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Neck Pain After Syncopal Fall


Consult Page

A 75 year old man with syncope and fall with dens fracture

Initial Imaging

Figure 6.1, Coronal (A) and sagittal (B) views of a cervical spine CT without contrast demonstrate a type II odontoid fracture with no displacement or retropulsion.

Walking Thoughts

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    Does the patient have any other injuries?

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    Is the patient hemodynamically stable?

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    What is his neurological exam?

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    Is he wearing a cervical collar?

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    Is the fracture unstable? Will he need surgery?

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    What are his medical comorbidities? Does he have any bleeding disorders? Does he take any anticoagulants or antiplatelet agents that need to be reversed?

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    What labs have already been sent? What labs are pending?

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