11-25-2014, 06:51 AM
A 47 years old male come to your clinic with complains of two day history of severe low back pain. He says that he has had similar problems for years but this time it is more severe. His complain consists of pain radiating to buttock and tight leg. His vitals are T:98F, P:88bpm, BP:110/80 mm of Hg, RR: 12. On examinations there is rigidity to the lumbar spine. When you attempt to apply pressure on paravertenral region in the lower lumbar spine, pain is noted. Lasegue sign is positive. The achilles tendon reflux is reduced. Which of the following is the appropriate next step in management?
A. Surgical Consultaion
B. MRI vertebral column
C. NSAIDs and two day bed rest
D. X-Ray lumbosacral spine
E. Radionuclide bone scan
A. Surgical Consultaion
B. MRI vertebral column
C. NSAIDs and two day bed rest
D. X-Ray lumbosacral spine
E. Radionuclide bone scan