SCI Emergency Differentiation

SCI patient develops severe headache, sweating, flushing, and very high BP. What is the likely diagnosis?

• Autonomic dysreflexia

• Usually T6 or above

• Sit upright immediately

• Check bladder/catheter first

SCI patient becomes dizzy when moved upright and BP drops significantly. What is the likely diagnosis?

• Orthostatic hypotension

• Return toward reclined/supine

• Monitor vitals

• Progress upright positioning gradually

SCI patient develops a unilateral swollen, warm, painful calf. What should be suspected?

• DVT

• Stop treatment

• Avoid movement/massage

• Obtain medical evaluation

SCI patient develops a warm swollen hip with progressive ROM loss. What should be suspected?

• Heterotopic ossification

• Often occurs near large joints

• ROM becomes progressively restricted

SCI patient suddenly develops increased spasticity. What should the therapist investigate?

• Bladder distention

• UTI

• Bowel impaction

• Pressure injury

• Pain

• Other noxious stimuli