Author: Joanna Lumb / Editor: Sarah Edwards / Codes: ELC5, ELP3, ELP5, RP4, SLO4, TP2 / Published: 25/03/2022
An 80-year-old female presents having fallen backwards down 7 steps.
She reports the feeling of “not being able to move her right leg” before losing balance and falling backwards. She is complaining of pain “all over” and is groaning. She also reports pain in her neck, and states she can’t feel or move her arms. However, she can move her legs. She has been triple immobilised by the ambulance crew before reaching the department
PMH: diabetes, previous CVA
DH: NKDA. Atorvastatin, bisoprolol, clopidogrel, metformin
SH: lives with family, independently mobile, no carers.
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Question 1 of 3
1. Question
You assess her neurology which is as follows:
- sensation absent in both upper limbs
- power 0/5 in both upper limbs
- sensation intact in lower limbs
- power 5/5 lower limbs
You request a CT trauma scan, which shows no bony injury in her c-spine, no acute intracranial findings, and no acute injuries.
What is your next step regarding her symptoms?
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Question 2 of 3
2. Question
Her symptoms are typical of which syndrome?
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Question 3 of 3
3. Question
What is the classic pathophysiology?
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Module Content
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7 responses
Thanks, nice refresher
Excellent revision
Very good
Good refresher
Very interesting presentation.
excellent revision
Great Revision