Lumbar 1

Question 1

CPR to see who will recover from LBP

Answer 1

• Decreased average pain
• Decreased duration of symptoms
• Fewer previous episodes

(Not validated, based on weak to moderate evidence)

Question 2

Spinal malignancy

Answer 2

• Previous cancer
• Insidious onset of symptoms
• Older age at onset (>50 or <17)
• Failure to recover (when taken into account with others)
• unexplained weight loss

Question 3

Infected disk or bone (diskitis, osteomyelitis)

Answer 3

• Patient is immunosuppressed
• Prolonged fever over 100.4 F
• History of IV drug use
• History of recent UTI, cellulitis, or pneumonia

Question 4

AAA

Answer 4

• Pulsating mass in abdomen
• History of atherosclerotic vascular disease
• Throbbing, pulsating back pain at rest or with recumbency
• Age >60