66-YEAR-OLD FEMALE WITH LUMBAR
PAIN: COMPLETE CLINICAL CASE
STUDY, DIFFERENTIAL DIAGNOSIS &
CARE APPROACH
• Age: 66 years
• Gender: Female
• Occupation: Retired teacher
• Marital Status: Widowed
• Height: 160 cm
• Weight: 72 kg
• BMI: 28.1 (Overweight)
Chief Complaint:
“I’ve had lower back pain for several months, and it’s getting worse.”
, 1. Case Overview & Problem Statement
A 66-year-old female presents with persistent lower back pain that has
progressively worsened over several months. The pain is impacting her
mobility, sleep quality, and ability to perform daily activities. The case focuses
on identifying the underlying cause of chronic back pain in an elderly patient,
differentiating between mechanical, degenerative, and serious pathological
causes, and developing a comprehensive management plan.
2. Patient Demographics & Vitals
• Age: 66 years
• Gender: Female
• Occupation: Retired teacher
• Marital Status: Widowed
• Height: 160 cm
• Weight: 72 kg
• BMI: 28.1 (Overweight)
Vital Signs:
• Blood Pressure: 138/84 mmHg
• Heart Rate: 78 bpm
• Respiratory Rate: 16 breaths/min
• Temperature: 36.8°C
• Oxygen Saturation: 97% on room air
3. Chief Complaint & History of Present Illness
PAIN: COMPLETE CLINICAL CASE
STUDY, DIFFERENTIAL DIAGNOSIS &
CARE APPROACH
• Age: 66 years
• Gender: Female
• Occupation: Retired teacher
• Marital Status: Widowed
• Height: 160 cm
• Weight: 72 kg
• BMI: 28.1 (Overweight)
Chief Complaint:
“I’ve had lower back pain for several months, and it’s getting worse.”
, 1. Case Overview & Problem Statement
A 66-year-old female presents with persistent lower back pain that has
progressively worsened over several months. The pain is impacting her
mobility, sleep quality, and ability to perform daily activities. The case focuses
on identifying the underlying cause of chronic back pain in an elderly patient,
differentiating between mechanical, degenerative, and serious pathological
causes, and developing a comprehensive management plan.
2. Patient Demographics & Vitals
• Age: 66 years
• Gender: Female
• Occupation: Retired teacher
• Marital Status: Widowed
• Height: 160 cm
• Weight: 72 kg
• BMI: 28.1 (Overweight)
Vital Signs:
• Blood Pressure: 138/84 mmHg
• Heart Rate: 78 bpm
• Respiratory Rate: 16 breaths/min
• Temperature: 36.8°C
• Oxygen Saturation: 97% on room air
3. Chief Complaint & History of Present Illness
