![]() Central Cord Syndrome -Generally caused by hyperextension. Patients with history of central canal stenosis at risk -Upper extremities affected > lower extremities -Distal affected > proximal -Usually bladder dysfunction Opioid Induced Hearing Loss -Occurs <72 hours after use (seen in both acute and chronic users) -MCC is hydrocodone and heroin but seeing more with methadone lately -May be unilateral or bilateral -Most resolve within 72 hours but may be permanent -Treat with cessation of narcotics and possibly cochlear implants if permanent Rhabdomyolysis -Fluids, fluids, fluids as treatment -Diuretics (mannitol) and bicarb are controversial -Risk of AKI is lower when CK <5,000 but can be seen at CK levels of 1,000 -Urine dipstick + for blood with urinalysis - for blood has sensitivity of 80% for diagnosis
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