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Explain about the Spinal Trauma?
Spinal trauma or spinal cord injury, commonly clue to accidents, fills, sports injury can result in serious disabling consequences. The spinal cord damage disrupts the transmission of nerve impulses from the brain to the peripheral nerves and muscles, resulting in a loss of muscle function, depending on the site of injury. Immobilization commonly occurs due to quadriplegia (paralysis from neck down) or paraplegia (paralysis of the lower part of the body). Metabolic consequences of the trauma include negative nitrogen balance, low serum albumin, loss of calcium, loss of bone and skin collagen and weight loss. Malnutrition is a frequent outcome. The spinal cord responds to insult in a similar manner as the brain. Bleeding and confusion may appear first and then fibrosis. In general, frequency of constipations which affect the nutrition may vary and these are constipations pressure ulcers, obesity and pain.
Diagnosis History and Physical examination. John's criteria. Echocardiogram show valvular insufficiency. Chest X-ray cardiomegaly if CHF present. EC
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