Abstract
A 73-year-old woman presented to the ED triage desk with the chief complaint of “legs not working.” She stated that she had had problems moving everything from the waist down since the previous week and had seen her primary care physician 5 days earlier. Results from both a magnetic resonance imaging scan of her back and hips and a lumbar sacral (LS) spine radiogram series were negative at that time. She denied having a fever or headache. Her vital signs at triage were as follows: temperature, 36.2°C (97.1°F); pulse, 77 beats per minute; respiratory rate, 14 breaths per minute; blood pressure, 179/85 mm Hg; and Spo2, 97% on room air. Her medications included simvastatin (Zocor), rofecoxib (Vioxx), and an antihypertensive drug. The patient had a history of hypercholesterolemia, angioplasty, myocardial infarction with stent placement in the left anterior descending coronary artery, chronic obstructive pulmonary disease, pneumonia, and arthritis.
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