Autonomic Dysreflexia
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 630 Ratings
🗓️ 27 October 2021
⏱️ 15 minutes
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Summary
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Helen presents with a T4 SCI and exhibits signs of autonomic dysreflexia. The therapist should anticipate which cardiovascular response:
A. Hyperemia in the lower legs and feet
B. Decreased blood pressure
C. Vasodilation in the head, neck, and arms
D. Increased heart rate
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn, and you'll see the life |
| 0:22.4 | I have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.8 | change lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:55.9 | For this week's clinical file, we have Helen, and Helen presents with a T4 spinal cord injury and exhibit signs of |
| 1:02.9 | autonomic dysreflexia. The therapist should anticipate which cardiovascular response. So we have |
| 1:10.4 | a, hyperemia in the lower legs and feet, |
| 1:13.9 | B, decreased blood pressure, C, vasodilation in the head, neck, and arms, and D is increased |
| 1:21.6 | heart rate. All right, let's go up to the top of this question. As you see, we got a little bit |
| 1:26.9 | of autonomic dysreflexia this week. This is one of the top topics. I believe I have another podcast episode that goes over autonomic dysreflexia in a little bit different way. But today we're looking for examination findings. If I have a patient presenting with autonomic dysreflexia, what do I expect to find |
| 1:47.1 | as a cardiovascular response? All right? So let's go through this question right now. It says |
| 1:53.3 | Helen presents with T4 spinal cord injury. All right. So let's stop there for a minute. |
| 2:01.3 | Autonomic dysreflexia is something you got to know for the NPTE. You have to. |
| 2:06.4 | Can you tell me really quick, as far as autonomic dysreflexia, like what level is most important |
| 2:13.5 | for you to remember? I'm already seeing it coming to the comment box, right? Oh, yes, this is good. |
| 2:19.3 | T6, baby. So if a person has an injury, T6 and above, there's a high likelihood that the patient may at |
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