68 year old man
- pain in the back last week
- today, woke up to go to toilet; got out of bed and fell over.
- legs weak
- numb buttocks
- incontinent of urine
“acute onset neurological symptoms, on the background of 7 days of back pain.Weakness, buttock numbers and incontinence”
This is a neurological emergency and, if you miss this, a medico-legal one too.
I’m hoping you are all screaming “Cauda Equina Syndrome” at your computer screens – unless you are in the library, in which case just whisper.