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Dr. Lisa Fitzpatrick is a medical doctor and a Center

You are an RPN student working in your local emergency room, assigned to the fast-track department. Joey is a 41-year-old man who comes in with acute low back pain. He states that he did some heavy lifting yesterday, went to bed with a mild backache, and awoke this morning with terrible back pain, which he rates as a 10 on a scale of 1 to 10. He admits to having had a similar episode of back pain years ago “after I lifted something heavy at work.” Joey has a medical history of peptic ulcer disease related to non-steroidal anti-inflammatory drug (NSAID) use. He is 6 feet (183 cm) tall, weighs 265 pounds (120 kg), and has a prominent “potbelly.” The doctor ordered a back x-ray and blood work. The lab work is back with no abnormalities and the radiologist called to say that there was nothing abnormal on the x-ray. You discuss this case with your preceptor, who supports calling the physician and asking for a prescription that will help with a muscle strain. Use the SOAPIE tool to document what you need to say to the physician.

 
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