Delayed diagnosis of an unsuspected pelvic fracture in a patient with tetraplegia

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F14%3A10292836" target="_blank" >RIV/00064203:_____/14:10292836 - isvavai.cz</a>
Alternative codes found
RIV/00159816:_____/14:00061090 RIV/00216208:11130/14:10292836
Result on the web
<a href="http://dx.doi.org/10.1179/2045772313Y.0000000178" target="_blank" >http://dx.doi.org/10.1179/2045772313Y.0000000178</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1179/2045772313Y.0000000178" target="_blank" >10.1179/2045772313Y.0000000178</a>

Result language
angličtina
Original language name
Delayed diagnosis of an unsuspected pelvic fracture in a patient with tetraplegia
Original language description
Study design: Case report. Context: In patients with a complete spinal cord injury (SCI) above T6 level, autonomic dysreflexia (AD) can be the only alerting sign of complications below the level of injury. A case report is presented of a patient with tetraplegia who progressively developed an AD syndrome after falling from a wheelchair. Initially, he was treated for symptomatic urinary tract infection and only later an unstable pelvic fracture was detected. Findings: A patient with chronic tetraplegia fell from his wheelchair while intoxicated. After the fall, he showed no signs of injury. Two days later, AD symptoms appeared while lying on his side or sitting. He presented to his community-based physician and received antibiotics for concomitant urinary tract infection. Because of persisting complaints, the patient was referred to the Spinal Cord Unit. Once the history of falling from the wheelchair was made known, symptoms of AD were suggestive of an internal injury. Radiography show
Czech name
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Czech description
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Type
J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FH - Neurology, neuro-surgery, nuero-sciences
OECD FORD branch
—

Project
<a href="/en/project/ED1.100%2F02%2F0123" target="_blank" >ED1.100/02/0123: St. Anne´s University Hospital Brno - International Clinical Research Center (FNUSA-ICRC)</a><br>
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year
2014
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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