2011 oral exam Flashcards
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**What additional information would you ask for in a focused musculoskeletal history (12)?**
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**•Following your assessment, this patient leaves your office and is treated by his primary care physician. He receives analgesics and a course of physiotherapy. He presents to your emergency room at your hospital 8 weeks later with worsening thoracic pain and a two week history of progressive leg weakness. He describes normal bowel/bladder function. He is having difficulty walking. Neurologic examination demonstrates 3/5 motor power in both legs, increased lower extremity tone, +ve Babinski, and 9 beats of clonus. There is a thoracic sensory level. Digital rectal tone is present and there is diminished peri-anal sensation.**
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**•Please describe the MRI scan shown (4)?**
**•Pathologic lesion mid-thoracic spine**
**•Pathologic fracture**
**•Cord Compression (anterior and circumferential)**
**•Signal Change in the spinal cord**
**•Absence of other obvious skip spinal lesions**
**•Deformity (acquired kyphosis)**
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