zaidsuror
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If a person is described in a vignette to have suffered an injury resulting in a picture suggesting spinal cord injury by physical,what is the next best step in managment?
Is is Plain xray ,then MRI? or high dose steroid then worry about about diagnosis (the approach in spinal cord compression syndrom) or plain xray then steroid then MRI?
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| virgola82
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Dr Levy in his lectures says that if a person has a back pain and a sign of spinal cord injury (i.e sensory level, lower limb weakness, urinary incontinence/retention etc) first step is dexamethasone and then xray (best initial test) and if negative MRI (best test)
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| zaidsuror
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Dr. Levy Literally says if a person has back pain + history (fever,cancer,or sexual or sphincter dysfunction) OR exam of neurologic injury ,this qualifies for SUSPECTED SPINAL CORD COMPRESSION SYNDROM= HIGH DOSE DEXAMETHASONE.
My question is about a injury leading to a presentation suggesting a spinal cord involvemnt,what would be the next step.
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footsteps on the sands of time are not made by sitting around.
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| virgola82
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I think the back pain Dr Levy talks about can also qualify as the post-trauma pain and so dexamethasone should help. Aniway on kaplan surgery notes (pag4) it also says that before doing MRI is better to give steroids to spine injury patients.
Edited by virgola82 on 06/11/07 - 10:32 AM
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