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December 2023

RCEM Learning

CHAPTER

Assessment and Referral of Urgent MSK Cases

Debating the appropriate response for patients with sudden onset bilateral radicular pain and severe motor loss, this chapter explores the role of digital rectal examination and bladder scan in secondary care assessment and the need for local protocols for urgent scanning. It also discusses the controversial practice of immediate surgery for incomplete chord or quiner syndrome and the importance of subjective history in diagnosis.

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