back pain 🩻

Question 1

ccauses of back pain

Answer 1

cauda equina
conus medularis
fractues
PID
spinal stenosis
spondylolisthesis
rib #
spinal mets
spinal tumours
pancreatitis with pain radiating to the back
aortic dissection
spondylodiskitis
pott disease
renal dss
arthritis
perforated ulcer

Question 2

red flag of back pain!!

Answer 2

> 50 y/o
immunosuppresed (inc steroids)
hx of AAA
Spinal anaes/surgery
infection
IVDU
pain that worsens at night/ doesnt go away on rest
progressive pain
spinal shock-> hypotension & bradycardia
UMNL/LML signs
bladder, bowel or sexual dysfunction

Question 3

things to ask

Answer 3

trauma
first time?
recent infection
recent surgery
lifting heavy objects
SOB, palpitations, chest pain
P/U
B/O
sexual function
gym
night swets
b sx
DM
bleeding disorders
fever
weakness, pins & needles
steroid use

Question 4

examination

Answer 4

spine PE
LL neuro PE
DRE

Question 5

investigation

Answer 5

MRI w contrast
ECG if cardiac causes
xray if suspect #
CBC
blood culture

Question 6

management

Answer 6

painkillers
physiotherapy
bracing
antibiotics
RAMPOS
back care
reucing amount of weight carried