ORTHO
BULLETS
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Review Question - QID 214127

Spinal Epidural Abscess Imaging MRI with gadolinium QID: 214127 (OBQ19.225)
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QID 214127 (Type "214127" in App Search)
A 37-year-old intravenous drug user presents with an 8-day history of fevers, chills, back pain, and difficulty with ambulation. On examination, he is febrile to 102.7 F, exhibits full strength and normal sensation in the lower extremity but has a positive Hoffman's sign. Laboratory markers reveal an erythrocyte sedimentation rate of 100 mm/h and C-reactive protein of 55 mg/L. Lumbar spine radiographs are obtained and are unrevealing. A lumbar MRI reveals a spinal epidural abscess from L3-L5. Which of the following is the most appropriate next step?
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