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Jack is a 45 year old construction worker who complains of low back pain after injuring himself at work. Today as he was lifting a sheet of plywood he suddenly felt excruciating pain on his right lower back and pain down his right leg. He has suffered back injuries on the job 3 times in the past 3 years and was prescribed Motrin and muscle relaxants in Urgent Care with rest for 3 days after which he resumed his normal routine. PMHx includes hypertension for past 5 years treated with a diuretic. Surgical history includes appendectomy at age 20 and vasectomy at age 32. Family history negative with the exception of PGP deceased from MI at age 55.NKDA. Current meds: HCTZ 25 mg daily.
Virtually assess Jack's problem of "Low Back Pain" including the history and physical exam. The history of present illness(HPI) should include PQRST or OLDCART . Be sure to include a review of systems pertaining to a lower back pain injury.
What special maneuvers should you be sure to evaluate in your physical exam. Document your history and physical findings in the assignment.
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