Back pain (red flags) - Revision history

Elcatracho: /* AAA/Aortic dissection */

2021-02-03T04:59:41Z

AAA/Aortic dissection

← Older revision		Revision as of 04:59, 3 February 2021
Line 71:		Line 71:
	*Bony tenderness		*Bony tenderness

	===[[AAA]]/[[Nontraumatic thoracic aortic dissection\|Aortic ~~dissection~~]]===		===[[AAA]]/[[Nontraumatic thoracic aortic dissection\|Aortic Dissection]]===
	*Risk factors for PVD		*Risk factors for PVD
	*Pulsating mass		*Pulsating mass

Elcatracho: /* AAA */

2021-02-03T04:59:24Z

AAA

← Older revision		Revision as of 04:59, 3 February 2021
Line 71:		Line 71:
	*Bony tenderness		*Bony tenderness

	===[[AAA]]===		===[[AAA]]/[[Nontraumatic thoracic aortic dissection\|Aortic dissection]]===
	*Risk factors for PVD		*Risk factors for PVD
	*Pulsating mass		*Pulsating mass

ClaireLewis at 15:04, 22 October 2019

2019-10-22T15:04:11Z

← Older revision		Revision as of 15:04, 22 October 2019
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	*Pain >6wk (tumor, infection)		*Pain >6wk (tumor, infection)
	*Age >50 or <18 (tumor, congenital anomaly)		*Age >50 or <18 (tumor, congenital anomaly)
	*History of trauma		*History of [[trauma]]
	*History of IVDU		*History of [[IVDU]]
	*History of cancer		*History of cancer
	*History of sciatica		*History of sciatica
	*Neurological complaints (paresthesias, anesthesia, weakness)		*Neurological complaints ([[paresthesias]], [[numbness\|anesthesia]], [[weakness]])
	*Urinary retention		*[[Urinary retention]]
	*Incontinence of bowel/bladder		*[[urinary incontinence\|Incontinence]] of bowel/bladder
	*Night pain		*Night pain
	*Unremitting pain, even when supine		*Unremitting pain, even when supine
	*Fever, chills, night sweats		*[[Fever]], chills, night sweats
	*Anticoagulants/coagulopathy		*[[Anticoagulants]]/[[coagulopathy]]

	===Physical Exam===		===Physical Exam===
	*Fever		*[[Fever]]
	*Patient writhing in pain		*Patient writhing in pain
	*Anal sphincter laxity		*Anal sphincter laxity
Line 26:		Line 26:
	*Palpable bladder post voiding or [[Urinary retention\|abnormal post void residual]]		*Palpable bladder post voiding or [[Urinary retention\|abnormal post void residual]]
	*Point vertebral tenderness		*Point vertebral tenderness
	*Neurological deficits		*[[focal neuro deficits\|Neurological deficits]]
	*Positive straight leg raise		*Positive straight leg raise

Line 47:		Line 47:
	*Immunocompromised state		*Immunocompromised state
	**[[HIV]]		**[[HIV]]
	**Systemic corticosteroids		**Systemic [[corticosteroids]]
	**[[Transplant complications\|Transplant]]		**[[Transplant complications\|Transplant]]
	**[[Diabetes Mellitus\|DM]]		**[[Diabetes Mellitus\|DM]]
Line 55:		Line 55:
	*Saddle anesthesia		*Saddle anesthesia
	*Decreased anal sphincter tone		*Decreased anal sphincter tone
	*Bilateral lower extremity weakness or numbness		*Bilateral lower extremity [[weakness]] or [[numbness]]
	*Neurologic deficit		*Neurologic deficit

Spenceemmett: /* General */

2018-10-13T03:17:04Z

General

← Older revision		Revision as of 03:17, 13 October 2018
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	==General==		==General==
	Although there are many red flags of back pain on history and physical, meta-analysis has ~~show~~ the following to be predictive of fracture or malignancy:		Although there are many red flags of back pain on history and physical, meta-analysis has shown the following to be predictive of fracture or malignancy:

	{{Back pain red flags}}		{{Back pain red flags}}

Rossdonaldson1 at 21:42, 25 April 2017

2017-04-25T21:42:43Z

← Older revision		Revision as of 21:42, 25 April 2017
Line 5:		Line 5:

	===History===		===History===
	#Pain >6wk (tumor, infection)		*Pain >6wk (tumor, infection)
	#Age >50 or <18 (tumor, congenital anomaly)		*Age >50 or <18 (tumor, congenital anomaly)
	#History of trauma		*History of trauma
	#History of IVDU		*History of IVDU
	#History of cancer		*History of cancer
	#History of sciatica		*History of sciatica
	#Neurological complaints (paresthesias, anesthesia, weakness)		*Neurological complaints (paresthesias, anesthesia, weakness)
	#Urinary retention		*Urinary retention
	#Incontinence of bowel/bladder		*Incontinence of bowel/bladder
	#Night pain		*Night pain
	#Unremitting pain, even when supine		*Unremitting pain, even when supine
	#Fever, chills, night sweats		*Fever, chills, night sweats
	#Anticoagulants/coagulopathy		*Anticoagulants/coagulopathy

	===Physical Exam===		===Physical Exam===
	#Fever		*Fever
	#Patient writhing in pain		*Patient writhing in pain
	#Anal sphincter laxity		*Anal sphincter laxity
	#Perianal/perineal sensory loss (Saddle Anesthesia)		*Perianal/perineal sensory loss (Saddle Anesthesia)
	#Palpable bladder post voiding or [[Urinary retention\|abnormal post void residual]]		*Palpable bladder post voiding or [[Urinary retention\|abnormal post void residual]]
	#Point vertebral tenderness		*Point vertebral tenderness
	#Neurological deficits		*Neurological deficits
	#Positive straight leg raise		*Positive straight leg raise

	==Specific Condition Red Flags==		==Specific Condition Red Flags==
	===Cancer Related===		===Cancer Related===
	#History of back pain		*History of back pain
	#Weight loss >10kg in 6mo		*Weight loss >10kg in 6mo
	#Age >50 or <18		*Age >50 or <18
	#No improvement despite therapy		*No improvement despite therapy
	#Pain for >4-6wks		*Pain for >4-6wks
	#Night pain		*Night pain
	#Pain worse at rest		*Pain worse at rest
	#Vertebral tenderness		*Vertebral tenderness
	#Multiple nerve roots affected		*Multiple nerve roots affected

	===Infection Related===		===Infection Related===
	#Persistent fever		*Persistent fever
	#History of IVDA		*History of IVDA
	#Recent infection		*Recent infection
	#Immunocompromised state		*Immunocompromised state
	##[[HIV]]		**[[HIV]]
	##Systemic corticosteroids		**Systemic corticosteroids
	##[[Transplant complications\|Transplant]]		**[[Transplant complications\|Transplant]]
	##[[Diabetes Mellitus\|DM]]		**[[Diabetes Mellitus\|DM]]

	===[[Spinal cord compression (non-traumatic)\|Cauda Equina]]===		===[[Spinal cord compression (non-traumatic)\|Cauda Equina]]===
	#Incontinence or [[Urinary retention\|retention]]		*Incontinence or [[Urinary retention\|retention]]
	#Saddle anesthesia		*Saddle anesthesia
	#Decreased anal sphincter tone		*Decreased anal sphincter tone
	#Bilateral lower extremity weakness or numbness		*Bilateral lower extremity weakness or numbness
	#Neurologic deficit		*Neurologic deficit

	===Herniated Disc===		===Herniated Disc===
	#Muscle Weakness		*Muscle Weakness
	#Radiation of pain		*Radiation of pain
	#Footdrop		*Footdrop

	===[[Vertebral fractures\|Vertebral Fracture]]===		===[[Vertebral fractures\|Vertebral Fracture]]===
	#Prolonged use of corticosteroids		*Prolonged use of corticosteroids
	#History of osteoporosis		*History of osteoporosis
	#Age>70		*Age>70
	#Mild trauma in age >50yr		*Mild trauma in age >50yr
	#Significant trauma in any age		*Significant trauma in any age
	#Bony tenderness		*Bony tenderness

	===[[AAA]]===		===[[AAA]]===
	#Risk factors for PVD		*Risk factors for PVD
	#Pulsating mass		*Pulsating mass
	#Pain at rest or at night		*Pain at rest or at night
	#Age >60yrs		*Age >60yrs

	==See Also==		==See Also==

Josgood: /* Cauda Equina */

2017-04-10T06:07:47Z

Cauda Equina

← Older revision		Revision as of 06:07, 10 April 2017
Line 52:		Line 52:

	===[[Spinal cord compression (non-traumatic)\|Cauda Equina]]===		===[[Spinal cord compression (non-traumatic)\|Cauda Equina]]===
	#Incontinence or retention		#Incontinence or [[Urinary retention\|retention]]
	#Saddle anesthesia		#Saddle anesthesia
	#Decreased anal sphincter tone		#Decreased anal sphincter tone

Josgood: /* Physical Exam */

2017-04-10T06:07:30Z

Physical Exam

← Older revision		Revision as of 06:07, 10 April 2017
Line 24:		Line 24:
	#Anal sphincter laxity		#Anal sphincter laxity
	#Perianal/perineal sensory loss (Saddle Anesthesia)		#Perianal/perineal sensory loss (Saddle Anesthesia)
	#Palpable bladder post voiding or abnormal post void residual		#Palpable bladder post voiding or [[Urinary retention\|abnormal post void residual]]
	#Point vertebral tenderness		#Point vertebral tenderness
	#Neurological deficits		#Neurological deficits

Josgood: /* Vertebral Fracture */

2017-04-10T06:06:18Z

Vertebral Fracture

← Older revision		Revision as of 06:06, 10 April 2017
Line 63:		Line 63:
	#Footdrop		#Footdrop

	===Vertebral Fracture===		===[[Vertebral fractures\|Vertebral Fracture]]===
	#Prolonged use of corticosteroids		#Prolonged use of corticosteroids
	#History of osteoporosis		#History of osteoporosis

Josgood: /* Infection Related */

2017-04-10T06:04:25Z

Infection Related

← Older revision		Revision as of 06:04, 10 April 2017
Line 48:		Line 48:
	##[[HIV]]		##[[HIV]]
	##Systemic corticosteroids		##Systemic corticosteroids
	##Transplant		##[[Transplant complications\|Transplant]]
	##[[Diabetes Mellitus\|DM]]		##[[Diabetes Mellitus\|DM]]

Neil.m.young: Text replacement - " ==" to "=="

2016-07-05T18:21:43Z

Text replacement - " ==" to "=="

← Older revision		Revision as of 18:21, 5 July 2016
Line 1:		Line 1:
	==General ==		==General==
	Although there are many red flags of back pain on history and physical, meta-analysis has show the following to be predictive of fracture or malignancy:		Although there are many red flags of back pain on history and physical, meta-analysis has show the following to be predictive of fracture or malignancy: