A 30-year-old construction worker presents to the clinic with low back pain that has been gradually worsening over the past two months. The pain is dull, aching, and located in the lower lumbar region. It is aggravated by lifting heavy objects and prolonged standing. The patient denies any recent trauma or leg pain.
Prompt:
- Differential Diagnoses: Based on the patient’s presentation, what are the potential differential diagnoses? Prioritize these diagnoses based on the patient’s clinical presentation and risk factors.
- Diagnostic Workup: What diagnostic tests would you order to confirm your diagnosis? Explain the rationale for each test.
- Treatment Plan: Develop a comprehensive treatment plan for the patient, including medical management, physical therapy, and lifestyle modifications.
- Patient Education: What important information should you provide to the patient regarding low back pain, ergonomics, and self-care measures?
For peer response answer this:
- How would your treatment plan change if the patient also complained of leg pain, numbness, or weakness?
- What red flags would indicate the need for further evaluation, such as imaging studies or referral to a specialist?
A 30-year-old construction worker presents to the clinic with low back pain that has been gradually worsening over the past two months. The pain is dull, aching, and located in the lower lumbar region. It is aggravated by lifting heavy objects and prolonged standing. The patient denies any recent trauma or leg pain.
Prompt:
- Differential Diagnoses: Based on the patient’s presentation, what are the potential differential diagnoses? Prioritize these diagnoses based on the patient’s clinical presentation and risk factors.
- Diagnostic Workup: What diagnostic tests would you order to confirm your diagnosis? Explain the rationale for each test.
- Treatment Plan: Develop a comprehensive treatment plan for the patient, including medical management, physical therapy, and lifestyle modifications.
- Patient Education: What important information should you provide to the patient regarding low back pain, ergonomics, and self-care measures?
For peer response answer this:
- How would your treatment plan change if the patient also complained of leg pain, numbness, or weakness?
- What red flags would indicate the need for further evaluation, such as imaging studies or referral to a specialist?