Back pain resident survival guide

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief:Hilda Mahmoudi M.D., M.P.H.^[2]

Definition

Back pain is pain felt in the back that may originate from the muscles, nerves, bones, joints or other structures in the spine.

Causes

Life-Threatening Causes

• Abdominal Aortic Aneurysm

• Adrenal hemorrhage

• Aortic Dissection

• Arachnoiditis

• Cauda equina syndrome

• Chronic stable angina

• Epidural abscess

• Pulmonary embolism

• Retroperitoneal hematoma

• Traumatic aortic rupture

Common Causes

• Discopathy
• Idiopathic lumbago
• Trauma due to lifting
• Ligament strain
• Radiculopathy
• Posterior Rami Syndrome

Management

File:Back pain resident survival guide.pptx

ESR: erythrocyte sedimentation rate.

• Some clinicians obtain C-reactive protein test in addition to ESR as an inflammatory marker.