Neurosurgical Medico-legal Issues
A 58-year-old female presented to the ER of a small community hospital with symptoms of fever, chills, and right-sided back pain of 1-day in duration. There was a past history of kidney infection 3 years before, type II diabetes diagnosed several months prior, and chronic smoker’s cough, which was somewhat increased in the last 2 days. The vital signs and examination were reported to be normal except for occasional crackles of the right lower lung. The only investigation performed was a urinalysis, which showed 1+ blood, but no other abnormality. The ER physician diagnosed probable mild pneumonia. There was a history of penicillin allergy, so treatment was initiated with azithromycin for 5 days and she was advised to follow-up with her family physician (FP). A mid-stream urine culture was requested of the patient to be performed the following morning.
KeywordsDegenerative Disc Disease Radicular Pain Epidural Abscess Cauda Equina Syndrome Spinal Infection
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