10/9 Low Back Pain DSA - Joy 2017 (Completed) Flashcards

1
Q

What is the difference between acute, sub-acute, and chronic back pain?

A

Acute pain less than 7 weeks

Sub-Acute pain 7- 12 weeks

Chronic pain > 12 weeks

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2
Q

Different viscerogenic back pain from vasculogenic?

A

Viscerogenic —> pain from organs

Vasculogenic —> pain from vascular structures

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3
Q

What are the viscerogenic causes for lower back pain?

A

Gastrointestinal:
—> IBD
—> Diverticulitis
—> Pancreatitis

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4
Q

What are the viscerogenic causes of lower back pain?

A

Reproductive Organs:
—> endometriosis
—> menstrual
—> prostatitis

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5
Q

What are the vasculogenic causes of lower back pain? How would you work these up?

A

Aortic aneurysm (US, CT or CT angiogram)

Ischemic spinal claudication (CT angiogram, MRI)

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6
Q

Define claudication?

A

Pain caused by too little blood flow

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7
Q

Define myelopathy?

A

Any neurologic deficit related to the spinal cord

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8
Q

What are the infectious causes of lower back pain?

A

Discitis

Herpes zoster

Osteomyelitis

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9
Q

What are the metabolic causes of lower back pain? How would you work these up?

A

Osteoporosis (DEXA scan)

Paget disease —> abnormally functioning bone cells (XR, bone scan)

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10
Q

What are primary tumors that may cause back pain?

A

Myeloma

Sarcoma

Osteoid osteoma

Neural tumor

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11
Q

What are secondary tumors that can cause lower back pain?

A
Metastatic tumors:
—> prostate
—> lung
—> breast
—> kidney
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12
Q

What are Rheumatologic causes of lower back pain?

A

Seronegetive Spondyloarthopathy

Fibromyalgia (diagnosis of exclusion)

Rheumatoid arthritis —> morning stiffness lasting greater than an hour

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13
Q

What are types of Seronegative Spondyloarthropathy?

A

Psoriatic arthritis

Ankylosing spondylitis —> bamboo spine (stiff)

IBD (enteropathic arthritis)

Reiter Syndrome

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14
Q

What are congenital causes of lower back pain?

A

Genetic malformations

A chondroblasts

Collagen disorders

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15
Q

What are genetic malformations that contribute to lower back pain?

A

Congenital scoliosis

Spina bifida

Meningocele

Meningomylocele

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16
Q

What collagen orders may cause lower back pain?

A

Marfan’s Syndrome

Helper-Danlos Syndrome

17
Q

What are psychological causes of lower back pain?

A

Somatoform disorder

Malingering

Central sensitization (chronic pain syndrome)

18
Q

What is malingering lower back pain?

A

Exaggerate or feign illness in order to avoid work