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ARR * autonomic dysfunction hypertension BP 160

mmHg
→ > .

hyperventilation →
(221 min )

1DinselamatT Pampers satin


-

" & " " al muscle t vital


impairment capacity
:
cues


motor vehicle accident severe at lower back

pain ,
( 2. IL )
motor and at legs
\ sensory
loss of @ all levels below lesion are affected

¥1 @ transient event associated in UMNL (


Day
I 3
)
-

V
of reflexes Cbulbocavernal bladder rectal
unable to move both leg return visceral
spindle reflex )
hypomania }
°
o

of descending motor facilitation


damage of vertebrae
,
loss
,

body damage spinal cord →


flaccid
paralysis A expression of post synaptic receptors
→ . .
-

→ ,

( 74 ) at 74 Kull and bladder manual evacuation t


o
loss of visceral reflex →
palpable enlarged p

!
l year )

\
Canton .de#ion ) 2 weeks
-

X
emptying
-

descending pathway parasympathetic



disruption loss of , (sacral ) ↳


urinary catheter needed sprouting of collateral from interneurons
\ d
sympathetic
→ X
filling
heyYahata .cm?o9Yng!htper7.nmaeaa7ecuspMaNml
ethorawiumbars .
)
,

Management burning pain


short term ( acute ) Brown fequard Syndrome
v

-


painkillers back
pain of spinal cord ) Spino thalamic tract

chemise upon
↳ im mobilisation

Yamashita
Yama
t.im:7?IswaYTefIeYsmfe:nm7n'ingman.im?nM ⑧ brain
:gmjq.tn#sedgmgge-siogfqop.nigcerand

amra
temperature below
nipple
↳ anticoagulant → treat hematoma [ above 74 A small band of
sensory loss aight touch pinprick )
, at
nipple level ② ipsi

igngpnieynsoyaaapy , mum . damage , * of ,a


!!:/.mg?n,andpo*.ngen,ebeiowm.ppuo..p. +a

[ aomessdovugiaorerat ) ① -13

corticospinal tract damage cam NL ) ¥ Ty ipsi

¥
( somatic n -
*
symptoms shows up graduating
75

..
10

↳ It line
SNKI ,
gabapentin ids tricyclic antidepressant
,
-

( chronic neuropathic pain )


*
opiods 2nd - line

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