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Anatomy Lect 5 Trunk & Spine

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Miami Dade
Miami Dade
Health & Medicine
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Anatomy Lecture 5 Trunk & Spine Physician Assistant Program Miami Dade College
Nothing great was ever achieved without enthusiasm . Ralph Waldo Emerson
Spinal Anatomy ,[object Object],[object Object],[object Object],[object Object]
 
Vertebrae ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Spinal Anatomy Term # of Vertebrae Body Area Abbreviation Cervical 7 Neck C1 – C7 Thoracic 12 Chest T1 – T12 Lumbar 5 (or 6) Low Back L1 – L5 Sacrum 5 (fused) Pelvis S1 – S5 Coccyx 3-4 (1) Tailbone None
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spinal Anatomy & Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Back Pain ,[object Object],[object Object],[object Object],[object Object]
Spinal Anatomy ,[object Object],[object Object],[object Object],[object Object]
Spinal Anatomy ,[object Object],[object Object]
Spinal Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spinal Anatomy ,[object Object],[object Object],[object Object]
Cerebrospinal Fluid (CSF) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Meninges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dermatomes ,[object Object]
Intervertebral discs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intervertebral discs ,[object Object],[object Object],[object Object]
Intervertebral discs ,[object Object],[object Object],[object Object]
 
Intervertebral discs ,[object Object],[object Object],[object Object],[object Object]
 
Facet joints ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Facet joints ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Ligaments in the spine ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Spinal Anatomy ,[object Object],[object Object],[object Object]
Spinal Anatomy ,[object Object]
Spinal Anatomy
 
 
[object Object],[object Object]
 
 
 
 
 
 
Normal Cervical Spine
 
 
 
 
 
Spine injuries ,[object Object],[object Object],[object Object],[object Object],[object Object]
Whiplash ,[object Object],[object Object],[object Object]
 
 
Neck sprain/strain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPINAL INJURIES ,[object Object],[object Object]
Spinal Cord Injury ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
To X-ray or Not to X-ray ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Spinal shock: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIAGNOSIS AND DIFFERENTIAL ,[object Object],[object Object]
 
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Hangman’s fx ,[object Object]
Jefferson Fx ,[object Object]
Teardrop fracture
Classification of Odontoid Fx’s
Brachial plexus ,[object Object]
Brachial Plexus ,[object Object]
 
Brachial Plexus ,[object Object],[object Object]
Torticollis ,[object Object],[object Object],[object Object]
Spinal Anatomy Thoracic Vertebrae ,[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Spinal Anatomy
 
Spinal Anatomy ,[object Object],[object Object],[object Object]
 
Spinal Anatomy Lumbar Vertebrae
 
 
 
 
Spinal Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spinal Anatomy ,[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
 
 
 
Sciatica: Sciatic Nerve Compression ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sciatica: Sciatic Nerve Compression ,[object Object],[object Object],[object Object],[object Object]
 
Sciatica: Sciatic Nerve Compression ,[object Object],[object Object]
Sciatica ,[object Object],[object Object]
Sciatica ,[object Object]
Sciatica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Spinal Stenosis ,[object Object],[object Object],[object Object],[object Object]
Spinal Stenosis ,[object Object],[object Object],[object Object]
Spinal Stenosis ,[object Object],[object Object]
Spinal Stenosis ,[object Object],[object Object],[object Object]
Spinal Stenosis ,[object Object],[object Object],[object Object]
 
Spinal Stenosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spondylolysis ,[object Object],[object Object],[object Object]
Spondylolysis ,[object Object],[object Object],[object Object]
Spondylolisthesis ,[object Object],[object Object],[object Object],[object Object]
Spondylolisthesis ,[object Object],[object Object],[object Object]
Spondylolisthesis
Foot Drop ,[object Object],[object Object],[object Object]
Foot Drop ,[object Object],[object Object],[object Object]
Foot Drop: Causes of Injury ,[object Object],[object Object],[object Object],[object Object]
Herniated Disc ,[object Object]
 
 
 
Herniated Disc ,[object Object],[object Object]
Herniated Di sc ,[object Object],[object Object]
Herniated Disc ,[object Object],[object Object]
Disc Herniation ,[object Object],[object Object],[object Object]
 
Herniated Disc ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Herniated Disc ,[object Object],[object Object],[object Object]
 
Cauda Equina Syndrome ,[object Object],[object Object]
 
Scoliosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Scoliosis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scoliosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kyphosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Ankylosing Spondylitis ,[object Object],[object Object],[object Object],[object Object]
Ankylosing Spondylitis ,[object Object],[object Object],[object Object]
Ankylosing Spondylitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Spine Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
 
Chance Fracture ,[object Object],[object Object]
Chance Fracture ,[object Object],[object Object]
Chance Fracture ,[object Object],[object Object]
Chance fracture
PEARL ,[object Object],'Red Flags' in the Medical History: Potentially Serious Conditions That May Present as Low Back Pain Possible condition Findings from the medical history 'Red Flags' in the Medical History: Potentially Serious Conditions That May Present as Low Back Pain Possible condition Findings from the medical history Fracture • Major trauma (motor vehicle accident, fall from height) • Minor trauma or strenuous lifting in an older or osteoporotic patient Tumor or infection • Age >50 years or <20 years • History of cancer • Constitutional symptoms (fever, chills, unexplained weight loss) • Recent bacterial infection • Intravenous drug use • Immunosuppression (corticosteroid use, transplant recipient, HIV infection) • Pain worse at night or in the supine position Cauda equina syndrome • Saddle anesthesia • Recent onset of bladder dysfunction • Severe or progressive neurologic deficit in lower extremity Fracture • Major trauma (motor vehicle accident, fall from height) • Minor trauma or strenuous lifting in an older or osteoporotic patient Tumor or infection • Age >50 years or <20 years • History of cancer • Constitutional symptoms (fever, chills, unexplained weight loss) • Recent bacterial infection • Intravenous drug use • Immunosuppression (corticosteroid use, transplant recipient, HIV infection) • Pain worse at night or in the supine position Cauda equina syndrome • Saddle anesthesia • Recent onset of bladder dysfunction • Severe or progressive neurologic deficit in lower extremity
'Red Flags' in the Medical History: Potentially Serious Conditions That May Present as Low Back Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],'Red Flags' in the Medical History: Potentially Serious Conditions That May Present as Low Back Pain Possible condition Findings from the medical history
 
 
 
[object Object],[object Object]
Meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meningitis ,[object Object],[object Object],[object Object],[object Object]
Lumbar Puncture
Epidural anesthesia
Metastatic Carcinoma
Osteoporosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
'Excellence is an art won by training and habituation. We do not act rightly because we have virtue or excellence, but rather we have those because we have acted rightly. We are what we repeatedly do. Excellence, then, is not an act but a habit.' Aristotle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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