A 35-year-old man presents with acute onset of low back pain after lifting boxes. He reports difficulty urinating and numbness in the perineal area. E...

Question

A 35-year-old man presents with acute onset of low back pain after lifting boxes. He reports difficulty urinating and numbness in the perineal area. Examination reveals reduced anal tone and bilateral leg weakness. What is the most likely diagnosis?

Accepted Answer

Cauda equina syndrome

Answer

Lumbar muscular strain

Answer

Sciatica

Answer

Ankylosing spondylitis flare

Answer

Spinal stenosis

ca-mccqe1 MCQ (SBA): Cauda equina syndrome

A 35-year-old man presents with acute onset of low back pain after lifting boxes. He reports difficulty urinating and numbness in the perineal area. Examination reveals reduced anal tone and bilateral leg weakness. What is the most likely diagnosis?