I know Board Review is usually Tuesday…but this one couldn’t wait. Chief Carl’s asked an interesting question during conference. Let’s make his implied knowledge a little more obvious.
A Case
70 yo Male with no related past medical history presents with acute on chronic low back pain. Recently he has noticed it’s worse whenever he is walking downhill or standing for too long and improved when walking uphill or by rest. The pain radiates down both legs. He has no concerning signs or symptoms for cauda equina/epidural abscess/other acute neuro-surgical emergency (we’ll cover these another time
What is the diagnosis?
That Dr. Alsup sure is smart!
By Dr. Andrew Grock and Dr. Sally Bogoch. Inspired by Dr. Carl Alsup.
Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 7th edition
andygrock
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