14. C is the correct answer. This patient has SCIWORA (Spinal Cord Injury Without Radiologic Abnormality). This usually comes from spinal cord edema that is not seen on MRI. An EMG may need to be done at some point, but is not indicated right now. There are many physical exam maneuvers that can be done to determine if the patient is malingering. Decadron has really not been shown in the latest studies to be helpful in SCIWORA. This patient will need to go to rehab after being admitted to neurosurgery.
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