July 2019

30yo M with fall off truck Trauma

History:30yo M who fell off of the back of a pickup truck while intoxicated. 

Exam

  • Opens eyes to voice, very sleepy
  • Oriented to time, place and person
  • Follows commands in all extremities
  • Cranial nerves II-XII are intact 
  • Strength- 5/5 upper extremities
  • No sensory loss
  • DTR within normal limits Cerebellar function is normal
  • Gait not tested
  • Within one hour of arrival, the patient deteriorates and has nausea/vomiting and bradycardia

 

Baseline

Baseline

Questions

 
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