An 18-Year-Old Male with Chronic Back Pain

An 18-Year-Old Male with Chronic Back Pain

An 18-year-old male visits your urgent care center for the first time, complaining of chronic lower back pain. He offers no explanation of its onset, but reports (upon being asked about his typical activities) that he is a linebacker on his high school football team and a heavyweight on the wrestling team. View the image taken and consider your next steps, along with possible diagnoses.

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Dull, Constant Back Pain After a Fall: Abdominal Aortic Aneurysm (AAA)

Dull, Constant Back Pain After a Fall: Abdominal Aortic Aneurysm (AAA)

Case A 67-year-old male presents with acute mid-low back pain following a fall. He describes the pain as “dull and constant.” When asked if the pain is worse with range of motion, he replies, “I think so.” Physical exam reveals he is afebrile, has a pulse of 102, respirations 20, and blood pressure 122/78. His abdomen is soft and nontender without rigidity, rebound, or guarding; there is no bruising or distention. His back appears normal, …

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