{"id":117768,"date":"2023-09-01T09:37:36","date_gmt":"2023-09-01T09:37:36","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117768"},"modified":"2023-09-01T09:37:38","modified_gmt":"2023-09-01T09:37:38","slug":"sam-newton-62-year-old-male-cc-severe-lower-back-pain-expert-feedback-answers-2023-update","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/01\/sam-newton-62-year-old-male-cc-severe-lower-back-pain-expert-feedback-answers-2023-update\/","title":{"rendered":"SAM NEWTON 62 YEAR OLD MALE CC SEVERE LOWER BACK PAIN EXPERT FEEDBACK (ANSWERS) 2023 UPDATE"},"content":{"rendered":"\n<p>SAM NEWTON 62 YEAR OLD MALE CC SEVERE LOWER BACK PAIN<br>EXPERT FEEDBACK (ANSWERS) 2023UPDATE<br>CONTENTS : OLD-CARTS for the HPI,(PMH,FH,SH as Needed),PHSICAL EXAM,EXAMS FEEDBACK,CASE<br>FINDINGS,FEEDBACK,DIFFERENTIAL RANKING ,DIAGNOSIS,CASE PLAN, List the differential diagnoses (Must not<br>Miss\/Leading\/Alternate\/Concluding)<\/p>\n\n\n\n<p>CC: 62 y\/o M<br>Chief complaint is a short 1-2 statement or word phrase<br>from patient and should be listed in \u201cquotes\u201d<br>\u201cMy back is killing me. \u2026 it is so bad I can\u2019t<br>think about anything else.\u201d<br>HPI: pertinent s\/s; +\/- ROS\/prior episodes\/recent travel\/ill contacts<br>Mr. Newton is a 62-year-old mal patient presenting to the clinic with complaint<br>of acute onset lower back pain of 11\/10 intensity. He describes the quality of the<br>pain as sharp, stabbing that radiate to the back of lower extremities with the right<br>side the most uncomfortable. Patient has history of significant moderate intensity<br>chronic lower back pain for 2-3 months. He has a history of high blood pressure<br>and BPH for which he has stopped taking medication he also has history of<br>hepatitis C. He reports that he has not seen a doctor in years. Family medical<br>history is unremarkable. He has a history if intravenous drug use, and cigarette<br>smoking.<br>Onset: Severe lower back pain that started today; moderate mid-back pain for 2-<br>3 months<br>Location: Mild pain in middle of back; severe pain in lower back pain (L1-3)<br>that radiates to back of legs and more intense in right lower extremity.<br>Duration: Moderate mid-back pain is intermittent. Severe lower back pain has<br>persisted since onset in the morning.<br>Character: Sharp and stabbing pain that is getting worse<br>Aggravating\/alleviating factors: Pain gets worse when standing or moving<br>around and unresolved with Tylenol and NSAIDs. Nothing has helped with pain<br>Related symptoms: Pins and needles in the butt area<br>Treatments: Has tried OTC analgesics; Tylenol and Motrin without relief<br>Significance: Pain in mid-back has severity of 3-4 on scale of 1-10 and the<br>lower back pain is as severe as 11\/10. Patient cannot walk or cannot think of<br>anything else<\/p>\n","protected":false},"excerpt":{"rendered":"<p>SAM NEWTON 62 YEAR OLD MALE CC SEVERE LOWER BACK PAINEXPERT FEEDBACK (ANSWERS) 2023UPDATECONTENTS : OLD-CARTS for the HPI,(PMH,FH,SH as Needed),PHSICAL EXAM,EXAMS FEEDBACK,CASEFINDINGS,FEEDBACK,DIFFERENTIAL RANKING ,DIAGNOSIS,CASE PLAN, List the differential diagnoses (Must notMiss\/Leading\/Alternate\/Concluding) CC: 62 y\/o MChief complaint is a short 1-2 statement or word phrasefrom patient and should be listed in \u201cquotes\u201d\u201cMy back is killing [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117768","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117768","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117768"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117768\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117768"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117768"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}