Low Back Pain in your CK Exam! - USMLE Forums
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USMLE Step 2 CK Buzzwords Buzzwords that should ring a bell in USMLE Step 2 CK exam.


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  #1  
Old 04-25-2013
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Wink Low Back Pain in your CK Exam!

LOW BACK PAIN
1) low back pain with paravertebral spasm after history of lifting heavy object----> lumbosacral strain

2) low back pain with extension and relief with flexion-------> spinal canal narrowing(lumbar canal stenosis)

3) low back pain in elderly which is exacerbates on minor exertion or touch-----> vertebral body fracture(due to osteoporosis)

4) low back pain with paravertebral spasm and @ with fever----> epidural abscess

5) low back pain in elderly(h/o tumor) which is continuous even in night(unable to sleep)-----> cord compression(due to metastatic tumor)

6) low back pain with saddle anesthesia ,sphincter problems, loss of DTR's---------> cauda equina syndrome(surgical emergency)

i think every one knew abt spondylolisthesis

7) low back pain in adolescent with 'slip off or step off'(buzzword) in spine examination------>due to displacement of spinous process--->spondylolisthesis

8) low back pain in pregnancy----->due to lumbar lordosis(relaxation of pelvic muscles)

9. low back pain with loss of DTR's,severe exertional pain and straight leg raise test +ve-------> lumbar disc herniation

can anyone share vertebral osteomyelitis case here too for me
.........thanks ........do correct if anything is wrong in it
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  #2  
Old 04-27-2013
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Default verterbral osteomyelitis

Low back pain in IV drug abuser (S. aureus)

Tenderness on palpation of spinous process

Markedly elevated ESR

Fever , elevated WBC may or may not present

MRI most sensitive

IV antibiotics
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  #3  
Old 04-28-2013
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adding 2 more vignettes of low back pain

thanks @shaan.medico----so that makes it 10)Vertebral osteomyelitis

11) low back pain + hip,buttock,thigh claudication,
Accompanied by impotence and atrophy of lower extremities
Weak femoral pulses
Bruit heard over femoral area(male predominance)----->lehriche syndrome---(thanks @salman)

12) low back pain + male predominance ,25-35 yrs ,morning stiffness which improves with activity(may associate with diarrhea-IBD or uveitis)------> Ankylosing spondylitis
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  #4  
Old 05-12-2013
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back pain may also denotes pain radiating from pancreatitis or aortic dissection
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Old 06-27-2014
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low back pain with loss of DTR's,severe exertional pain and straight leg raise test +ve-------> lumbar disc herniation

I remember that in uworld it's written that MANY times in lumber disc herniation the straight leg raise test is NEGATIVE!

watch out guys!
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  #6  
Old 11-28-2014
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depends where it's herniated

a herniated disc higher up will have a negative straight leg raise

STRAIGHT LEG RAISE IS POSITIVE IF L5-S1 INVOLVED
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Old 04-21-2016
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I'm no doctor, but, go see Las vagus back doctor.It's good stuff, it helped me a lot. A lot of back injuries have to do with not having enough core strength, just an fyi. Heal up your back, it's going to take more than just a week off, but relax, and ease your way back into everything. Also sometimes a heating pad will actually make the injury worse.
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Clinical-Signs, Orthopedics-, Rheumatology-

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