Happiness Posted August 3, 2012 Posted August 3, 2012 Okay I have a question. If this ends up as a spinal cord injury would there not be something underlying as he is only 28? Guess I wasn't close but I guess thats how we learn
emtdennis Posted August 3, 2012 Posted August 3, 2012 I was wondering if something happened because of the "scuffle". Agree, 100% thats how we continue to learn
DwayneEMTP Posted August 3, 2012 Posted August 3, 2012 Malaria? I don't know squat about xrays, but I'm wondering if that doesn't show a compression injury, the pressure from which maybe would explain the bilat symptoms? What confuses me about a spinal injury creating bilat, though only partial paralysis symptoms is that intuitively I wouldn't expect the symptoms to be mirrored unless the damage was exactly the same to each set of nerves, which seems unlikley? So, bottom line, I'm going with Malaria....
DFIB Posted August 3, 2012 Posted August 3, 2012 (edited) So do we have a diagnosis yet? I know absolutely nothing about radiology, I could diagnose the car in the colon from an x-ray, but that is about it. I can only assume that the film shows an abnormality. Edited August 3, 2012 by DFIB
paramedicmike Posted August 4, 2012 Posted August 4, 2012 I'm not great with radiographs, either. I'm still learning. While not a great image it looks like a c-1 compression fracture. What's confusing me, though, is that if it's his forearms that are bothing him that badly I'd want to see the lower c-spine and upper t-spine in the radiograph. C-6 through C-8 would be the spinal nerves affecting that area. Got a c-spine CT to go along with this?
ERDoc Posted August 4, 2012 Posted August 4, 2012 I don't want to take the fun away from Mobey, so I'll let him decide how this thread runs but I will say that all the info you need is in the history and the xray.
DFIB Posted August 4, 2012 Posted August 4, 2012 I don't want to take the fun away from Mobey, so I'll let him decide how this thread runs but I will say that all the info you need is in the history and the xray. I guess we will wait then but the X-ray seems abnormal somehow. If the top one is C1, then C2 seems to be short and the space between the vertebrae looks narrow. I also don't know what those two radiopaque lines in the cephalic vertebrae are. the ones that look kind of like a wishbone. Hmmm.
paramedicmike Posted August 4, 2012 Posted August 4, 2012 Maybe not a compression fracture. It's definitely involving C-1/C-2, though. It doesn't line up correctly. So whether we're looking at a dislocation, displaced Dens fracture, cord compression or something else(?) I guess we'll find out. Hurry up, Mobey.
Mateo_1387 Posted August 5, 2012 Posted August 5, 2012 Central Spinal Cord Injury? I'm not very familiar with reading x-rays either. I'm going to guess at a hyperextension injury.
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