MSRACLIN3-033

Mr Smith is a 79 year old man who was recently diagnosed with prostate cancer. He is awaiting staging scans and then to be discussed at the urology cancer MDT meeting to explore treatment options. Mr Smith is now getting lower back pain which radiates down his legs and that is worse with coughing. His legs feel ‘heavy’. He denies any bladder/bowel changes.

Examination reveals tenderness over L1, reduced power in his lower limbs with increased tone and brisk reflexes. There is no obvious sensory level but anal tone is intact/perianal sensation is normal.

Which one of the below investigations would be most appropriate to confirm the likely diagnosis?

BOOK

tue13apr8:30 pm9:30 pmAKT '2 Week Hit' Webinar (20.30-21.30) | Free | 13th April 20218:30 pm - 9:30 pm

tue20apr1:00 pm2:30 pmPLAB 1 '4 Week Booster' Webinar (13.00-14.30) | Free | 20th April 20211:00 pm - 2:30 pm

tue27apr10:00 am2:00 pmLive PLAB 2 Communications Skills Course (10.00-14.00) | 27th April 202110:00 am - 2:00 pm

tue25may10:00 am2:00 pmLive PLAB 2 Communications Skills Course (10.00-14.00) | 25th May 202110:00 am - 2:00 pm

tue29jun10:00 am2:00 pmLive PLAB 2 Communications Skills Course (10.00-14.00) | 29th June 202110:00 am - 2:00 pm

sat24jul9:00 am1:00 pmLive RCA Role-Play Course (09.00-13.00) | 24th July 20219:00 am - 1:00 pm

tue03aug10:00 am2:00 pmLive PLAB 2 Communications Skills Course (10.00-14.00) | 3rd August 202110:00 am - 2:00 pm

sat02oct9:30 am5:30 pmLive Big Mock AKT Course (09.30-17.30) | 2nd October 20219:30 am - 5:30 pm

sun02jan9:30 am5:30 pmLive Big Mock AKT Course (09.30-17.30) | 2nd January 20229:30 am - 5:30 pm

X