Back pain Flashcards
1
Q
Backpain red flags to remember
A
TUNA FISH
Trauma
Unexplained weight loss
Neurological (bowel/urinary/cant feel fingers)
Age >50
Fever
IV Drug use
Steroid Use
History of cancer // or in the family
2
Q
6 main differentials in back pain
A
Muscle strain
Fracture
Prolapsed disc
Multiple myeloma
Bone metastasis
MSCC
3
Q
What is 4 features found in Multiple Myeloma
A
HyperCalcaemia
Renal failure
Anaemia
Bone lesions
CRAB
4
Q
What management do we need to do with back pain
A
MRI
XR spine
Spinal
LL/UL exam
5
Q
What do we need to check for in bloods with back pain
A
Electrophoresis urine protein (Clonal Bands)
Immunoglobulins
FBC/ U+E/ TFT / PTH
