Intermittent Lower-limb Paraesthesias in Medicine / Internal Medicine — 41yo Man | Infectious Diseases | SMLE Q#11405
SMLE Question #11405
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: February 2026
A 41-year-old male veterinarian has 3 months of progressive dull low back pain and morning stiffness with intermittent lower-limb paraesthesias. He reports frequent exposure to cattle, goats, and sheep. Examination shows hepatosplenomegaly, sacroiliac joint tenderness, and reduced spinal flexion. What is the most appropriate next step in management?
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