Attending Version: Back Pain Emergencies Module; created by Dr. Wendy Gerstein



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Case:
HPI: Patient is a 57 yo male with h/o PTSD who presents to the ER for the third time in three weeks for right sided flank/back pain. Patient was digging a trench three weeks ago, and a few days afterwards noted right sided pain near ribs/upper flank area. Presented to ER, told he pulled a muscle, and given ibuprofen and flexeril. He noted some relief initially, but then it worsened, presented to ER again one week later, given same diagnosis and some oxycodone, some relief obtained, but then it worsened, presents now with same complaint, and patient is tired of it. Complete ROS is otherwise negative.


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