Concept explainers
10-Year-Old Boy with Spinal Injury
On arrival at Holyoke Hospital, Jimmy Chin, a 10–year-old boy, is immobilized on a rigid stretcher so that he is unable to move his head or trunk. The paramedics report that he was awake and alert after his accident at the skateboard park, but crying and complaining that he couldn't get up and that he had a “wicked headache." He has severe bruises on his upper back and head, and lacerations of his back and scalp. His blood pressure is low, body temperature is below normal, lower limbs are paralyzed, and he is insensitive to painful stimuli below the nipples. Although still alert on arrival, Jimmy soon begins to drift in and out of unconsciousness.
Jimmy is immediately scheduled for a CT scan, and an operating room is reserved.
Relative to Jimmy's condition:
4. NCLEX-STYLE Based on your understanding of the anatomy of the nervous system, what functions is Jimmy most likely to lose?
a. Conscious control of bladder and bowel
b. Visceral reflexes involving digestion
c. Reflex control of heart rate
d. Ability to have an erection
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Human Anatomy & Physiology Plus Modified Mastering A&P with Pearson eText -- Access Card Package 11th edition
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