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Back pain: a case study.

V H Kemp1

  • 1St. Mary's Emergency Center, Athens, Georgia, USA. vkemp@mail.mcg.edu

Clinical Excellence for Nurse Practitioners : the International Journal of NPACE
|February 23, 2002
PubMed
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Sudden back pain in older adults can signal serious conditions like aortic aneurysms. Early diagnosis by nurse practitioners is crucial for timely intervention and better patient outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Emergency Medicine
  • Primary Care

Background:

  • Musculoskeletal complaints, particularly non-traumatic back pain, are common in primary care and emergency settings.
  • Back pain can indicate underlying serious pathologies requiring prompt medical evaluation.

Observation:

  • A case study of a Caucasian male in his early sixties presenting with acute back pain after physical exertion.
  • The patient's symptoms prompted a thorough clinical assessment by a nurse practitioner and collaborating physician.

Findings:

  • Diagnostic imaging revealed the presence of both thoracic and abdominal aortic aneurysms.
  • The patient's presentation of back pain was a critical, albeit atypical, symptom of these vascular conditions.

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Implications:

  • Highlights the importance of comprehensive assessment for non-specific symptoms like back pain in older adults.
  • Underscores the role of advanced practice providers in identifying critical diagnoses in community settings.
  • Emphasizes the need for heightened clinical suspicion for aortic aneurysms presenting with back pain.