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8 Cards in this Set
- Front
- Back
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Q. 7 DDx for back pain
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Ankylosing Spondylitis,
Back Strain, Degenerative Joint Disease, Disc Herniation, Neoplasm, Pyelonephritis, Urolithiasis, |
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Q. Ankylosing Spondylitis
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Aching LBP (lumbar & SI), SI joints tender to palpation
morning stiffness 15-40 yo Arthitis in hips, knees & shoulders Anterior uvetitis Dec curvature of lumbar spine |
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Q. Back Strain
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Aching/spasm of lower back/buttock/thigh
<activity or bendig Local tenderness Dec ROM |
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Q. Degenerative Joint Disease
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Bilateral back pain
<walking >sitting >50yo |
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Q. Disc Herniation
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Sharp/shooting low back pain radiating to lower leg, paresthesia
<bending/sitting >standing L4: pain along anterior leg, loss of patellar reflex, weak lower leg extension L5: pain along side of leg, weak dorsiflexion S1: pain along posterior leg, weak plantarflexion, loss of Achilles reflex, sensory loss along post lower leg/lat foot |
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Q. Neoplasm
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Dull, pulsating back pain
> 50 yo <lying, coughing Fever, weight loss fatigue Pain not relieved by rest |
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Q. Pyelonephritis
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ER!
Costovertebral angle tenderness Flank pain Hematuria, , dysuria Straining to void Fever, N/V, H/A |
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Q. Urolithiasis
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Intense, colicky flank pain
Radiating anteriorly over abd or into ipsilateral testes/labium Urinary urgency/frequency N/V Restlessness |
