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*==
-In history ask about pain character, systemic disease, cancer and infection.<br>
+. Obatin a history to fully characterize the nature back pain (onset, sti lml'f;,'fa;k;'ask.
-In physical exam check local tenderness, ROM, sign of radiculpathy.
-==[[Musculoskeletal back pain]]==
+. Obtain a relevant ROS focusing on [[systemic diseases]], [[cancer]], [[infection]], [[neurologic symptoms]] and character of the [[back pain]].
-==[[Neurologic back pain]]==
-==[[Referral back pain]]==
+. Perform a focused [[physical examination]]
+*sign of local tenderness
+*range of motion
+*sign of [[radiculopathy]]
+*spurling sign
+*[[straight leg raise ]]
+Is [[sciatica]] present?
+[[sciatica is present|Yes]]<br>
+[[sciatica is not present|No]]
+* While this algorithm provides steps to perform a focused history and physical examination, it is no replacement for a detailed history and physical examination.