Non-mechanical back pain Flashcards
Non-mechanical back pain may be ?, ?, ? or ? - also must always rule out ???, ??, ? - can kill you quickly
inflam infective neoplastic metabolic AAA MI Pancreatitis
Inflammatory;
? onset of ? and pain, worse in the ?, associated with
? upset (see spondyloarthropathies).
insidious
stiffness
morning
systemic
Infection;
? can present as a complication of spinal surgery/?, with
? pain and raised ? markers.
Admit for IV ?.
discitis injection localised inflam ABx
Metabolic;
Osteoporotic ? fractures often present as a result of minor ?, but also present in clinic as part of on-going ?.
They may be ?, or cause ?pain radiating around ?.
wedge trauma degeneration aSx localised ribs
Metabolic
Multiple fractures lead to increased ? ?; ‘widow’s stoop’ .
XR shows ? and loss of ? vertebral body height.
Other causes may be ?, ?’ s disease or hyper?
thoracic kyphosis wedging anterior myeloma paget's PTH
Neoplastic;
can be ? tumours, or most commonly secondary ? .
The five most common causes of bony metastases are ?, ?, ?, ? and ? glands.
primary mets prostate breast kidney lung thyroid
Neoplastic
Symptoms are ? pain, particularly at ? with no ?/? factors.
There may be pain over a particular ? segment
progressive
night
exacerbating/relieving
bony
