QUESTION IMAGE
Question
which red flag in a patient’s history suggests a poor prognosis for cervical myelopathy?
○ mild neck pain without radiation
○ bowel or bladder dysfunction
○ recent onset of symptoms (<3 months)
○ occasional hand tingling
Bowel or bladder dysfunction in cervical myelopathy indicates significant compression of the spinal cord that affects autonomic functions, which is a sign of advanced nerve damage and is associated with a poor prognosis. The other options represent mild or early-stage symptoms that do not signal severe spinal cord compromise.
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Bowel or bladder dysfunction