Back Pain Flashcards
What questions are asked for S in back pain?
Where exactly is the pain in your back?
What questions were asked for O in Socrates for back pain?
When did it start?
What were you doing when it started?
What questions are asked for C in Socrates for back pain?
Can you describe the type of pain you’re experiencing?
What questions are asked for R in Socrates for back pain?
Does the pain radiate anywhere?
What questions are asked for A in Socrates in back pain?
S- saddle anaesthesia
T- trauma history
A- abdominal pain
D- dizziness, dyspnoea
I- incontinence
U- urinary symptoms- frequency, volume, pain, colour, odour
M- movement/numbness
What questions are asked for T in Socrates for back pain?
Is the pain constant or intermittent?
What questions are asked for exacerbating/relieving factors in back pain?
Does anything make the pain better or worse?
What are the symptoms of Cauda equina?
B - bladder and bowel incontinence
A - lower limb altered sensation/numbness/altered sensation
P - Lower back and leg pain
S - Saddle anaesthesia
What are the symptoms of sciatica?
Sharp lower back pain or buttocks pain shooting down one leg, may cause weakness or numbness in lower limbs
What are symptoms of muscular back pain?
M-Movement makes it worse
U- unable to stand up perfectly straight
S- Intermittent Spasm
C- Cramping
What is the mnemonic for remembering causes of back pain?
S- spinal stenosis
U- UTI
M- muscoskeletal
A- abdominal aortic aneurysm
C- Cauda equina
S- sciatica
What are symptoms of UTI?
Groin pain, burning urination, increased urine frequency, confusion, fever.
Differential as pyelonephritis of fever, flank pain and nausea/vomiting
What are the symptoms of spinal stenosis?
Lower back pain when standing/walking, numbness in buttocks/legs, loss of balance, usually degenerative with age
Symptoms of abdominal aortic aneurysm?
Abdo pain which radiates into lower back, dizzy, clammy, nausea/vomiting, syncope, hypotension. Pulsating mass in abdomen
