There is a positive Babinski sign on the left. The right foot appears to have a possible foot drop. With the assistance of others, one of whom stablizes the cervical spine, the ER physician logrolls the patient over and palpates the back. There is point tenderness over lower thorax vertebrae. Mr. McCann reacts violently to the ER physician's palpation here.
Rectal exam reveals an enlarged prostate, smooth without any palpable nodules.
Hemoccult of brown stool is negative. The EMTs call the ER physician to another patient who is in respiratory distress. The ER physician asks the nurse to contact the orthopedic surgeon on call so he can discuss Mr. McCann's case. All of the above. The nurse is still having a very difficult time controlling the patient, who is attempting to get off the stretcher, and applies soft restraints to prevent the patient from falling.