A 45-year-old man presents to the urgent
A 45-year-old man presents to the urgent care clinic complaining of low back pain. He states that he was moving heavy boxes at work yesterday when he felt a sudden onset of low back pain that radiated down his left buttock and left posterior thigh. His past medical history is unremarkable and he takes no medications. He denies any bowel or bladder incontinence. On physical examination he has decreased sensation on the posterior left thigh decreased strength on left ankle dorsiflexion and an absent left ankle jerk deep tendon reflexes. He has no saddle anesthesia and normal rectal tone. His straight leg prize test is positive with pain reproduced on passive elevation of the right contralateral leg. After four weeks of conservative therapy his symptoms resolved. Questions What are the salient features of this patient’s problem? How do you think through his problem? What are the key features including essentials of diagnosis, general considerations, etiology, and demographics of LBP? What are the signs and symptoms of LBP? What are the imaging and procedural findings in LBP? What are the treatments for LBP? What is the differential diagnosis of LBP? When should patients with LBP be referred to a specialist or admitted to the hospital? SCIENCE HEALTH SCIENCE NURSING NUR 507
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