ABPMR SCI Medicine case studies
ABPMR SCI Medicine · Put your knowledge to work in context.
Spinal Cord Injury Medicine (SCIM) is one of the subspecialty certifications offered by the American Board of Physical Medicine and Rehabilitation (ABPMR). It is designed for physiatrists who want to demonstrate subspecialty-level competence in caring for people with spinal cord injury, beyond primary PM&R certification. The ABPMR SCI Medicine case studies are 5 cases and about 2,689 words.
1Early AIS Classification After a C5 Fracture: Timing, Confounders, and the Family Conversation
A 38-year-old man underwent C4-C6 posterior fusion 48 hours ago for a C5 burst fracture after a motorcycle crash. He was intubated for 30 hours and received propofol and fentanyl; he was extubated yesterday and is drowsy but follows commands.
642 words, about 3 min2Fever and Borderline Hypotension on Day 10 After a T6 Injury
A 29-year-old woman sustained a T6 AIS A injury in a fall from a horse and underwent T4-T8 fusion 10 days ago. She now has a temperature of 38.7 C, heart rate 118, blood pressure 92/58 (baseline 110/70), respiratory rate 22, and SpO2 94% on room air.
581 words, about 3 min3Spasticity That Helps: A C4 AIS B Patient Who Wants It Gone
A 47-year-old man with C4 AIS B tetraplegia from a diving injury 14 months ago lives at home with his wife. He uses a power wheelchair with chin control and can do a pivot transfer with maximal assistance of one person; he relies on extensor spasms in his legs to lock his knees during the transfer.
494 words, about 2 min4A Nonhealing Ischial Wound in a Patient Who Cannot Stop Working
A 41-year-old man with T4 AIS A paraplegia for 12 years works as a call-center supervisor and sits 10 hours a day. He has a 4 cm stage 3 ischial ulcer with undermining that has been present for 7 months despite hydrocolloid dressings and 'pressure shifts every 2 hours.' He has a chronic indwelling urethral catheter, recurrent UTIs, BMI 31, albumin 3.0 g/dL, and hemoglobin 10.8 g/dL.
485 words, about 2 min5Discharge Home to a Spouse Who Cannot Lift Him
A 68-year-old woman with C3 AIS C tetraplegia from a fall 6 weeks ago has completed acute rehabilitation. Her tracheostomy was removed, and she uses nocturnal noninvasive ventilation.
487 words, about 2 min