Neurogenic shock Quiz: Ace Your Exams

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A 37-year-old woman presents to the emergency department after falling 15 ft off a ladder and landing directly on her back. The patient has a GCS of 10 due to absent motor response. She opens her eyes spontaneously and is oriented to person and place. Temperature is 38°C (100.4°F), blood pressure is 78/54 mmHg, heart rate is 54/min, respiratory rate is 12/min, and oxygen saturation is 98% on room air. Airway and breathing are intact. Physical examination demonstrates diffuse bruising and ecchymosis over the spine. The patient is unable to move her lower extremities when prompted, but she can move her upper extremities. She has no sensation below the nipple line. A focused assessment with sonography for trauma (FAST) is negative for free fluid in the abdominal and chest cavities. CT of the head, spine, chest, abdomen, and pelvis is ordered as well as trauma labs. Which of the following is most likely to be seen on imaging?  

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