The patient has back pain: Difference between revisions

Latest revision as of 18:47, 26 July 2013

1. Obatin a history to fully characterize the nature back pain (onset, sti lml'f;,'fa;k;'ask.

2. Obtain a relevant ROS focusing on systemic diseases, cancer, infection, neurologic symptoms and character of the back pain.

2. Perform a focused physical examination

Is sciatica present?

While this algorithm provides steps to perform a focused history and physical examination, it is no replacement for a detailed history and physical examination.

@@ Line 1: / Line 1: @@
-Choose one of the following categories according to detailed history and physical examination:
+==ACTION ITEMS*==
-==Musculoskeletal back pain==
+. Obatin a history to fully characterize the nature back pain (onset, sti lml'f;,'fa;k;'ask.
+. Obtain a relevant ROS focusing on [[systemic diseases]], [[cancer]], [[infection]], [[neurologic symptoms]] and character of the [[back pain]].
-===History===
+. Perform a focused [[physical examination]]
-The pain is characterized by one or more of the following:
+*sign of local tenderness
-*
+*range of motion
-*
+*sign of [[radiculopathy]]
-*
+*spurling sign
-* ...
+*[[straight leg raise ]]
-===Click [[The patient has musculoskeletal pain|here]] if the patient's symptoms and history belong to choice 1===
-===Choice 2:===
+Is [[sciatica]] present?
-The pain is characterized by one or more of the following:
-*
-*
-*
-* ...
-===Click [[The patient has pain related to the spinal cord and spinal roots|here]] if the patient's symptoms and history belong to choice 2===
+[[sciatica is present|Yes]]<br>
+[[sciatica is not present|No]]
-===Choice 3:===
+* While this algorithm provides steps to perform a focused history and physical examination, it is no replacement for a detailed history and physical examination.
-The pain is characterized by one or more of the following:
-*
-*
-*
-* ...
-===Click [[The patient has referred pain|here]] if the patient's symptoms and history belong to choice 3===