A 45-year-old man presents with low back pain radiating to both legs, numbness in the perineal area and new urinary retention. What is the most approp...

Question

A 45-year-old man presents with low back pain radiating to both legs, numbness in the perineal area and new urinary retention. What is the most appropriate immediate action?

Accepted Answer

Urgent MRI spine and emergency neurosurgical referral

Answer

Arrange routine physiotherapy

Answer

Prescribe NSAIDs and review in 2 weeks

Answer

Start oral steroids and observe

Answer

Refer to pain clinic

uk-plab-1 MCQ (SBA): Cauda equina syndrome

A 45-year-old man presents with low back pain radiating to both legs, numbness in the perineal area and new urinary retention. What is the most appropriate immediate action?