CASE 71 History: A 29-year-old woman who recently emigrated from India presents with a long-standing history of back pain between the shoulder blades, which has worsened over the last month, and numbness below the level of her breasts for the past few days. 1. What should be included in the differential diagnosis? (Choose all that apply.) a. Pyogenic diskitis osteomyelitis d. Metastasis e. Neuropathic spondyloarthropathy 2. All of the following findings favor tuberculous spondylitis over pyogenic spondylitis except: a. Involvement of several contiguous segments b. Body collapse with kyphotic deformity c. Rapid progression with early destruction of the disk space d. Paraspinal abscesses containing calcifications 3. Which spinal segment is most commonly involved in tuberculous spondylitis? c. Lumbar spine d. Sacrum 4. Which of the following statements regarding tuberculous spondylitis is false? a. Involvement of the posterior elements is highly suggestive of tuberculosis (TB).
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