LE 3

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  1. Viscerogenic Back Pain
    • 1. Cancer
    • 2. CV
    • 3. Lower GI
    • 4. Infections
    • 5. Renal/urologic
    • 6.Gynocologic
  2. Cancer presenting as Viscerogenic Back Pain
    • Primary bone tumors
    • Prostate
    • Testicular
    • Pancreatic
    • Colorectal
    • Multiple myeloma
    • Lymphoma
  3. Cardiovascular presenting as Viscerogenic Back Pain
    • Abdominal aortic aneurysm
    • ----Asymptotic if just there
    • ----If begins to dissect (burst) pain goes from 0 → quickly
    • ----Not changed by change in position
    • ----Not made worse by physical activity bc already pretty bad
    • Endocarditis
    • Myocarditis
    • PVD
  4. Renal/urologic
    • Acute pyelonephritis
    • Perinephritic abscess
    • Nephrolithiasis
    • ----Kidney stone
    • ----Common misconception for LBP
    • Urinary tract infection
  5. Gastrointestinal (Lower GI)
    • Small bowel obstruction
    • Irritable bowel syndrome
    • Crohn’s disease
    • Diverticular disease
    • ----Divertiousos
    • --------Outpitching of the intestine
    • --------Asystematic
    • ----Diverticulitis
    • --------Inflammation of outpoutching
    • --------Lower L or R quadrant severe pain that going into groin
    • Appendicitis
    • ----McBurnies point: Midpoint btwn ASIS and public symphysis on R
    • ----N/V, change in B/B
    • Pancreatitis
  6. Gynecologic
    • Uterine fibroids
    • Ovarian cysts
    • Endometriosis
    • Pelvic inflammatory disease
    • Rectocele/cystocele
    • Pregnancy
  7. Infectious
    • Vertebral osteomyelitis
    • Herpes zoster
    • Potts disease
    • Candidiasis
    • Psoas abscess
    • Increased HR, temp
    • Was pt traveling in region where these infections were present
  8. Non-NMS Back Pain
    • Osteoporosis
    • Fibromyalgia
    • Psychogenic
    • Cushing’s syndrome

Card Set Information

Author:
jld15
ID:
320946
Filename:
LE 3
Updated:
2016-06-12 01:16:55
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LE
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Description:
LE 3
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