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Jack, age 39, was cleaning out his

Jack, age 39, was cleaning out his garage. While on a ladder, he reached sideways for a heavy box and felt pain in his lower back. He had trouble making it down the ladder, and his posture and gait are obviously compensating for his pain. He has no radiation, but he can’t sit or lie down comfortably. He took a massive dose of ibuprofen at home but had to have his wife drive him to the emergency department. 1. What physical exam assessments will you perform? 2. What diagnostics would you order? 3. What are the differential diagnoses? 4. What is your diagnosis? 5. What pharmacological treatments do you recommend? 6. What nonpharmacological treatments do you recommend? 7. Does Jack need to follow up? Why or why not? SCIENCE HEALTH SCIENCE NURSING ADVANCED P NR509

 
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