9th June 2021

A 32-year-old man presents to A&E. He has had several weeks of worsening back pain

A 32-year-old man presents to A&E. He has had several weeks of worsening back pain, which he attributes to his work as a plumber. Over the past couple of days, he has had some shooting pains down his right leg, and this morning when he woke up found he was unable to pass urine. On examination, he was found to have reduced perianal sensation, and a loss of ankle reflexes bilaterally.

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