USMLE Forum Archives - USMLE Step 3 - Rheum- "Low back problem"
Rheum- "Low back problem"
harry206 - 05-10-09 09:48
A 26-year-old Italian-American man comes to your office for the evaluation of low back pain. He has had this pain for the last eight months, and it is progressively getting worse. The pain is worse in the morning and gets better as the day progresses. He denies any history of trauma in the past. He works as a chef at a local restaurant. His father and uncles also have "back problems." His physical examination reveals a limited range of motion of his lumbosacral spine and markedly reduced chest expansion. The rest of his physical and musculoskeletal examination is unremarkable.
If the initial evaluation shows mild disease, what would you do to monitor the disease activity?
harry206 - 05-10-09 09:48
A 26-year-old Italian-American man comes to your office for the evaluation of low back pain. He has had this pain for the last eight months, and it is progressively getting worse. The pain is worse in the morning and gets better as the day progresses. He denies any history of trauma in the past. He works as a chef at a local restaurant. His father and uncles also have "back problems." His physical examination reveals a limited range of motion of his lumbosacral spine and markedly reduced chest expansion. The rest of his physical and musculoskeletal examination is unremarkable.
If the initial evaluation shows mild disease, what would you do to monitor the disease activity?
The correct answer and explanation will be available after you answer.
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#1
Re: Rheum- "Low back problem&am zkadhem - 05-10-09 09:53 My answer is: b.
This is typical history of ankylosing spondylitis, I'm between a and b!
#3
Re: Rheum- SLE bingousmle - 05-10-09 13:19 My answer is: a.
it is ankylosing spondylitis and x rays may be the most cost effective measure to monitor the progress of the disease..
#23
Re: Rheum- "Low back problem&am conym5 - 04-11-10 08:45 patients with limited range of motion , of his lumbosacral spine and markedly reduced chest expansion.may be akylosing spondilitis.. no HLA-B 27 levels indicated..
#30
Re: Rheum- "Low back problem&am babbu5508 - 08-31-10 00:20 My answer is: a.
Repeat x-rays after 3 months ...progression of ankylosing spondilitis can be monitored by serial x-rays...
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