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Is the pain of acute onset or gradual onset? If it is acute onset, one must consider the possibility of epidural abscess, pyelonephritis, or other abdominal conditions as the cause of the back pain. If it is gradual ... DIAGNOSTIC WORKUP
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Is there a history of trauma? Patients with scoliosis and a history of trauma should be suspected of having a thoracic or lumbosacral sprain, fracture, or herniated disk.
Is the neurologic ... DIAGNOSTIC WORKUP
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Low back pain is the second most common cause of doctor visits in the U.S. and is the most common cause of disability. Up to 90% of the population will experience back pain during their lives. Studies show that, at any given time, up to 20% of the population is... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Scoliosis is a curve of the spine in the coronal plane (i.e., lateral curve) that is often associated with a rotational deformity as well. Kyphosis is an alteration in normal spinal curvature in the sagittal plane, and it refers to a curve with an anterior concavity. Normally, some degree... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Back pain is an uncommon complaint in children, but relatively more common in adolescents. Although relatively benign causes (such as muscular strain in adolescents) account for the majority of cases, some more severe causes should not be overlooked,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Idiopathic scoliosis often does not progress enough to require treatment and observation is sufficient. Painful scoliosis is a serious complaint, as an underlying condition may be the nidus of the curvature. Surgery is performed to fuse progressive curves greater than 50°, but... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... It is not uncommon for a patient to complain of a lump on his or her back. Most of the time the lesion is a sebaceous cyst or lipoma. However, there are other types of back masses, and a simple method of recall is needed. Anatomy is the key. If the mnemonic MINT is applied to
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... Nothing is more challenging to diagnose than a case of low back pain. That is why it is so important to have an extensive list of causes in mind before approaching the patient. Anatomy forms the basis for developing such a list ( Table 45 ).
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... Back pain affects an estimated 80% of the population; in fact, it's the second leading reason — after the common cold — for lost time from work. Although this symptom may herald a spondylogenic disorder, it may also result from a... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... Functional, mechanical causes: postural imbalance
Anteroposterior (e.g., pregnancy)
Lateral (e.g., scoliosis, unequal leg lengths)
Trauma
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... Scoliosis is a lateral curvature of the spine that may occur in the thoracic, lumbar, or thoracolumbar spinal segment. The curve may be convex to the right (more common in thoracic curves) or to the left (more common in lumbar curves). Rotation... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Back pain affects an estimated 80% of the population; in fact, it’s the second leading reason—after the common cold—for lost time from work. Although this symptom may herald a spondylogenic disorder, it may also result from a genitourinary, GI,... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Stephen Davis
Approach Low back pain is a common problem with many causes. The differential diagnosis can be grouped into three over-lapping categories: urgent (“red flag”) diagnoses, structural ... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Musculoligamentous strain
❑ Lumbar disc herniation
❑ Osteoarthritis
❑ Compression fracture
... Diagnostic Approach ... Clinical Findings ... Pictures
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... Scoliosis, a lateral curvature of the spine, may be found in the thoracic, lumbar, or thoracolumbar spinal segment. The curve may be convex to the right (more common in thoracic curves) or to the left (more common in lumbar curves). Rotation of the vertebral column around its axis occurs... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Back pain affects an estimated 80% of the population and is the second leading cause of absence from work. Although this symptom may indicate a spondylogenic disorder, it may also result from a genitourinary, GI, cardiovascular, or neoplastic disorder. Postural imbalance associated with... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Back pain affects an estimated 80% of the U.S. population; in fact, it’s the second leading reason — after the common cold — for lost time from work. Although this symptom may herald a spondylogenic disorder, it may also result from a... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Although less common in children than inadults, a specific cause can frequently be identified. Principal Causes of Back Pain Congenital Spineanomalies Developmental Scoliosis Scheuermann disease ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Back pain affects an estimated 80% of the population; in fact, it's the second leading reason—after the common cold—for lost time from work. Although this symptom may herald a spondylogenic disorder, it may also result from a genitourinary... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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Nothing is more challenging to diagnose than a case of low back pain.
That is why it is so important to have an extensive list of causes in mind
before approaching the patient. Anatomy forms the basis for
developing such a list (Table 45).
Moving... Pictures
... READ EXCERPTS »
...
It is not uncommon for a patient to complain of a lump on his or her
back. Most of the time, the lesion is a sebaceous cyst or lipoma. However,
there are other types of back masses, and a simple method of recall is
needed. Anatomy is the key. If the... Pictures
... READ EXCERPTS »
... Chloe Brittan, MDPaul P. Wang, MD (4th Edition) Learning Problems - BASICS Learning Problems - description Learning disorders, or learning disabilities, are defined in the Diagnostic and Statistical Manual ... Learning Problems - DIAGNOSIS ... Learning Problems - TREATMENT ... Learning Problems - FOLLOW UP ... Learning Problems - bibliography ... Learning Problems - CODES ... Learning Problems - FAQ
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... Judith A. Turow, MD Speech Problems - BASICS Speech Problems - description Language: A system of symbols with a systematic relationship that is used to communicate new ideas Speech: The expression of language ... Speech Problems - DIAGNOSIS ... Speech Problems - TREATMENT ... Speech Problems - FOLLOW UP ... Speech Problems - bibliography ... Speech Problems - CODES ... Speech Problems - FAQ
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As adults, we all comprehend the fact that our parents will die eventually. But the reality of that event often has much more emotional impact than...
Since childhood you've learned that brushing and flossing should be part of your daily routine to prevent the buildup of plaque. Join us for a...
It's no secret that our bodies change as we age, and some adjustments are unavoidable. But urinary incontinence is one problem older people...