The patient has back pain physician extender algorithm: Difference between revisions
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| bgcolor=lightyellow |[[Sciatica]] present?||bgcolor=lightgray |[[Sciatica present|Yes]]||bgcolor=mediumaquamarine |[[Sciatica not present|No]] | | bgcolor=lightyellow |[[Sciatica]] present?||bgcolor=lightgray |[[Sciatica present|Yes]]||bgcolor=mediumaquamarine |[[Sciatica not present|No]] | ||
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==Do's*== | |||
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]] | |||
*sign of local tenderness | |||
*range of motion | |||
*sign of [[radiculopathy]] | |||
*spurling sign | |||
*[[straight leg raise ]] | |||
* While this algorithm provides steps to perform a focused history and physical examination, it is no replacement for a detailed history and physical examination. | |||
Revision as of 15:19, 30 July 2013
| Sciatica present? | Yes | No |
Do's*
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
- sign of local tenderness
- range of motion
- sign of radiculopathy
- spurling sign
- straight leg raise
- While this algorithm provides steps to perform a focused history and physical examination, it is no replacement for a detailed history and physical examination.