Q) A 25-year-old male is brought to the emergency department after a high-speed motorbike accident. He is conscious but reports inability to move his lower limbs. On examination his blood pressure is 75/40 mmHg, pulse 48/min, skin warm and dry. There is flaccid paralysis of both lower limbs and decreased sensation below the level of the umbilicus. Jugular venous pressure is low.
What is the most likely diagnosis?
A. Hypovolemic shock due to occult intra-abdominal bleed
B. Neurogenic shock due to spinal cord injury
C. Cardiogenic shock due to blunt cardiac contusion
D. Septic shock due to aspiration pneumonia
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