Review Note
Last Update: 02/18/2024 05:30 AM
Current Deck: Part 2::1. Subsites::CNS::Malignant spinal cord compression
Published
Fields:
Front
CNS | MSCC | 2.2 | Management | Immediate management | Describe the immediate management of a patient with malignant spinal cord compression
Back
- Analgesia
- Bed rest (nurse in a supine position if any possibility of spinal instability - once spinal instability excluded, no need to confine pt to bed)
- Bladder and bowel care
- If required - IDC + daily enemas / aperients
- +/- DVT prophylaxis
- If clinical evidence of myelopathy, commence steroids whilst awaiting MRI - steroids reduce vasogenic edema. Use dexamethasone 8mg BD + PPI
Further information, not for memorising (no card)
Exam
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