ACTION STAT: Cauda equina syndrome
Vincent M. Vacca Jr. MSN, RN, CCRN

May 2012 
Volume 42  Number 5
Pages 72 - 72
  PDF Version Available!

MS. N, 43, is transported to the ED by a friend. The day before, she slipped and fell to the floor at home, landing hard in the sitting position. Except for localized pain around the site of impact, she seemed uninjured at the time. This morning, Ms. N had lower back pain and pain in both legs that started in the buttocks and traveled down the back of her legs (sciatica). Her left leg was weaker than her right. She reports increased urinary frequency, incontinence, and feeling like she wasn't emptying her bladder completely. Ms. N also notes numbness of her perineum, buttocks, and posterior thighs (perineal or saddle paresthesia).On arrival to the ED, Ms. N's vital signs are: temperature, 98.8[degrees] F (37[degrees] C); heart rate, 90; respirations, 14; BP, 128/82; and SpO2, 98% on room air. Her upper extremity motor strength is 5/5 bilaterally, with normal sensation. Her left lower extremity motor strength is 3/5 and right lower extremity 4/5, and she has sensory deficits in her gluteal

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events