LOW BACK PAIN

Question 1

Disk herniation DDx:

2

Answer 1

1. Lumbar muscle strain.

2. Tumor in the vertebral canal.

Question 2

Disk herniation workup:

2

Answer 2

1. XR L-spine.

2. MRI L-spine.

Question 3

Lumbar muscle strain DDx:

2

Answer 3

1. Disk herniation.

2. Vertebral compression fracture.

Question 4

Lumbar muscle strain workup:

2

Answer 4

1. XR L-spine.

2. MRI L-spine.

Question 5

Lumbar spinal stenosis DDx:

3

Answer 5

1. Lumbar muscle strain.
2. Tumor in the vertebral canal.
3. Peripheral vascular disease.

Question 6

Lumbar spinal stenosis workup:

4

Answer 6

1. MRI L-spine (preferred).
2. XR L-spine.
3. CT L-spine.
4. Ankle-branchial index.

Question 7

Malingering DDx:

4

Answer 7

1. Lumbar muscle strain.
2. Disk herniation.
3. Knee or leg fracture.
4. Ankylosing spondylitis.

Question 8

Malingering workup:

2

Answer 8

1. XR L-spine/knee.

2. MRI L-spine.