Differential Diagnosis- Exam 1- Thoracic Spine Pain- Clicker Questions

15 yr old male patient has mid back pain, positive prone hyperextension test and is hyperkyphotic. Follow up?

Thoracic spine radiographs

-positive prone hyperextension test tells you its. A structural problem

Non traumatic thoracic spine pain, what is the most significant diagnosis, pic on back

Scheuermanns disease

Appropriate management for previous slide

Concurrent orthopedic consultation because its active Scheuermanns

-immature skeletal at age 15

Difference between active and non. Active shceuermanns

-all based off of age and skeletally maturity

30 yr old female patient with a recent fall on buttock and mid thoracic pain. Follow up

Thoracic spine x rays

Most significant finding on pic on back

Decreased body height

75 yr old female patient that complains of mid back pain, follow up

Thoracic x rays

-because her age is a red flag

Example of pathological fractures in young person, most likely form also what is the most appropriate follow up

Eosinophilic granuloma

Orthopedic consultation

Decreased disc height radiographic findings

X ray shows decreased disc height, blood test reveal elevated white blood cells and an elevated Sed Rate. Most likely diagnosis

Confirms discitis

Spondylo discititis, how do you know

Destruction on both ends of the disc

Most likely Dx on next image

Osteoporosis

Differential diagnosis for an ivory vertebra

Blastic Mets

Lymphoma

Pagets

22 yr old with traumatic onset rib pain with inspiration. What does he need

X ray of ribs and chest