Clinical problem-solving. A pain in the back.
Clinical problem-solving. A pain in the back.
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临床问题解决。
DOI：
10.1056/nejm200009073431008
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Sox,HC
中科院分区：
文献类型：
--
作者：
Lurie,JD;Gerber,PD;Sox,HC
一位80岁的男性患有退行性髋关节和脊柱退行性关节炎，开始出现中胸背痛，左髋部疼痛加重。疼痛突然开始，没有创伤，没有辐射，任何姿势都没有缓解。尽管休息和布洛芬治疗，背部疼痛仍持续了两周。对于一个背部疼痛的80岁老人，我会担心骨质疏松症，无论是原发性的还是继发性的。胸中区域是常见的压缩性骨折部位。尽管骨质疏松症在女性中比男性更常见，但在这一点上。
StageAn 80-year-old man with degenerative arthritis of the hip and spine began to have midthoracic back pain and worsening pain in his left hip. The pain began suddenly, was not preceded by trauma, did not radiate, and was not relieved in any position. The back pain persisted for two weeks despite rest and treatment with ibuprofen. The patient took no other medications.ResponseIn an 80-year-old with back pain, I would worry about osteoporosis, either primary or secondary. The midthoracic area is a common site of compression fractures. Although osteoporosis is more common in women than men, at this . . .