Neuro Exam (including limb examination of strength, sensation, reflexes, rectal tone (as indicated), and urinary function as indicated.
If no neuro deficits, schedule urgent Spine MRI (<=24 hours)
*High Dose Steroids: Decadron 96 mg IV x 1, then 24 mg IV q6hrs until treatment (surgery or RT begun). Moderate Dose Steroids: Decadron 10-20mg IVx1 then 6mg PO/IV q6hrs. Weaned as appropriate after treatment begun. Adjustments should be made as necessary taking into account overall medical history and current condition (i.e., diabetes, ulcers, etc.).