Neurogenic shock Quiz: Ace Your Exams
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A 33-year-old man presents to the emergency department after experiencing an accident while driving his all-terrain vehicle (ATV). The patient was the unrestrained driver. He lost control of the vehicle and landed in a ditch. On arrival, the patient has a GCS of 10 due to absent motor response. He opens his eyes spontaneously and is oriented to person and place. Temperature is 37°C (98.6°F), blood pressure is 68/34 mmHg, heart rate is 49/min, respiratory rate is 14/min, and oxygen saturation is 98% on room air. Airway and breathing are intact. Physical examination demonstrates misalignment of the vertebrae at the T4 spinal level. The patient is unable to move his lower extremities when prompted. A focused assessment with sonography for trauma (FAST) ultrasound examination is negative for fluid in the abdominal and chest cavities. Which of the following additional clinical findings is most likely to be found on examination?
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