Medical Screening LBP Flashcards
What is the most common site for metastases?
Skeleton
What percent of metastases occur in the lumbosacral?
40%
Where does common metastatic cancer that cause lumbar pain from?
Prostate
What does a spinal infection cause?
Local tenderness over spinal process with percussion
What is cauda equina syndrome?
Neurological emergency
What are symptoms of cauda equina syndrome?
Urine retention
Saddle anesthesia
Sensory or motor deficits in feet
When is surgery most successful in those with cauda equina syndrome?
Within 72 hours
What mostly indicates a spinal compression fracture?
Major trauma
Pain
Age > 50
Female
What are some keys to having abdominal aortic aneurysm?
Palpable pulsating abdominal mass
Abdominal, back, or groin pain
Throbbing
Consistent pain regardless of position
History of cigarette smoking
Who is most likely to have ankylosing spondylitis?
Males
What are key factors of ankylosing spondylitis?
Morning stiffness
Improvement of LBP with exercise but not rest
Night pain during 2nd half of night only
Alternating butt pain
What are the visceral structures that can cause LBP?
Liver
Gallbladder
Appendix
Large intestine/colon
Small intestine
Pancreas
Stomach/duodenum
What are male reproductive problems?
Urethral discharge
Sexual dysfunction
Pain during ejaculation
What are female reproductive problems?
Vaginal discharge
Pain with sex
Menstruation
Length of cycle
Menopause
What are the two key factors to depression?
Depressed mood most of the day everyday
Diminished interest or pleasure in all activities
