Spinal infection and abscess Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 55-year-old man presents to the emergency department for evaluation of low back pain and fever. He has had chronic pain in the lower back for many years and received a lumbar facet joint injection with his pain specialist three months ago. Six weeks ago, he began noticing persistent pain in the lower back, different from his usual symptoms and unrelieved by medication or rest. The day before admission he developed a fever. The patient has a history of diabetes treated with Metformin and rheumatoid arthritis treated with daily prednisone. Temperature is 38.6oF (101.5°F), pulse is 110/min, respiratory rate is 18/min, blood pressure is 134/82 mmHg, and oxygen saturation is 99% on room air. Exam is notable for midline tenderness over L1. Neurological exam is nonfocal. X-ray reveals destructive changes in the body of L1 and L2 with the collapse of the disc space between the vertebrae. Which of the following next steps would be best to confirm the likely diagnosis?
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