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Law Incorporation [45]
3 years ago
15

The only complaint of a 28-year-old unrestrained driver involved in a motor vehicle crash is cervical pain. On exam he is noted

to have paralysis of all extremities and absent sensation peripherally; there are no other indications of external or internal bleeding. Vital signs are as follows: pulse of 128/min, thready; respirations of 24/min, shallow, and irregular; and blood pressure of 92/48 mm Hg. You suspect he is in what type of shock?
A) psychogenic
B) cardiogenic
C) neurogenic
D) anaphylactic
Medicine
1 answer:
Tanya [424]3 years ago
7 0

Answer: C

Explanation: There are several clues in this case. Unrestrained driver (He didn´t wear his safety belt); cervical pain; paralysis of all extremities (tetraplegia) and absence of peripheric sensations (numbness); Tachycardia and Hypotension. All of these related to a Neurogenic Shock, probably an Incomplete Spinal Cord Injury (SCI).

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According to the Society for Maternal-Fetal Medicine, the CPT code 76811 ultrasound is a pregnant uterus real-time ultrasound complete with image documentation performed to diagnose fetal anomalies. It is done during the second trimester of pregnancy with various indications like twin, triplet, or quadruplet pregnancy; suspected fetal any genetic or anatomic anomalies; maternal gestational diabetes, obesity etc. Fetal anatomical structures like abdomen, chest (heart), extremities, head, face and neck, spine, and position of the fetus are examined under this ultrasound. This ultrasound provides fetal 4-chamber heart view with heart activities to identify any fetal or congenital heart defects

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Hope this helps :)

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