MAN'MMARROQUM

STUDENT NAME: _________________________________

THIS IS WEIRD #1
The following is all based on a real patient case and how they were managed at the time of evaluation and treatment.
The main questions you should be asking yourself throughout this assignment are:

What would I do the same? And what would I do differently?

PATIENT INITIAL INFROMATION:

A 23 Y.O.F. patient comes to your office complaining of sudden low back pain
that migrates up her spine until it is between her shoulder blades. This pain
comes and goes randomly, and it eventually leads to a mild headache when the
pain subsides. She rates her pain a 7/10 on the NRS-11 scale when the pain
presents itself.

WRITE THE (5) MOST IMPORTANT QUESTIONS YOU WANT ANSWERED AS PART OF YOUR HISTORY:

when
1)
didStart
2)
Oralityof Pan
coordination
3) Loss of
4) What makes it better
5)Temporal Preferences

Once you have completed this section, show it to your instructor so you can receive the next section of information.

1
 *With this new information, answer the diagnosis, examination, and imaging sections below*

PROVIDE A LIST OF YOUR TOP (5) INITIAL DIFFERENTIAL DIAGNOSES IN ORDER:

1)Vascular Claudication
Parasitic Meningitis
2)

3)SpinalStenosis
Malformation
4)
EpiduralArteriovenous
Claudication
5)
Neurogenic

LIST BELOW THE PHYSICAL AND ORTHOPEDIC EXAMINATIONS YOU WOULD PERFORM AS A
PRIORITY: PLEASE BE DETAILED IN YOUR DESCRIPTION OF PROCEDURES

Sotofall Scheppelmans
Maneuver
Adam's
Stooptest
DTR Brudzikis
myo tout
vitals
WOULD YOU SEND OUT FOR ANY DIAGNOSTIC IMAGING? IF SO, WHICH AND WHY?

MR
MRAngiogram

Once you have completed this section, show it to your instructor so you can receive the next section of information.
2
 With this new information, complete diagnosis sections below.

WHAT IS/ARE YOUR WORKING DIAGNOSIS/ES?

Torain
• ArteriovenousMalformation

DESIGN YOUR MANAGEMENT PLAN FOR THIS PATIENT BELOW: How would you manage this
patient? Think about potential referrals/next steps for this case.

RefurtaNeurologicSurgery

Once you have completed this section, show it to your instructor so you can receive the final section of information. This
demonstrates the working diagnosis, and management plan utilized during care of this patient.

*DO NOT CHANGE YOUR ANSWERS PRIOR TO TURNING IT IN – YOU ARE NOT GRADED ON
CORRECTNESS. I WANT TO SEE YOUR ACTUAL THOUGHT PROCESS*