🩺 MedAtlax

Case Lowerback pain

3 min read

Table of Contents

Case Studies

Case-6: Low Back Pain (LBP)

Patient Brief Record / Brief Scenario

Information for Student about the Case

  • Patient Name: Mohammad
  • Age: 40 years
  • Occupation: Car Mechanic at Om Al-Hamam Workshop Centre
  • Not known to have any chronic illness
  • Today:
    • BP: 120/80 mm Hg
    • Temperature: 37 °C

Mr. Mohammad is a 40-year-old, presented today with the complaint of low back pain.

Tasks (What is expected from a student?)

  • Take a focused history from this patient to arrive at the most likely diagnosis.
  • Perform the relevant clinical examination.
  • Inform the patient about the diagnosis.
  • Manage the patient appropriately.
  • Explain to the patient the management plan.

Case-6: Low Back Pain

Patient Brief Record / Brief Scenario

Information for the Simulated Patient

  • Patient Name: Mohammad
  • Age: 40 years
  • Occupation: Car Mechanic at Om Hamam Workshop
  • Married, with 2 children (10 and 5 years old).

Opening Scenario

I have severe low back pain this afternoon (You will admit only this).

Tell your doctor about the following information only if specifically asked about:

  • You have experienced low back pain when you were holding some heavy object in your workshop. The pain appeared sudden, very sharp, and severe.
  • You just sat down, pain gradually reduced, but still pain is there, but not severe as before.
  • You have taken Brufen (the red tablet) which reduced the pain but caused a severe burning sensation in the stomach. You took it from your friend, on an empty stomach.
  • You are a smoker (20-30 cigarettes per day).
  • No chronic problems in the past.
  • You have a very stable family life.
  • Your idea: it could be disc prolapse.
  • Your concern: that you could not return to work, as you have to take bed rest for one to two weeks. This will affect your income.
  • Your expectations are:
    • That your doctor will do an X-ray to find out if it is disc prolapse.
    • A strong injection to relieve the pain.
    • Referral to the Orthopaedic clinic.

Ask your doctor about:

  • An X-ray, insist if he refuses as you want to find out if it is disc prolapse, and referral to the Orthopaedic clinic.
  • If he convinces you about it in an appropriate way, agree with him.

The doctor will examine your back by exposing it. Ask you to do different movements at the back and other joints. You will act naturally. If the doctor asks you to bend forward or backward, you will say: “AHH, there is pain at the lower back above your buttock.”

Graph View

Backlinks