The patient has back pain: Difference between revisions

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Take a detailed history and physical exam in order to categorize the back pain into either musculoskeletal, spinal cord, nerve roots or [[referred pain]].
==ACTION ITEMS*==


==Choose one of the following choices==
1. Obatin a history to fully characterize the nature back pain (onset, sti lml'f;,'fa;k;'ask.
2. Obtain a relevant ROS focusing on [[systemic diseases]], [[cancer]], [[infection]], [[neurologic symptoms]] and character of the [[back pain]].


===Choice 1:===
2. Perform a focused [[physical examination]]
The pain is characterized by one or more of the following:
*sign of local tenderness
*
*range of motion
*
*sign of [[radiculopathy]]
*
*spurling sign
* ...
*[[straight leg raise ]]


===[[The patient has musculoskeletal pain|Click here if the patient's symptoms and history belong to choice 1]]===


===Choice 2:===
Is [[sciatica]] present?
The pain is characterized by one or more of the following:
*
*
*
* ...


===[[The patient has pain related to the spinal cord and spinal roots|Click here if the patient's symptoms and history belong to choice 2]]===
[[sciatica is present|Yes]]<br>
[[sciatica is not present|No]]


===Choice 3:===
* While this algorithm provides steps to perform a focused history and physical examination, it is no replacement for a detailed history and physical examination.
The pain is characterized by one or more of the following:
*
*
*
* ...
 
===[[The patient has refrred pain|Click here if the patient's symptoms and history belong to choice 3]]===

Latest revision as of 18:47, 26 July 2013

ACTION ITEMS*

1. Obatin a history to fully characterize the nature back pain (onset, sti lml'f;,'fa;k;'ask.

2. Obtain a relevant ROS focusing on systemic diseases, cancer, infection, neurologic symptoms and character of the back pain.

2. Perform a focused physical examination


Is sciatica present?

Yes
No

  • While this algorithm provides steps to perform a focused history and physical examination, it is no replacement for a detailed history and physical examination.
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