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Case study Common Complaints in Primary Care

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RUNNING HEAD: COMMON COMPLAINTS IN PRIMARY CARE: BACK PAIN
Common Complaints in Primary Care: Back Pain
Concordia University Mequon
Advanced Primary Care Nursing One
February, 11, 2013
Group Members:
Sarah Holtegaard, Michael Thorn
Jessica Frye, Laurie Hensel,
Lisa O’Brien, Dezari Dykstra

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RUNNING HEAD: COMMON COMPLAINTS IN PRIMARY CARE: BACK PAIN
2
Differentials
Pyelonephritis
Lumbar Strain
Herniated Disk
Vertebral
Compression FX
Sciatica
Definition
Renal
inflammation,
infection,
typically
caused by
Escherichia
coli and
occurring most
frequently in
females age
18-49. Women
are more
susceptible due
to a short
urethra.
(Epocrates,
2013).
A kidney
infection can
originate from
many causes.
An obstruction
in the urinary
tract (kidney
stone,
structural
anomaly,
pregnancy,
Occurs when the
muscle fibers
are abnormally
stretched or torn
in lumbosacral
region.
Generally, found
in patients 20-50
years old that
have strenuous
occupations.
Muscles and
ligaments in the
lower back hold
bones of our
spinal column
together. If you
stretch these
muscles too far
it can cause
tears in the
tissue. The spine
becomes less
stable because
the muscles are
weakened,
causing low
back pain. The
majority of
Disc anomalies
occur secondary
to injury or
degeneration of
the annulus
fibrosus (strong
outer layer of the
disc). When a
disc herniates,
the nucleus
pulposus (jelly-
like material that
acts as a cushion
for the disc)
pushes through a
tear in the
annulus fibrosus,
resulting in
compression of a
unilateral nerve
root (Dunphy
et.al., 2011).
Radiculopathy
(pain
experienced in
the buttock, leg,
or foot) results
from nerve root
impingement
A vetebral
fracture that
collapses a
spinal vertebra
as a result of the
compression of
bone, leading to
collapse of the
vertebrae
Sciatica is a
pain, either sharp
or burning, that
is usually
associated with
numbness that
radiates down
the leg. This
subsequently,
results in pain
that can be
debilitating and
completing
ADL’s and
exercising. The
lumbrosacral
nerve root or
plexus are
inflamed and
cause this
radiating pain in
the lower back
and down the
leg.

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 Common Complaints in Primary Care: Back Pain Concordia University Mequon Advanced Primary Care Nursing One February, 11, 2013 Group Members: Sarah Holtegaard, Michael Thorn Jessica Frye, Laurie Hensel, Lisa O’Brien, Dezari Dykstra Differentials Pyelonephritis Lumbar Strain Herniated Disk Vertebral Compression FX Sciatica Abdominal Aortic Aneurysm Definition Renal inflammation, infection, typically caused by Escherichia coli and occurring most frequently in females age 18-49. Women are more susceptible due to a short urethra. (Epocrates, 2013). A kidney infection can originate from many causes. An obstruction in the urinary tract (kidney stone, structural anomaly, pregnancy, prostatitis), or vesicoureteral reflux (failure of the valve that prevents backflow of urine) (USDHHS, 2012.) Occurs when the muscle fibers are abnormally stretched or torn in lumbosacral region. Generally, found in patients 20-50 years old that have strenuous occupations. Muscles and ligaments in the lower back hold bones of our spinal column together. If you stretch these muscles too far it can cause tears in the tissue. The spine becomes less stable because the muscles are weakened, causing low back pain. The majority of patients with low back pain have lumbosacral strain (Lemonick, 2009, p. 6) Disc anomalies occur secondary to injury or degeneration of the annulus fibrosus (strong outer layer of the disc). When a disc herniates, the nucleus pulposus (jelly-like material that acts as a ...
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