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14535 Medicine

A 20 year old male goes swimming . After a few days he develops itching with rashes over his body diffusely. He ignores it until several weeks later he develops lancinating pain down his legs and all of his toes. Within a few days he develops paraparesis and problems with bowel and bladder control with resultant urinary retention. What is your approach to this patient

AInitiate anticoagulation
BDo spinal angiography
COrder an MRI scan
DPerform sensory evoked potential testing
Medicine
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