Lady with mets and increased ca2+ (hypercalcemia of malignancy) at risk for cervical spine compression. She also has neurological impairment which makes her a candidate for surgery - decompress spinal cord and cervical stabilization.
I think this lady needs way more than a soft tissue collar and PT - more conservative therapy.
Mithramycin is evidently an antitumor drug used in testicular cancer
Tamoxifen therapy - treat her immediate neurological issues
Patient has signs/symptoms concerning for cervical spinal cord compression (neck pain with tenderness upon palpation, diffuse hyperreflexia) secondary to spinal metastases
Key idea: Acute spinal cord compression is a neurological emergency and requires immediate surgical decompression
submitted by โkingfriday(45)
Lady with mets and increased ca2+ (hypercalcemia of malignancy) at risk for cervical spine compression. She also has neurological impairment which makes her a candidate for surgery - decompress spinal cord and cervical stabilization.
I think this lady needs way more than a soft tissue collar and PT - more conservative therapy.
Mithramycin is evidently an antitumor drug used in testicular cancer
Tamoxifen therapy - treat her immediate neurological issues