Download PowerPoint Slides

yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Document related concepts
no text concepts found
From the Publishers of
A Pain in the Back
Terms of Use
The Consult Guys® slide sets are owned and copyrighted by the American College
of Physicians (ACP). All text, graphics, trademarks, and other intellectual property
incorporated into the slide sets remain the sole and exclusive property of ACP.
The slide sets may be used only by the person who downloads or purchases them
and only for the purpose of presenting them during not-for-profit educational
activities. Users may incorporate the entire slide set or selected individual slides
into their own teaching presentations but may not alter the content of the slides in
any way or remove the ACP copyright notice.
Users may make print copies for use as hand-outs for the audience the user is
personally addressing but may not otherwise reproduce or distribute the slides by
any means or media, including but not limited to sending them as e-mail
attachments, posting them on Internet or Intranet sites, publishing them in meeting
proceedings, or making them available for sale or distribution in any unauthorized
form, without the express written permission of the ACP. Unauthorized use of the
Consult Guys® slide sets constitutes copyright infringement.
Copyright © 2013
Copyright © 2013
Copyright © 2013
ACP Guideline Published in 2011
Copyright © 2013
Key Points
 Back pain is very common
 A selective approach to back pain imaging
is recommended
Copyright © 2013
Indications for immediate imaging
 Major risk factors for cancer as a cause
 Risk factors for spinal infection
 Evidence of cauda equina syndrome
Copyright © 2013
Urinary retention
Fecal incontinence
Saddle anesthesia
Mr. G
 Diabetic
 Boil 3 weeks ago
 Malaise
 Tenderness L3-L4
Copyright © 2013
Epidural abscess
 Identifiable portal of entry in 2/3
 Spinal surgery
 Epidural catheter
 Skin – soft tissue infection
 Hematogenous (iv drug use)
 Classic: fever + spine tenderness + neurologic
 Most not classic
Copyright © 2013
Consult Guys Replies
 Mr. G’s presentation suggests epidural
 An MRI should be done
Copyright © 2013
Produced by