Ashley,+Eddie,+Mike+NCS+1

**  -    CAD s/p CABG x3 2004 -DM 2 -Cervical Stenosis -OA -right THA || **  VOCAB/ACRONYMS **  -CAD -CABG -Stenosis -OA -THA || **   Stella tripped and fell down stairs. She wasn’t able to move, nor get to her feet. **  　   ** 　 ||   ||  **   -Cervical MRI: shows a fracture at the C7 level and evaluates the severity or the injury. -CT Scan: evaluates if it is a fracture, and it is a C7 spinal cord injury. **  　   ** 　 ||  **   She was awake but could not move her legs. **  　    ** || **   DIAGNOSIS **  After Stella fell down the stairs and couldn’t get up, she had two tests which both proved that she fractured the C7 level of the spine. **  　   ** 　 ||  **   Both tests provided us with the proof that her injury was at the C7 level of the spine due to her fall down the stairs. ||
 * **  PMH
 * **  OBSERVATIONS
 * || **  TESTS ORDERED AND RESULTS
 * **  SYMPTOMS/COMPLAINTS
 * || **  RATIONALE FOR DIAGNOSIS

Complete the following for the disease you diagnosed

NAME OF DISEASE

C7 spinal injury SIGNS AND SYMPTOMS OF DISEASE

-Stella couldn’t move her legs after the fall, nor get to her feet. -normal deltoid/ bicep strength, but no movement in triceps, wrists, hands, or legs. -normal pain/temperature sensation over deltoids and lateral side of forearm but none in the middle finger, ulnar of forearm, medial side of arm, chest, abdomen or legs. -can detect vibration and proprioception

HOW DISEASE IS DIAGNOSED (WHAT DIAGNOSTIC TESTS AND WHAT THEY WOULD SHOW)

-Cervical MRI: helps to show if there is a fracture at the C7 level of the spine and how severe the injury is. -CT Scan: evaluates if it’s a fracture or not.

TREATMENT

-extensive medical rehabilitation (physical therapy and sometimes talking to a physiatrists) is to help the patient get used to the physical and mental ways of the condition. -Surgery can be a possible treatment which consists of removing the bone if it is pushing into the spinal cord (known as decompression)

PROGNOSIS AND COURSE OF DISEASE

Functional outcomes of the individual will slightly vary on what they can and can’t move. Medical complications come with the injury which may consist of: -pain, spasticity, contractures, cardiac disease, musculoskeletal injury

WHAT IT’S LIKE TO LIVE WITH IT (FIND PICTURES AND VIDEOS FOR YOUR WIKI PAGE) [|**__C7 spinal injury patient shows recovery__**]