PA Boards 128: How to workup acute low back pain

Medgeeks with Andrew Reid

Medgeeks

Medicine, Health & Fitness, Education

4.8 • 996 Ratings

🗓️ 20 March 2017

⏱️ 29 minutes

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Summary

Today, we're going to go over the initial management of acute back pain including: etiology, signs, symptoms, red flags, labs, imaging, and treatment. After this 30 minute lecture - you should feel confident in your initial workup of acute low back pain!

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Transcript

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0:00.0	What is going on everybody? Today we're going to be talking about back pain and specifically we're going to be talking low back pain and I want to give you guys
0:09.5	Pearls today on how to approach the patient who comes in with low back pain because this is a very
0:14.8	common complaint and it's estimated that about 80% of people will have at this complaint at
0:21.4	least once in their lifetime.
0:23.4	Now the good news about a patient coming in with low back pain is that most of the time
0:28.1	there's nothing to do.
0:29.8	90% of these patients are going to resolve on their own within four weeks.
0:34.9	So today we're going to be talking about possible red flags.
0:39.5	Do we need to order any labs test, any lab testing?
0:42.1	Do we need to do x-rays MRI what are the indications for
0:44.8	these imaging studies what are the indications to do testing are worried about
0:48.5	cancer or worried about infection abscess astuteomyelitis, for example.
0:53.2	So we're going to be going over this patient here
0:56.9	with the low back pain symptoms.
0:59.0	And whether you're in the family practice
1:01.5	OB gine clinic, urgent care, emergency room, you're going to run across the patient.
1:05.1	So let's quickly go over some clinical purls on how to approach the patient with low back pain.
1:10.8	Now let's get some quick definitions in here, right? We're going to
1:14.1	separate the low back pain into acute, subacute, and chronic. The acute back pain is
1:20.6	going to be anything less than four weeks.
1:24.0	Subacute is going to be anything between four and 12 weeks.
1:28.0	And then finally we have the chronic back pain patient.
	...

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