IVDA

Welcome back to the EM educator series. This week we cover the difficult diagnosis of spinal epidural abscess with a case, considerations, and #FOAMed resources.

A 26-year-old female presents with fevers and chills. She is febrile and tachycardic, with normal BP. You think you hear a murmur on exam, and on further questioning, she says she regularly uses IV drugs. What should you consider, and what are your next steps?