Ortho Hors D'oeuvres (Answer):
To review, this is a 56 year-old female with acute atraumatic back pain. Questions and Answers:
1) What history and/or physical exam findings would warrant x-ray imaging in this patient?
Attempts should be made to minimize imaging in patients presenting with atraumatic back pain. In fact, the guidelines from the American College of Physicians state, "clinicians should not routinely obtain imaging or other diagnostic tests in patients with nonspecific low back pain and rese
Ortho Hors D'oeuvres (Prompt):
Patient is a 56 year-old healthy female presenting with back pain. Four days prior to presentation, the patient was leaning over her bed to pick up a yoga mat when she felt a "pop" in her lower back with subsequent severe pain. She saw her primary care provider who diagnosed her with a musculoskeletal strain and prescribed baclofen. She is now presenting to the emergency department for further pain control. She denies numbness, weakness, or bowel or bladder incontinence. On p
Ortho Hors D'oeuvres (Answer):
To review, this is a 23 year-old female with right ankle pain after fall. Questions and Answers:
1) What is this patient's orthopedic injury? This patient has severe right lateral ankle swelling and tenderness in the context of normal x-rays. She has no distal fibular fracture, tibial fracture, or mortise widening concerning for an unstable or fractured ankle. This patient has an ankle sprain. Ankle sprains can be diagnosed without x-rays in patients who meet the Ottawa Ankl
