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Review Question - QID 213620

Spinal Cord Lesions Introduction Causes of spinal cord lesions can be divided into QID: 213620 (M2.OMB.19.4696)
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QID 213620 (Type "213620" in App Search)
A 55-year-old man presents to the emergency department for back pain. He states that his pain started 2 days ago and has been gradually worsening. He states he generally does not feel well and feels weak. The patient has a past medical history of diabetes, hypertension, congestive heart failure, and dyslipidemia. His temperature is 101°F (38.3°C), blood pressure is 172/102 mmHg, pulse is 97/min, respirations are 14/min, and oxygen saturation is 99% on room air. Physical exam is notable for 3+ reflexes and 4/5 strength of the lower extremities. The patient has focal tenderness over his lumbar spine and lower thoracic spine and a positive Babinski sign. Which of the following is the most appropriate next step in management?
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