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Cards In This Set
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This is an incomplete fusion of the posterior vertebral arch
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Spina bifeda occulta
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This is an external protrusion of the meninges and CSF
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Meningocele
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This is an external protusion of the meninges, spinal cord, and CSF
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Myelomeningocele
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Whats worst to have the bifeda at a higher level or a lower level?
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The higher the worst it is
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When does myelomeningocele occur?
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It happens during the formation of the fetus
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What is the etiology of these pathologies; spina bifeda, myelomeningocele, meningocele?
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Has not been identified; viruses, radiation and other environmental factors may be responsible
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What is spina bifeda accompanied by?
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By a depression in the skin, tuft of hair, and soft fatty deposits
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Spina bifeda does not have neurological dysfunction, but occasionally what does it disturb?
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-bowel and bladder disturbances
-foot weakness
-affects dermatomes
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What is a classic sign in spina bifeda?
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Tuft of hair
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What protudes outside the spine in meningocele?
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Sac like cyst (rarely causes neurological dysfunction)
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Myelomeningocele may be accompanied by what?
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-flaccid or spastic paralysis
-various combinations of bowel and bladder incontinence
-musculoskeleton deformities
-hydrocephalus (enlarged cranium)
-sometimes mental retardation
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How can you diagnose these pathologies?
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-prenatal US
-serum testing
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How can these pathologies be treated?
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-a planned C-section
-fetal repair
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Which treatment is preferred ?
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C-section to prevent trauma to the neural sac
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What has been found to decrease the incidence of hydrocephalus?
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Prenatal closure by fetal surgery
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