5 Scenarios contain the text: 'back pain' |
| Title | Description |
|---|---|
| Hypercalcaemia and back pain | A 62 year old woman sees her GP because of worsening lower back pain for the last 2 months. She has tried paracetamol and codeine, with no improvement in pain control. She has lost weight, lost her appetite and has been constipated for the last 3 weeks. Past medical history includes breast cancer treated with mastectomy 2 years ago. She is an ex-smoker with a 40 pack-year history of smoking. A blood test shows an elevated creatinine of 168 µmol/L (normal at 62 µmol/L 6 months ago), elevated adjusted calcium of 2.9 mmol/L and a normal full blood count. The serum IgG is elevated at 31 g/L. D/O: Clinical Biochemistry (•••), Haematology (•••), Palliative Medicine (•••), Oncology (••), Musculoskeletal System (•) PTT: Blood and lymph, Homeostasis |
| Inflammatory low back pain | A 25 year old NZ European man presents to his GP with low back pain. The pain has been present for more than 18 months but increased in intensity over the last 3 months. There is pronounced early morning stiffness lasting over 2 hours and nocturnal pain such that he is awake most nights. Ibuprofen relieves his symptoms. He has a past medical history of a painful red eye on two separate occasions and bilateral Achilles tendonitis. There is no family history of arthritis, but his sister has Crohn's disease. He smokes 20 cigarettes per day and works as a forklift driver in a warehouse. D/O: Musculoskeletal System (•••), Rheumatology (•••) PTT: Musculoskeletal |
| Non-specific back pain | A 50 year old NZ European male presents with low back pain of two weeks duration. His symptoms interfere with his work, personal life and nighttime rest. D/O: General Practice (•••), Musculoskeletal System (•••), Nervous System (•••), Neurology (•), Orthopaedics (•) PTT: Musculoskeletal |
| Chronic illness in paediatrics | A 12 year old Samoan girl presents to Emergency Department with her mother after a fall from her wheelchair during a seizure. They have a recent outpatient clinic letter which outlines her past medical history to include spastic quadriplegic cerebral palsy from birth; she is wheelchair-bound and fully dependent for all self-cares. She has epilepsy and global developmental delay and is nonverbal. She has had a gastrostomy for night feeding since 4 years of age and has orthopaedic problems including scoliosis and tendoachilles contractures. She has bronchiectasis with two previous episodes of severe pneumonia, the last of which 6 months ago required a prolonged admission and she now remains on nocturnal VPAP (variable positive airway pressure). She attends the local intermediate school via satellite class and has multiple community services involved in her schooling, transport and therapy. D/O: Paediatrics (•••), Nervous System (••), Neurology (••), Orthopaedics (••), Respiratory Medicine (••), Musculoskeletal System (•), Respiratory System (•) PTT: Child health |
| Accidental overdose | An 82 year old Māori man attends the Emergency Department feeling awful. He has recently had his medication list changed but he has been using both his old and new blister packs. D/O: Clinical Biochemistry (•••), Clinical Pharmacology (•••), Emergency Medicine (•••) PTT: Seriously ill patient |
| Title | Description |
