Term
| What level is the hypogastric nerve and what does it innervate? (basic muscle) |
|
Definition
L1-L3
internal anal sphincter |
|
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Term
| What level is the pudendal nerve and what does it innervate |
|
Definition
S2-S4
external anal sphincter and pelvic floor |
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Term
| Feces entering rectum initiates which reflex? |
|
Definition
intrinsic defecation
(weak reflex) |
|
|
Term
Which reflex:
reinforces intrinsic reflex
mediated by sacral segments
enchances peristalsis of descending colon
further relaxation of internal anal sphincter |
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Definition
| parasympathetic defecation reflex |
|
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Term
What happens to bowels with lesion above S2-S4?
UMN or LMN
spastic or flaccid? |
|
Definition
upper motor neuron bowel
reflex filling and emptying of bowel
anal sphincter remains contracted. when the bowel gets full it will empty automatically |
|
|
Term
What happens to bowels with lesion below S2-S4?
UMN or LMN
spastic or flaccid? |
|
Definition
| lower motor neuron bowel. must be manually emptied. the anal sphincter will be affected and become limp therefor stools are likely to leak out on occasion |
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Term
| name the goals of bowel management |
|
Definition
have a BM at a predictable time
avoid accidents
soft stool
avoid complications of static stool in bowel |
|
|
Term
| What are some body reactions before a bowel movement? (stuff you would notice with the patient) |
|
Definition
sweating
goose bumps
sense of fullness in the abdomen
restlessness |
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|
Term
| whats the basic bowel management for UMN? |
|
Definition
daily stool softeners
digital stimulation to relax bowel |
|
|
Term
| Whats the LMN basic bowel management |
|
Definition
| digital stimulation and manual removal |
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