Spinal disc herniation Quiz: Ace Your Exams
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A 76-year-old man is brought to the emergency department to evaluate acute-on-chronic low back pain. Several years ago, the patient was diagnosed with prostate cancer, but he elected to forego treatment and was lost to follow-up. Today, the patient was brought in by family members after he could not get out of bed. The patient states, “I can’t lift my legs, and I woke up covered in my stool.” The patient has no other significant medical history or medication use. Temperature is 37.0 °C (98.6 °F), pulse is 105/min, respirations are 18/min, blood pressure is 176/65 mmHg, and O2 saturation is 97% on room air. Physical examination shows a cachectic male in moderate distress. The patient has diffuse lumbar spinal tenderness to palpation and 2/5 strength of the lower extremities bilaterally. The patient’s pelvic x-ray is demonstrated below. Which of the following additional clinical features most indicates this patient’s clinical condition?

Reproduced from: Wikipedia

Reproduced from: Wikipedia
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