Back pain

Question 1

what might be observed happening to the discs in mechanical back pain? (4)

Answer 1

disc herniation
annular tears
facet joint OA
instability

Question 2

what is spondyloarthropathy

Answer 2

an umbrella term for inflammatory diseases that can affect the back, pelvis, neck and some larger joints, as well as internal organs, like the intestines and eyes. The most common of these diseases is ankylosing spondylitis. Others include: Psoriatic arthritis.

Question 3

What is pars interarticularis

Answer 3

a unilateral or bilateral overuse or fatigue stress fracture involving the pars interarticularis of the posterior vertebral arch. This injury occurs almost exclusively in the lower lumbar region, most often at L5 [1].

Question 4

tearing pain in the back CARDIAC CAUSE?

Answer 4

AORTIC DISSECTION

Question 5

look at CSI sciatica

Answer 5

notes

Question 6

how is numbness and paraesthesia felt in sciatica?

Answer 6

they have the same distribution

Question 7

does bed rest promote faster recovery in back pain?

Answer 7

nope - mucle atrophy. activity helps

Question 8

lower back pain red flags (4)

Answer 8

weight loss
fever
night pain
under 19 years

Question 9

leg pain red flags (3)

Answer 9

bowel/bladder dysfunction
saddle anaesthesia
profound neurological deficit

Question 10

how do you observe inflammatory arthropathy

Answer 10

shiny corner sign

Question 11

can TB reach the spine?

Answer 11

yes - causes collapse of vertebra

Question 12

what is the primary imaging investigation for lower back pain?

Answer 12

MRI

- secondary is radiographs + CT

Question 13

revise different types of MRI

Answer 13

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