*NURSING > CASE STUDY > LAB assignment-case-study-brain-injury-or-spinal-cord-injury-answered-latest-2021 (1)_removed (All)
Decreased temperature discrimination (cold vs warm) in the left upper/lower extremities Motor Testing Decreased strength and movement of the right upper/lower extremities during muscle testing Decreas... ed strength and movement of left abdominal muscles Absence of triceps and biceps reflexes in the right upper extremity Abnormal response of patellar, Achilles (hyper) reflexes in the right lower extremity Positive Babinski sign on the right foot Abnormal cremasteric reflex in the right groin region General Examination Abnormal pupil response of right eye (constriction) Other vital signs within normal limits Cognitive testing normal (counts backward from 100 by 7s; knows name, date, place) x-Ray and MRI Examination No fractures present in the skull Fracture in the 7th cervical vertebra Significant swelling present in the spinal canal in the C7 - T2 region Spinal cord appears to be intact Brain vs. Spinal Cord Questions 1. Based upon the findings presented, which doctor made the correct initial prediction? Dr. Greene made the correct initial prediction by stating that Mike Smith had a spinal cord injury. 2. Based upon previous knowledge of brain function, what results from the testing were consistent with a brain injury? The results consistent with a brain injury include the dizziness and accompanying nausea. The positive Babinski sign on the right foot could also be indicative of a brain injury. Also possibly brain injury related is the pupil constriction, blurry vision and the (possible) lack of consciousness. 3. Based upon previous knowledge of spinal cord function, what results from the testing were consistent with a spinal cord injury? [Show More]
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