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A 56-year old female comes to your clinic with a chief complaint of low back pain. She works as an assistant at a law firm. Her describes her pain as being an "8" of 10 at its worst, particularly when she flexes her spine. Her relevant medical and personal history includes a sedentary lifestyle, hypertension, menopause at age 45, and 1 pack a day cigarette smoking habit. Describe your top 3 differential diagnosis and the clinical assessment techniques, e.g., special tests, that you would use to evaluate each. (9 points possible)

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mshahzaib247

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As the woman is aged, the following diagnosis can be made as a doctor...

1. Osteoarthritis is one of the most leading causes of joint and back pains in aged people. Especially in women due to the changes in levels of estrogen in the body caused as a consequence of menopause. The diagnostic tests will include several MRI's, synovial fluid analysis, Vitamin D tests as well as cortisone levels...

2. Spinal Stenosis are a type of bony spurs that may cause back pain in spinal cords of aged people especially when bending or leaning forward. Spinal stenosis can be diagnosed by using a wide range of X-Rays with MRI's as well as CT myelograms.

3. Backache due to internal injury by accident. This type of injuries can be diagnosed by simple X-Rays of back.

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