Monday, November 10, 2014

Immediate complications of spinal cord transection include:

Immediate complications of spinal cord transection include:
a. Tachycardia.
b. Renal shutdown.
c. Hypothermia.
d. Hypertension.
e. Hyperreflexia.


The answer is c. Severe injury to the spinal cord may cause spinal shock. The patient presents with flaccid paraplegia or quadriplegia and areflexia. Typically, within 24 hours the patient develops a spastic paralysis.

 There is oss of sympathetic tone. Despite severe hypotension, the patient has vasodilation (warm skin), paradoxicalbradycardia, and good urine output. Priapism may also occur. Autonomic nervous system dysfunction signs includeurinary retention, paralytic ileus, gastric distension, fecal incontinence, and hypothermia. Patients require a Foleycatheter and a nasogastric tube.

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