S2D: The Symptom to Diagnosis Podcast Back Pain
5 snips
Mar 17, 2021 Back pain takes center stage as the hosts dive into the case of a 75-year-old woman whose injury sparks a whirlwind of insights. They discuss crucial red flags that signal serious issues, like fractures and malignancies. With five key diagnostic points, the listeners learn about targeted exams and the importance of imaging when necessary. Surprising findings, like an aneurysm on an x-ray, showcase the value of thorough investigation. They also tackle misconceptions around imaging and emphasize conservative care approaches for effective treatment.
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Frozen Dumpster Injury
- A 75-year-old woman strained her back opening a frozen dumpster and became nearly immobilized for days.
- Adam Seafew recounts examining her with normal neuro exam but limited motion and central/lateral tenderness.
High-Risk Profile For Serious Causes
- Elderly, thin smokers with prior cancer are high risk for osteoporotic fracture and metastatic disease.
- Scott Stern and Adam Seafew both emphasize MRI to distinguish osteoporotic versus malignant compression fractures.
Learn Serious Causes And Rehab
- Learn the serious causes of back pain and common management steps to avoid missing red flags.
- Spend time with physical therapists or recovered patients to understand typical recovery timelines (4–12 weeks).
