Severe headaches Pulse 140 Blood pressure 110/70 Tachycardia Right pupil not rea

Question

Severe headaches Pulse 140 Blood pressure 110/70 Tachycardia Right pupil not reactive to light Fluctuating mental status Head trauma unsteady gait Zero response to painful stimulation on left side Increased reflexes I am asked to locate a brain lesion from these key signs and symptoms. Severe headaches Pulse 140 Blood pressure 110/70 Tachycardia Right pupil not reactive to light Fluctuating mental status Head trauma unsteady gait Zero response to painful stimulation on left side Increased reflexes I am asked to locate a brain lesion from these key signs and symptoms. Pulse 140 Blood pressure 110/70 Tachycardia Right pupil not reactive to light Fluctuating mental status Head trauma unsteady gait Zero response to painful stimulation on left side Increased reflexes I am asked to locate a brain lesion from these key signs and symptoms. Tachycardia Right pupil not reactive to light Fluctuating mental status Head trauma unsteady gait Zero response to painful stimulation on left side Increased reflexes I am asked to locate a brain lesion from these key signs and symptoms.

Explanation / Answer

The above signs and symptoms point to the Autonomic dysreflexia which is characterized by uncontrolled hypertension and bradycardia. It occurs in patients with spinal cord injuries where lesions above T6 spinal cord level. The symptoms include blurred vision and headache. The increased blood pressure causes seizures, intracranial bleed or retinal detachment.

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