26th June 2023

A 56-year-old man presented to ED after a 48-hour history of new incontinence

A 56-year-old man presented to ED after a 48-hour history of new incontinence. He is overweight, in mild discomfort and in a wheelchair in the waiting room as he reports ‘shooting pains’ bilaterally from his lower back to his calves. He is normally relatively fit, working as a lorry driver. He has a 15-year pack history and lives with his male partner.

His past medical history includes type 2 diabetes, hypertension, hypercholesterolaemia and a lower leg DVT in 2018.

Which of the following is a further ‘red flag’ symptom of the likely underlying diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.