Friday, June 27, 2025

50M With Low Backache WB PaJR

 

27-06-2025 

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTR TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[27-06-2025 12.13] PPM 1: OPD now:
50M Long distance patient admitted under @PPM3 @PPM4 yesterday with low backache since 4 years.
Sudden onset after potato harvest lifting heavy weights 4 years back.
Intermittent claudication pain ever since then
Was operated for a left ureteric stone 7 years back and had a classic loin to groin pain at that time.
On examination:
SLR+- right lower limb
Trunkal muscle power less than 30%
No other focal neurological deficits
What would be the next intervention diagnostic and therapeutic for him @PPM5
@PPM3 please send for physiotherapy for back strengthening exercises and start Tab P650 and tablet Ultracet half 6 hourly for two days.


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