Lecture 5 - Low back pain Triage: NRC and Serious

Question 1

Describe Infection as a serious pathology

Answer 1

main feature = fever
most common area = vertebral body
most frequent symptom = pain
most frequent sign = muscle spasm

Question 2

Describe Inflammatory Disease

Answer 2

morning stiffness >30 mins
symptoms persisting longer than 3 months
non responsive to treatment

Question 3

Describe ankolysing sponylitis

Answer 3

2% in aus
deep ache in or across butt
pain in the front of the chest of between scap

Question 4

Describe Cauda Equina

Answer 4

compression of multiple lumbar/sacral nerve roots

can cause sphyncter dysfuntion, bilateral motoe weakness, saddle anaesthesia

Question 5

Describe Spinal Stenosis

Answer 5

> 65 yrs
hypertrophic degenerative process in spine leads to crititcal narrowing : OA, disc bulge

presents as burning pain, increase symptoms with ext, decrease with flexion

Question 6

Describe osteoporosis

Answer 6

decrease in bone density - increase risk of fracture

Question 7

What are some Red Flags in children with LBP

Answer 7

fever
night pain
progressive pain not responding to analgesia
severe constipation