17. Your patient is a 53 year old male that has a history of chronic low back pain that has been getting markedly worse over the last week. He does get "nerve blocks" every 3 weeks in his back through his pain doctor. He is complaining of increase pain in his left leg and looks uncomfortable. The patients vitals are Temp 99.2, HR 121, RR-22, BP 147/78. He takes percocet on a routine basis as home and today has received multiple doses of Dilaudid IV in the ER. He is still unable to move off the cot and walk. What is the best management plan?
A. Call the patient's primary care provider and arrange for close outpatient follow up
B. Call the patient's primary care provider and arrange for admission to the hospital
C. Get an MRI of the patient's Lumbar Spine
D. Have security escort the patient out of the hospital. He is obviously a drug seeker and is malingering.
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