes lack of mobility. The spinal cord compression is linked to fecal incontinence and urinary condition which precipitates retention of urine. The symptoms exhibited by the patient, with the clinical features and assessment which signals urinary incontinence bouts further leading to bowel movements reduction, (Gooding & Pereira, 2017). Managing the diagnosis of the patient further entails critical physical assessment of the sensation levels, body functionality and the general body strength. Helpful tests which can be undertaken for the patient entail’s X rays assessment on the spine. This is aimed at assessing bone growth which has significant impacts on the nerves and abnormal alignment,(Rust & Kraiser, 2017). Tests assessments of MRI and CT scan for the patient is critical, further assessing the vascular levels is key in mobility state . Proper treatment protocol for the patient can entail administering pain relievers through consumption of anti inflammatory medication and swelling management analgesics. Further physical therapy assessments for the patient are geared towards assessing the legs muscles and strengthening of the lower back, (Hulbert et al, 2015). Alternative treatment can be administered through surgical treatment to eliminate the already formed bone spurs and creating greater space in the vertebrae space. Application of special care for the patient can also be administered by reducing the pressure which is being applied on the spine. Blood pressure management needs further to be managed through analgesics treatment. Enhancement of bone strength provides the patient with calcium supplementation will be beneficial in improving bone strength and improve the declining bone mass density, (Kabu et al, 2015). Analysis of spinal cord compression for patient Wilma
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