Family Medicine
Family Medicine
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You discuss your next patient with Dr. Lee.You discuss your next patient with Dr. Lee.
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You are working with Dr. Lee today. She hands you a triage note from the nurse regarding your next patient, Mr. Payne:
Forty-five-year-old white male truck driver complaining of two weeks of sharp, stabbing back pain. The pain was better after a couple of days but then got worse after playing softball with his daughter. This morning his pain is so bad that he had trouble getting out of bed.
Dr. Lee provides you some background information about low back pain.
Low Back Pain Prevalence, Cost, & Duration Low back pain (LBP) is the fifth most common reason for all doctor visits. In the U.S., lifetime prevalence of LBP is 60% to 80%. The direct and indirect costs for treatment of LBP are estimated to be $100 billion
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8/12/19, 10)21 AMFamily Medicine 10: 45-year-old man with low back pain – South Univ…ollege of Nursing and Public Health Graduate Online Nursing Program
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annually. Fortunately, most LBP resolves in two to four weeks.
References Casazza BA. Diagnosis and Treatment of Acute Low Back Pain Am Fam Phy 2012;85(4):343-350. http://www.aafp.org/afp/2012/0215/p343.html#ref-list-1 Accessed December 12, 2016.
Humphreys SC, Eck JC, Hodges SD. Neuroimaging in Low Back Pain. American Family Physician. June, 2002; 65(11):2299-306. http://www.aafp.org/afp/2002/0601/p2299.htm. Accessed April 26, 2017.
CAUSES OF LOW BACK PAIN 1 CLINICAL REASONING Dr. Lee continues: “There are many causes for LBP. For presenting symptoms that have a broad differential diagnosis, I find it helpful to think of systems of etiologies in which diseases or conditions can be categorized.”
Common Causes of Back Pain Musculoskeletal (MSK) and Non-MSK Causes of Back PainMusculoskeletal (MSK) and Non-MSK Causes of Back Pain
MSK CausesMSK Causes
Axial:
Degenerative disc disease Facet arthritis Sacroiliitis Ankylosing spondylitis Discitis Paraspinal muscular issues SI dysfunction
Radicular:
Disc prolapse
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