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Surgery General 03e894aa

In a patient with head injury, unexplained hypotension warrants evaluation of:

A
Upper cervical spine
B
Lower cervical spine
C
Thoracic spine
D
Lumbar spine
High-Yield Explanation
High thoracic or cervical cord transection causes hypotension and bradycardia due to functional sympathectomy (sometimes with Horner syndrome). Ref: Harrison's Principles of Internal Medicine, 15th Edition, Page 2441; Surgery: Basic Science and Clinical Evidence By Jeffrey A. Noon, Philip S. Barie, Randall Bollinger, 2008, Page 314

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