The right wrist appears swollen. Although the patient does not want to move it, it has full range of motion on passive range of motion exam. Pulses have not changed from the initial survey. The right hip is turned out and has neither passive nor active range of motion. Cranial Nerves II-XII are intact.
Reflexes are all normal and equal.
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.