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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 onset, one ... 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 experiencing low back... 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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... 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
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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
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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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... 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 (musculoskeletal)... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Musculoligamentous strain
❑ Lumbar disc herniation
❑ Osteoarthritis
❑ ... Diagnostic Approach ... Clinical Findings ... 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... 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 genitourinary, GI,... 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 ... 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, GI, cardiovascular, or neoplastic... 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... Pictures
... READ EXCERPTS »