Question 6: Differential Diagnosis Revisited

Bladder Scanner

O/E:

There is no loss of proprioception or vibration sense

Co-ordination is normal

You perform a pre and post-void bladder scan

The bladder scan shows a post-void residual volume of 450ml

    >100-200 ml indicates urinary retention

With this information in mind, what do you think is the top differential?

Brown-Sequard Syndrome    
Central cord syndrome    
Posterior cord syndrome    
Cauda Equina Syndrome     green tick

Well done, correct.