Hx Case 1 22 year old male Ejected from a vehicle during a high speed single vehicle rollover Immediate complaints of chest and back pain Transported to FMC Hemodynamically stable No LoC Injury to thoracic or lumbar spine and associated bilateral pulmonary contusions ID: 366456
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Slide1
Clinical Hx (Case 1)
22 year old male. Ejected from a vehicle during a high speed single vehicle rollover. Immediate complaints of chest and back pain. Transported to FMC. Hemodynamically stable. No LoC. Injury to thoracic or lumbar spine and associated bilateral pulmonary contusions.Slide2
Neurological exam (Case 1)
Upper extremity:
Sensory: Normal to light touch and pinprick
Motor: 5/5 power in all muscle groups
Lower extremity:
Sensory: Absent sensation
Motor: 0/5 power in all muscle groups
Rectal:
Sensation: Absent
Voluntary sphincter tone: Absent
Other relevant findings:
No sensation to pinprick below costal margin bilaterally. Complete absence of sensation below umbilicus.Slide3
Imaging (Case 1)Midsagittal CT scanParasagittal CT scanAxial CT scanMidsagittal STIR MRI scanSlide4Slide5Slide6Slide7Slide8
Clinical Hx (Case 2)
30 year old male. Fell approximately 30 feet landing on back. Immediate complaints of back pain. Transported to FMC. Hemodynamically stable. No LoC. Isolated injury to thoracic or lumbar spine.Slide9
Neurological exam (Case 2)
Upper extremity:
Sensory: Normal to light touch and pinprick
Motor: 5/5 power in all muscle groups
Lower extremity:
Sensory: L3-S2 left sided numbness, otherwise normal to light touch and pinprick
Motor: 5/5 power in all muscle groups
Rectal:
Sensation: Normal to light touch and pinprick
Voluntary sphincter tone: Normal
Other relevant findings:
NoneSlide10
Imaging (Case 2)Lateral XRMidsagittal CT scanParasagittal CT scanAxial CT scanSlide11Slide12Slide13Slide14Slide15
Clinical Hx (Case 3)
16 year old. Restrained rear passenger in high speed MVC wearing only lap belt. Immediate complaints of mid to low back pain. Transported to FMC. Hemodynamically stable. No LoC. Isolated injury to thoracic or lumbar spine.Slide16
Neurological exam (Case 3)
Upper extremity:
Sensory: Normal to light touch and pinprick
Motor: 5/5 power in all muscle groups
Lower extremity:
Sensory: Normal to light touch and pinprick
Motor: 5/5 power in all muscle groups
Rectal:
Sensation: Normal to light touch and pinprick
Voluntary sphincter tone: Normal
Other relevant findings:
NoneSlide17
Imaging (Case 3)Lateral XRMidsagittal CT scanParasagittal CT scanSlide18Slide19Slide20