The patient is an 83-year-old feel most important the hospital after syncopal episode and fall. She sustained multiple traumas as previously stated she was initially seen by the trauma surgeons who did the usual scans from head to toe. Her x-rays revealed that she has severe foraminal narrowing and central canal stenosis, especially at C4-C5, C5-C6. She has an acute fracture of the posterior spinous processes and also is noted that she is mildly anemic at 10.4. The hematocrit is 32, white count initially of 16.1 and an elevated BUN of 38 and creatinine of 2.09 indications of acute kidney injury since her last admission. She is known to have hypertension, dyslipidemia, hypothyroidism. She is obese. She is on Coumadin for possible paroxysmal
