Aashi
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A 22-year-old man who is a recent immigrant from Pakistan comes to the emergency department because of a shock-like sensation in his left thigh on forward flexion. His left leg becomes fatigued easily. He has a fever and has been losing weight. He was treated for tuberculosis for a long time in his country but was noncompliant with the medications. Neurological examination demonstrates lower extremity paraparesis. An MRI of the spine reveals collapsed vertebrae at the level of T11 to L1. Which of the following is the most appropriate next step in his management?
(A) Start nafcillin
(B) Lumbar puncture
(C) Orthopedic consultation
(D) Bone scan
(E) Immediate radiotherapy
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"Obstacles are those frightful things you see when you take your EYES off your goal."
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| robin082006
Forum Hero
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Pott's disease (Tuberculosis of the spine)-----> (C) Orthopedic consultation
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| DrPak
Forum Elite
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C - get ortho to come and fix it.
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| Aashi
Forum Moderator
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 yep C
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"Obstacles are those frightful things you see when you take your EYES off your goal."
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