Week 3 - Red Flag Symptoms and Signs Flashcards
1
Q
What are red flag symptoms?
A
symptoms or signs which indicate a serious underlying pathology such as tumour, infection or spondylolisthesis
2
Q
name 4 red flag symptoms
A
back pain in <20 yrs
back pain in over 60 yrs
nature of pain - severe, constant, worse at night
systemic upset
3
Q
why is back pain in <20s a red flag?
A
children more susceptible to infections
adolescents more susceptible to spondylolisthesis as well as benign and malignant tumours
4
Q
why is new back pain in over 60s a red flag?
A
can represent arthritis change or a crush fracture
at higher risk of neoplasia, mainly metastases and multiple myeloma
5
Q
how should red flag symptoms be investigated?
A
thorough history and examination bloods (CRP, FBC, U&Es) Spine X ray CXR Bone scan MRI