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In school we were told CES was a rare zebra; 2 years into practice and had a patient walk in with with textbook symptoms. Our clinic has a good relationship with the PCPs we share a space with and most times when someone calls them for back pain they just place a PT referral without seeing them.
Patient walked in today; (B) clonus, saddle anesthesia, and complaining of loss of sensation in the bedroom. I Sent straight to ED, imaging confirmed cord compression.
My boss claims it’s because I screen while most PTs skip a full Neuro screen…am I just catching stuff because I’m screening or unlucky
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