What’s Your Diagnosis? Low Back Pain in the ED

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got the previous case on Abdominal Pain: Update on Emergency Department Management of Appendicitis and Diverticulitis correct.

Case Presentation: Emergency Department Management of Patients With Low Back Pain: A Review of Current Evidence 

A 57-year-old woman presents to the ED with back pain… 

  • She arrives clutching her back and limps to the gurney. She said she has had low back pain before, but it is more severe today. 
  • Her vital signs are: temperature, 36.7°C; heart rate, 95 beats/min; blood pressure, 161/95 mm Hg; respiratory rate, 22 breaths/min; and oxygen saturation, 98% on room air. 
  • On examination, you elicit pain, without radiation, with palpation of her right lower back and elevation of her leg. You wonder whether this presentation warrants imaging and how best to treat her pain… 

Make your best guess, and check back next month to find out the correct answer!

Click to review this Emergency Medicine Practice Issue, PTSD Symptoms

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Last Updated on December 10, 2024

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