ORTHO
BULLETS
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Review Question - QID 211850

Spinal Epidural Abscess Treatment Nonoperative QID: 211850 (SBQ18SP.68)
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QID 211850 (Type "211850" in App Search)
A 56-year-old male presents to the ED with 1 week of increasing back pain and leg weakness. He has a history of intravenous drug abuse (IVDA) and smokes 1.5 packs of cigarettes per day. Laboratory analysis reveals WBC: 11K, CRP: 98 mg/L, ESR: 81 mm/h. On exam, he is febrile and found to have 4 out of 5 strength in his bilateral lower extremities. An MRI is obtained and demonstrates a spinal epidural abscess. Which factor is the strongest predictor that THIS patient will likely fail medical treatment?
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