A 46-year-old woman with known metastatic breast cancer to bone presents with new onset back pain and difficulty walking. Examination shows bilateral ...

Question

A 46-year-old woman with known metastatic breast cancer to bone presents with new onset back pain and difficulty walking. Examination shows bilateral leg weakness and a sensory level at T8. What is the most appropriate immediate management?

Accepted Answer

Urgent MRI spine and high-dose corticosteroids, with oncology/spinal surgical referral

Answer

Arrange outpatient MRI spine

Answer

Start oral NSAIDs and review in a week

Answer

Refer to physiotherapy

Answer

Start anticoagulation for presumed DVT

uk-plab-1 MCQ (SBA): Metastatic spinal cord compression

A 46-year-old woman with known metastatic breast cancer to bone presents with new onset back pain and difficulty walking. Examination shows bilateral leg weakness and a sensory level at T8. What is the most appropriate immediate management?