What does a 47-year-old man present with low back pain?
A 47-year-old man presents with low back pain that has been worsening over the past few years. Physical exam shows tenderness over his lumbar spine and sacroiliac joints.
How would you assess a 72 year old man with abdominal pain?
You are assessing a 72 year old man with abdominal pain. The patient is sitting in a chair, he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a hand gun, which is located on a nearby table.
What kind of pain does a 72 year old woman have?
72-year-old woman presents with left knee pain for the past several months that has been worse over the last seven days. It is worse with walking and better with rest. She takes acetaminophen to alleviate the pain. She denies any injury or previous surgery on the knee.
How old is Jim when he has low back pain?
Jim, age 22, a stock boy, has an acute episode of low back pain. The nurse practitioner orders a nonsteroidal anti-inflammatory drug (NSAID) and should educate him in which of the following?
What causes back to twist?
Twisting or pulling a muscle or tendon can result in a strain. It can also be caused by a single instance of improper lifting or by overstressing the back muscles. A chronic (long-term) strain usually results from overuse after prolonged, repetitive movement of the muscles and tendons.
What helps a twisted spine?
Surgery to correct severe spine curvature and congenital kyphosis. Exercises and physical therapy to increase muscle strength....Treatment for lordosis may include:Medication to relieve pain and swelling.Exercise and physical therapy to increase muscle strength and flexibility.Wearing a back brace.Weight loss.Surgery.
How do you straighten a twisted back?
0:0014:50How to Fix a Twisted Back - YouTubeYouTubeStart of suggested clipEnd of suggested clipIn this video i'm going to show you how to fix a twisted back at home using no special equipmentMoreIn this video i'm going to show you how to fix a twisted back at home using no special equipment stay tuned. Hey everyone dr rowe coming to you from spinecare in saint joseph.
What happens when your spine twists?
With most scoliosis cases, the spine will rotate or twist in addition to curving side to side. This causes the ribs or muscles on one side of the body to stick out farther than those on the other side.
What is the treatment for scoliosis in adults?
How is adult scoliosis treated? The majority of cases of adult scoliosis can be managed non-operatively through regular observation by a doctor, over-the-counter pain medications, and core-strengthening exercises to strengthen your abdomen and back and to improve flexibility. If you smoke, it's important that you quit.
Why does my back hurt when I twist side to side?
When you twist your lower back, such as during a golf swing or while bending to unload grocery bags, you run the risk of overstretching or tearing any of the large muscles or supporting ligaments around your spine. In response to this damage, the surrounding area will usually become inflamed.
How can I straighten my back at home?
Standing PostureStand with weight mostly on the balls of the feet, not with weight on the heels.Keep feet slightly apart, about shoulder-width.Let arms hang naturally down the sides of the body.Avoid locking the knees.Tuck the chin in a little to keep the head level.More items...
How can I realign my back at home?
10:5616:265 Simple Exercises to Put the Spine Back in Perfect Alignment - YouTubeYouTubeStart of suggested clipEnd of suggested clipCome back up other side as far as I can go comfortably your finger should come to about the side ofMoreCome back up other side as far as I can go comfortably your finger should come to about the side of your kneecap. Obviously depends on the length of your arms the length of your legs.
What is twisting of the spine called?
Scoliosis is where the spine twists and curves to the side. It can affect people of any age, from babies to adults, but most often starts in children aged 10 to 15. Scoliosis can improve with treatment, but it is not usually a sign of anything serious and treatment is not always needed if it's mild.
How do you know if you twisted your back?
How Do I Know If It's Back Sprain?Bruising and other discoloration.Swelling or tenderness around the joint.Difficulty moving the area around the joint.Acute pain that worsens when the area is touched or move.Numbness or moderate discomfort.
Can scoliosis be corrected in adults?
While adult scoliosis can be managed through active treatment, no form of the condition can be fully 'corrected', meaning 'cured'. This is because as a progressive and incurable condition, scoliosis is virtually guaranteed to get worse over time.
Which view reveals lateral shift of the second metatarsal off the middle cuneiform?
Answer: An AP view which reveals lateral shift of the second metatarsal off the middle cuneiform.
When does bone loss start?
In women, accelerated bone loss usually begins after monthly menstrual periods stop. This happens when a woman's production of estrogen slows down (usually between the ages of 45 and 55). In men, gradual bone thinning typically starts at about 45 to 50 years of age, when a man's production of testosterone slows down.
What is the Thompson test for Achilles tendon rupture?
This patient has an abnormal Thompson test, a common clinical test used to diagnosed Achilles tendon rupture. Achilles tendon rupture typically occurs in the setting of sudden and forced dorsiflexion during athletic activity. Patients often report an audible "pop" and sudden pain in the calf area that improves or subsides quickly, followed by decreased ability to plantar flex the foot. The diagnosis is typically clinical. On physical examination, patients may exhibit a palpable tendon defect in the lower calf area. Some plantar flexion is usually maintained, even in cases of complete tendon rupture, due to the actions of the surrounding muscles. The Thompson test is a classic maneuver to assess the Achilles tendon. The patient lies prone, with the legs flexed at the knee at 90 degrees. The examiner then squeezes the calf muscles and observes for passive plantar flexion of the foot. The injured extremity will have a weakened or no response compared to the uninjured side. Risk factors for Achilles tendon rupture include rheumatological diseases, chronic renal failure, steroid use, and recent treatment with fluoroquinolone antibiotics. Controversy remains regarding the best treatment. While early operative repair is associated with lower risk of rerupture and possibly improved functional outcome, it also has a higher rate of complications. Nonoperative management consists of a series of casts. Ultimately, the decision depends on the patient's age, activity level and preference, and is best made on a non-emergent basis in consultation with an orthopedic surgeon or sports medicine physician. Thus, initial management includes non-steroidal anti-inflammatory analgesics, crutches, non-weightbearing status, immobilization of the ankle in plantar flexion with a splint, and outpatient referral.
How long does it take to get rid of septic arthritis?
The duration of therapy in patients with nongonococcal septic arthritis is typically three to four weeks. In addition to antibiotic therapy, evacuation of purulent material is necessary. Streptococcus species (B) is the second most common agent responsible for septic arthritis.
Is corticosteroid injection considered conservative therapy?
Corticosteroid injection (A) is considered if conservative therapy fails. Pain relief has only been demonstrated at 1 month with no significant difference at 6 months. Extracorpeal shock wave ultrasound (B) is a second-line therapy with mixed results for any positive benefit. Surgical therapy (D) is considered if all other measures fail. There is no proven benefit that surgical therapy is any more beneficial than conservative therapy.
Is age 60 a risk factor for Achilles tendon rupture?
Age older than 60 years (A) is not a risk factor. Most cases occur in patients between the ages of 30 and 50 years. Diabetes (B) is not a risk factor for Achilles tendon rupture. Chronic, rather than short-term, steroid usage (D) predisposes to Achilles tendon rupture.
Does spinal stenosis cause saddle distribution paresthesia?
While spinal stenosis causes back pain and can cause sensory loss and weakness, it typically does not cause saddle distribution paresthesia nor bowel or bladder incontinence. If patients complain of bowel or bladder incontinence in the setting of low back pain, your suspicion for cauda equina syndrome should be high.
How to reattach a severed finger?
4.Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place the bag in an ice water bath. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place the bag in an ice water bath.
What is slipped capital femoral epiphysis?
A slipped capital femoral epiphysis (SCFE). rationale: SCFE is a displacement of the femoral head relative to the femoral neck that occurs through the physis (growth plate) of the femur. The vast majority of clients with this condition are obese, as the added weight increases shear stress across the physis.
Where is the pain in the lower back?
The pain is located over her lower back muscles and spine, without sciatica, and it is aggravated by sitting, standing, and certain movements. It is alleviated with rest. Palpation localizes the pain, and muscle spasms are felt. There was an insidious onset with progressive improvement.
Which test assesses the ACL?
rationale: The Lachman test assesses the ACL.
What is the pain in a 32 year old male?
A 32 year old male appears with a rapid onset of unilateral scrotal pain radiating up to the groin and flank. The nurse practitioner is trying to differentiate between epididymitis and testicular torsion. Which test should be the providers first choice?
Does a 72 year old male have BPH?
A 72 year old male presents to the office for follow-up after several episodes of orthostatic hypotension. After obtaining a review of systems and a digital rectal examination, it also appears that he has BPH with lower urinary tract symptoms. The NP reviews his recent ultrasound evaluation, which reports a prostate volume of over 40 mL, and the results of the american Urological Association (AUA) symptom index for BPH, which shows his score to be 12. BAsed on the preceding information and the patient's desire for noninvasive medical therapy, what management should he be offered?
Do men need to take testicular self exams?
Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from testicular cancer. This is why the American Cancer Society and other agencies do not have a recommendation about regular testicular self-exams for all men. Still, some practitioners do recommend that all men examine their testicles monthly after reaching puberty. In teaching a patient how to do a testicular self-exam, which of the following should the clinician advise?