Already Graded A.
Case 1: Back Pain
A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his
left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve
roots might be involved? How would you test for each of them? What other symptoms need to be
explored? What are your differential diagnoses for acute low back pain? Consider the possible origins
using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical
examination will you perform? What special maneuvers will you perform?
Patient Initials: CDD Age: 42 Gender: M
SUBJECTIVE DATA
Chief Complaint (CC): History of Present Illness (HPI): CDD is a 42 year old male in the clinic today with
c/o lower back pain for over one month. He states the pain radiates to his left leg at times. It has affected
his work due to decreased mobility from the pain. Rates the current pain at a 6 out of 10. Has taken
Ibuprofen 800mg twice daily for the past few weeks with little to no relief.
Medications:
Lisinopril 10mg PO QD
Ibuprofen 800mg Q6H PRN for pain in back
Allergies:
No known drug allergies
Past Medical History (PMH):
HTN
Past Surgical History (PSH):
None
Sexual/Reproductive History:
Married. Sexually active with wife. Two children, both in college and living away from home
Personal/Social History:
Non-smoker, does not drink, no illicit drug use
Significant Family History:
Mother-hx-HTN, DM
Father-none
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, NURS 6512N; Week 8 - Case Study Guide (Latest 2019)
Already Graded A.
Lifestyle:
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