Severe spinal cord twinge?
If someone has severe spinal cord dull pain (just the spinal cord not the nerves in the lumbar) and an MRI have been done and it comes pay for normal what may be cause the pain? Other info: no sign of cranium trauma, clean blood test, no sign of infection, vomiting, and 19 year old mannish vitals are normal except hear rate is a slightly large
migraine.
It's a trick question within my EMS class as we are being prepped for the ER, and I basically can't figure it out.
Thanks!
Answer:
It could be a few things.
1) Refered anguish from somewhere else in the Pt's body. Increased heart rate due to anxiety cause by pain and non diagnosis. Migraine may be purely a coincidence.
2) Phantom pain beside the increased heart rate from anxiety. May be related to phantom pain. Migraine from stress or coincidence again.
3) May enjoy injury or disease in lower lumber nouns causing refered agony along cord.
If he has a lower lumber injury he would be experiencing twinge along the spinal cord. But may not be feeling twinge at the site of injury.
Very serious if your first on site.
Once again increased heart rate from anxiety or the injury itself causing internal distress. The migraine would be a symptom of this too.
Hope this help a bit. Even to jog your mind or come up with in a different direction.
Probably cigarettes. They do everything else too ya know
Actually there's two realistic option. One is phantom pain suggesting that in attendance is a legitimate injury elsewhere. The other is the possibility that something lower is out of flash, like the foot, hips, lower back... Could be anything below the point of the affliction
Could be phantom pain, could be low CSF, thus cause the headache, or a combo of the two.
an EMT would never have the involve to make a diagnosis. the EMT is trained to treat ABCs and transport if the pt is feeling like or has an altered LOC. contained by this case, the point for transport may be for pain headship. the EMT would monitor vitals, perform an assessment, and transport pt surrounded by the position of comfort. the ER MD would diagnose and treat accordingly.
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