Correct!
5. All of the above

He had received fluid administration overnight and vasopressor administration was appropriate for his hypotension. Norepinephrine (Levophed) is a commonly used vasopressor. His blood pressure quickly rose to 190/78 with norepinephrine administration. His propofol was stopped and his neurological examination showed he moved his eyes, head, neck, and chewed his endotracheal tube. The only deep tendone reflex elicited was his ankles which were only 1+. He did not move his arms or legs against gravity, but seemed to feel pain with a weak withdrawal of his right leg and arms. Babinsky’s sign was not seen. A repeat portable chest x-ray is shown in Figure 2.

Figure 2. Portable AP chest radiograph after arrest.

What are the possible causes of his neurological state and dysautonomia? (Click on the correct answer to proceed to the fifth of six pages)

  1. Guillain-Barré syndrome
  2. Wound botulism from injecting black tar heroin
  3. Spinal cord compression
  4. 1 and 3
  5. All of the above

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