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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Back And Neck Pain

I am a nurse practitioner student in IL. We have a 42 yr old male who started having back pain 4 days ago. 3 days ago he developed a scattered itchy, macular papular rash, with neck pain, headache, joint pain and fever of 102. Went to ER. Was found to have high opening pressure on LP. He has a large amount blood in his urine. Large amount protein but normal glucose in CSF. neurologist wanted to admit him, but pt went home. Today in office looks slightly better. thyroid is enlarged. We aren t sure what is wrong or where to go from here.
posted on Sun, 1 Mar 2015
Twitter Thu, 2 Apr 2015 Answered on
Twitter Mon, 6 Apr 2015 Last reviewed on
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Neurologist,  's  Response
Hi
thank you for trusting HCM
I read your query and the information you provided leads to any viral infections
I read that you undertake LP with high pressure at first so definitely it needs imageric evaluation at leat CT or ideal MR to better understand what was going with menings
Joint paint is uncommon to neurologic disorders but it can be taken as fever syndrome
Cystitis may be called as entrance way of infection so LCS much be further evaluated not just biological evaluation
Neurologic exam can give further information so provide it if you have done that
It is something systemic, arteritis (giant cell) or vasculitis
Hope I have been of help
Feel free to ask for further questions or doubts
Best regards
Dr Eris Ranxha
Neurologist
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Suggest Treatment For Severe Back And Neck Pain

Hi thank you for trusting HCM I read your query and the information you provided leads to any viral infections I read that you undertake LP with high pressure at first so definitely it needs imageric evaluation at leat CT or ideal MR to better understand what was going with menings Joint paint is uncommon to neurologic disorders but it can be taken as fever syndrome Cystitis may be called as entrance way of infection so LCS much be further evaluated not just biological evaluation Neurologic exam can give further information so provide it if you have done that It is something systemic, arteritis (giant cell) or vasculitis Hope I have been of help Feel free to ask for further questions or doubts Best regards Dr Eris Ranxha Neurologist