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Kevin is a 38 year old black male with chronic back and leg pain from a severe motorcycle accident that he was in 3 years ago. In the past, he was operated on by a local orthopedic surgeon and was placed on PRN oxycodone. He states overall his pain is fairly well controlled and he is able to continue his work as a teacher. He presents to the office today complaining about worsening right sided back pain that has been present for the past 2 days. He has also had nausea which he states is normally not present. He denies any known new trauma at this time though he states he does work out at the gym 4 times a week and started lifting more weight this past week. Upon examination, vital signs show Temp 99.9, HR 101, BP 123/86, RR 18, O2 sat 98% on room air.

What other information would you need to gather on this patient to help with your differential diagnoses?
What test would you order to help add your diagnoses?
What differential diagnoses do you have for this patient at this time?

pls add reference

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