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This Concept Map, created with IHMC CmapTools, has information related to: parapalegia with Ulcers and HTN, Amputation Left Below knee and Right complications infection, pressure exerted on the area, over bony prominences decreases blood flow this leads to ischemia and hypoxia, 51 year old male with a spinal cord injury from a motor vehicle accident prevalance 250,000 to 400,000 injuries in US, Tetraplegia/ quadriplegia and quadriparesis involves all four extremities., based on the lowest neurological segment with intact or normal motor and sensory function Tetraplegia/ quadriplegia and quadriparesis, Level of injury complications impaired urinary elimination, injury causes microscopic hemorrhages in gray matter and pia-arachnoid Eventually blood fills the gray matter and causes necrosis then spills over into the white matter impeding circulation in spinal cord, based on the lowest neurological segment with intact or normal motor and sensory function Paraplegia/ paraparesis, loss of limb from bone involvement Amputation Left Below knee and Right, involves only the lower extremities injury to lower thoracic and lunbro sacral spine, Level of injury complications ineffective tissue perfusion, involves all four extremities. injury to cervical spine, Level of injury complications Impaired physical mobility, this leads to ischemia and hypoxia as capillaries collapse, thrombosis occurs leading to edema then necrosis of tissue, Paraplegia/ paraparesis involves only the lower extremities, machnisms of injury include: vertical compression of spine, edema causes compression, then ischema, then necrosis of spinal cord Level of injury, immobility leads to pressure ulcers treatments debridement of the wound, immobility leads to pressure ulcers complications loss of limb from bone involvement, immobility leads to pressure ulcers complications progression to more severe state