Autonomic Dysreflexia : Occurs after spinal cord injury is established (chronic phase, T6 or higher), Severe, sudden hypertension, Bradycardia, Pounding headache, Flushed skin and sweating above level of injury, Cool, pale skin below level of injury, Nasal congestion, Triggered by bladder distention, bowel impaction, or tight clothing, Medical emergency, Blurred vision or spots in vision, Anxiety or “impending doom” feeling, Goosebumps (piloerection) below level of injury, Severe risk for stroke if untreated, Spinal Shock: Occurs immediately after spinal cord injury, Flaccid paralysis below the level of injury, Loss of reflexes (areflexia), Loss of sensation below the level of injury, Hypotension, Bradycardia (sometimes), Temporary (lasts days to weeks), No movement or reflexes below injury, Absent bulbocavernosus reflex, Flaccid bladder and bowel (neurogenic shock overlap early), Warm, dry skin initially (from vasodilation), Paralysis is below the lesion level only, Ends when reflexes (like spasticity or hyperreflexia) return,
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