backpain_elderly
Differences
This shows you the differences between two versions of the page.
| backpain_elderly [2008/11/05 01:40] – created - external edit 127.0.0.1 | backpain_elderly [2026/06/15 02:48] (current) – gary1 | ||
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| - | ==== The elderly patient with back pain in the ED ==== | + | ====== The elderly patient with back pain in the ED ====== |
| first read: [[backpain| back pain in the ED]] | first read: [[backpain| back pain in the ED]] | ||
| Line 5: | Line 5: | ||
| see also [[orthopaedics]] | see also [[orthopaedics]] | ||
| - | ===Mx of the elderly: | + | =====Mx of the elderly:===== |
| - | ==aetiology: | + | ====aetiology: |
| *pyelonephritis | *pyelonephritis | ||
| *renal colic | *renal colic | ||
| Line 13: | Line 13: | ||
| *crush fracture Tx/Lx spine | *crush fracture Tx/Lx spine | ||
| *metastatic pathologic fractures | *metastatic pathologic fractures | ||
| + | *[[lumbar_arthropathy]] - morning stiffness and chronic low back pain in older adults - accounts for up to 50% of chronic low back pains | ||
| *[[N_spinalcordcomp|acute spinal cord compression]] from metastases | *[[N_spinalcordcomp|acute spinal cord compression]] from metastases | ||
| *[[peptic_ulcer|penetrating peptic ulcer]] | *[[peptic_ulcer|penetrating peptic ulcer]] | ||
| Line 20: | Line 21: | ||
| *acute disc prolapse - uncommon to have onset > 50yrs age. | *acute disc prolapse - uncommon to have onset > 50yrs age. | ||
| *[[hypercalcaemia]] | *[[hypercalcaemia]] | ||
| - | ==essentials of ED Mx:== | + | ====essentials of ED Mx:==== |
| *exclude AAA early - if epigastrium is tender discuss with ED consultant for urgent US or CT | *exclude AAA early - if epigastrium is tender discuss with ED consultant for urgent US or CT | ||
| *if chest pain radiating to back - exclude dissection, PE, pneumothorax, | *if chest pain radiating to back - exclude dissection, PE, pneumothorax, | ||
backpain_elderly.txt · Last modified: 2026/06/15 02:48 by gary1