Skip Navigation LinksHome > June 2011 - Volume 17 - Issue 3, Neurorehabilitation > The Review of Systems in Spinal Cord Injury and Dysfunction
CONTINUUM: Lifelong Learning in Neurology:
doi: 10.1212/01.CON.0000399092.88866.1c
Practice Issues

The Review of Systems in Spinal Cord Injury and Dysfunction

Gorman, Peter H. MD, FAAN

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Abstract

ABSTRACT: Individuals with spinal cord injury or dysfunction represent unique diagnostic challenges when they present with symptoms of generalized malaise or "feeling lousy." Those individuals with injury or dysfunction at or above the T6 level are specifically at risk for the phenomenon known as autonomic dysreflexia, which is a medical emergency. The underlying cause of autonomic dysreflexia as well as other secondary complications in the patient with a spinal cord injury can best be uncovered through a comprehensive review of systems, which encompasses constitutional, head, cardiovascular, gastrointestinal, genitourinary, musculoskeletal, respiratory, skin, neurologic, psychiatric, endocrinologic, hematologic, and immunologic issues.

© 2011 American Academy of Neurology

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