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Ioice, great post this week! Your descriptions and reasoning behind selecting thedifferentials that you selected were extremely clear and informative. I agree with the differentialsthat you selected and I would agree that the primary diagnosis based on the information providedis a vertebral compression fracture because it is clearly seen on the radiograph provided. I wouldalso say that it is safe to rule out cauda equine syndrome. Since cauda equine syndrome is asurgical emergency and potentially life-threatening, ruling out this would be extremelyimportant, but since the patient is not experiencing symptoms that accompany this diagnosis suchas bowel and bladder disturbances, then this diagnosis could be considered to be least likely. Theadvanced practice nurse should be able to further rule out this diagnosis once further diagnostictesting such as an MRI or a CT was completed (Casey, 2018). Paresthesias, muscle wasting,
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Advanced practice nurse,Compression fracture,Spinal Cord Compression,bladder disturbances