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Neurogenic shock — RCPSC EM MCQ

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HardTraumaNeurogenic shockRCPSC EM

A 29-year-old motorcyclist has priapism, flaccid paralysis below T6, bradycardia 48, BP 76/42, warm dry skin, and no evidence of external bleeding. FAST is negative. What is the most likely diagnosis?

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Correct answer: D — Neurogenic shock from high spinal cord injury

Hypotension with bradycardia, warm skin and neurologic level after trauma suggests neurogenic shock, while bleeding still requires active exclusion.

Reference: ATLS spinal trauma principles