CHFT Case of the Week 6 – Download for links
CHFT Case of the Week 6
This weeks case of the week discusses a patient who presented to ED 3 times before receiving a rare and unfortunate diagnosis. It highlights the need to be vigilant in re attenders – particularly when there is progression of symptoms. It also discusses some of the evidence around back pain assessment and Cauda Equina Syndrome.
Links:
RCEM Standards – https://res.cloudinary.com/studio-republic/images/v1635599020/Consultant_Sign_Off_Standard_June_2016/Consultant_Sign_Off_Standard_June_2016.pdf?_i=AA
Cauda Equina Overview – https://app.pulsenotes.com/surgery/neurosurgery/notes/cauda-equina-syndrome
NICE guidance – https://cks.nice.org.uk/topics/sciatica-lumbar-radiculopathy/diagnosis/red-flag-symptoms-signs/
American Association of Neurosurgeons – https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Cauda-Equina-Syndrome
British Association of Spinal Surgeons – https://spinesurgeons.ac.uk/News/7773476
Accuracy of clinical signs in cauda equina syndrome – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757302/
No role for PE exam? – https://pubmed.ncbi.nlm.nih.gov/23113877/
Urinary retention as the best indicator? – https://pubmed.ncbi.nlm.nih.gov/19490073/
BMJ Overview – https://www.bmj.com/content/372/bmj.n32
RCEM Position – https://rcem.ac.uk/wp-content/uploads/2021/10/Cauda_Equina_position_statement_Feb20.pdf
EMBeds cauda equina page and pathway – https://www.embeds.co.uk/2021/06/25/suspected-cauda-equina-syndrome/