46yoM who p/w severe back pain and MRSA bacteremia leading to cord compression from epidural abscess
Dr. Kiran Thakur | Morning Report | 07/12/2017
Important things to check if concerned for spinal process: Rectal tone, saddle anesthesia, post-void residual, spinal level
Posted 07/13/17 03:48:43 PM by Emily Miller
If concerned for cord compression from abscess and patient has poor renal function, you can always get an MRI without contrast.
Posted 07/13/17 03:49:15 PM by Emily Miller
Saddle anesthesia is seen with sacral root involvement, such as cauda equina or conus medullaris syndrome. Do not be falsely reassured if absent. Saddle anesthesia is often absent with higher level spinal cord lesion.
Posted 07/13/17 03:50:31 PM by Emily Miller
Thoracic spine is most likely site for development of epidural abscess, but abscesses can extend proximally or distally