Severe spinal cord pain?
Hello
If someone has severe spinal cord pain (just the spinal cord not the nerves in the lumbar) and an MRI has been done and it comes back normal what may be causing the pain? Other info: no sign of head trauma, clean blood tests, no sign of infection, vomiting, and 19 year old male vitals are normal except hear rate is a slightly high
migraine.
It's a trick question in my EMS class as we are being prepped for the ER, and I just can't figure it out.
Thanks!
Answers:
It could be a few things.
1) Refered pain from somewhere else in the Pt's body. Increased heart rate due to anxiety caused by pain and non diagnosis. Migraine may be just a coincidence.
2) Phantom pain with the increased heart rate from anxiety. May be related to phantom pain. Migraine from stress or coincidence again.
3) May have injury or disease in lower lumber area causing refered pain along cord.
If he has a lower lumber injury he would be experiencing pain along the spinal cord. But may not be feeling pain 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 helps a bit. Even to jog your mind or think in a different direction.
Probably cigarettes. They cause everything else too ya know
Actually there's two realistic options. One is phantom pain suggesting that there is a legitimate injury elsewhere. The other is the possibility that something lower is out of line, like the feet, hips, lower back... Could be anything below the point of the pain
Could be phantom pain, could be low CSF, thus causing the headache, or a combo of the two.
an EMT would never have the need to make a diagnosis. the EMT is trained to treat ABCs and transport if the pt is willing or has an altered LOC. in this case, the reason for transport may be for pain management. the EMT would monitor vitals, perform an assessment, and transport pt in the position of comfort. the ER MD would diagnose and treat accordingly.
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If someone has severe spinal cord pain (just the spinal cord not the nerves in the lumbar) and an MRI has been done and it comes back normal what may be causing the pain? Other info: no sign of head trauma, clean blood tests, no sign of infection, vomiting, and 19 year old male vitals are normal except hear rate is a slightly high
migraine.
It's a trick question in my EMS class as we are being prepped for the ER, and I just can't figure it out.
Thanks!
Answers:
It could be a few things.
1) Refered pain from somewhere else in the Pt's body. Increased heart rate due to anxiety caused by pain and non diagnosis. Migraine may be just a coincidence.
2) Phantom pain with the increased heart rate from anxiety. May be related to phantom pain. Migraine from stress or coincidence again.
3) May have injury or disease in lower lumber area causing refered pain along cord.
If he has a lower lumber injury he would be experiencing pain along the spinal cord. But may not be feeling pain 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 helps a bit. Even to jog your mind or think in a different direction.
Probably cigarettes. They cause everything else too ya know
Actually there's two realistic options. One is phantom pain suggesting that there is a legitimate injury elsewhere. The other is the possibility that something lower is out of line, like the feet, hips, lower back... Could be anything below the point of the pain
Could be phantom pain, could be low CSF, thus causing the headache, or a combo of the two.
an EMT would never have the need to make a diagnosis. the EMT is trained to treat ABCs and transport if the pt is willing or has an altered LOC. in this case, the reason for transport may be for pain management. the EMT would monitor vitals, perform an assessment, and transport pt in the position of comfort. the ER MD would diagnose and treat accordingly.
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