Acute Back Pain
Über den Vortrag
Der Vortrag „Acute Back Pain“ von Charles Vega, MD ist Bestandteil des Kurses „Year 4 – Selective Sub-Internship“.
Quiz zum Vortrag
A 72-year-old man with a past medical history of prostate cancer presents with 2 weeks of worsening low back pain and radiation of pain down his right leg. He does not have any fevers or chills. Upon examination, his straight-leg test is positive at 20 degrees, but his neurological exam is normal otherwise. Which of the following is the strongest indication for spinal imaging in this patient?
- History of prostate cancer
- Positive straight leg test
- Unilateral radiation of pain
- Back pain lasting > 10 days
- Age > 65
A previously healthy 40-year-old gardener presents to your office with 3 days of low back pain, which occurred suddenly after lifting a bag of compost. The pain has not improved. On physical examination, he has limited range of motion in the lower back and negative straight leg tests bilaterally. What is the next best step in management?
- Short-term analgesics
- Lumbar spine X-ray
- Lumbar spine magnetic resonance imaging
- Referral for spinal manipulation
- Bedrest
Which of the following diagnoses in a patient with low back pain does not require urgent care?
- Unilateral radiating pain
- Cauda equina syndrome
- Presence of metastatic cancer
- Epidural abscess
- Vertebral osteomyelitis
Dozent des Vortrages Acute Back Pain
Charles Vega, MD
Dr. Charles Vega is the Health Sciences Clinical Professor of Family Medicine at the University of California, Irvine in California, USA.
He obtained his Medical Degree from the University of Wisconsin, and completed residency training in Family Medicine at UC Irvine. Currently, he is the Executive Director of UCI’s Program in Medical Education for the Latino Community.
Due to his achievements, he earned a Macy Faculty Scholarship to improve patient-centered health education at UCI.
Within Lecturio, Dr. Vega teaches courses on Family Medicine.
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