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A 28-year-old woman presents with lower back pain, left anterior leg numbness, and weakness rising

A 28-year-old woman presents with lower back pain, left anterior leg numbness, and weakness rising from sitting. A history of present illness reveals that she is 4 days postpartum and delivered a 10 lb (4.5 kg) infant vaginally under epidural anesthesia. She denies any bowel or bladder symptoms. On physical examination, she has diminished sensation along the L4 dermatome of her left leg. Lower extremity muscle strength is 3/5 on the left and 5/5 on the right. Her deep tendon reflexes are 2/4 for L4 and S1. The straight leg raise is negative. What is the next best step in management? A. Epidural block B. Symptomatic management, assurance, and follow-up C. CT spine D. Spinal angiography

 
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