back pain???? - thiddi - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: back pain???? - thiddi (/showthread.php?tid=591277) |
back pain???? - thiddi - ArchivalUser - 06-10-2011 42-year-old woman comes to the physician because of increasing low back pain for 2 days. She is a daily intravenous drug user. She has a history of pyelonephritis, abscesses at injection sites, and pelvic inflammatory disease. Her temperature is 39 C (102.2 F), blood pressure is 130/70 mm Hg, pulse is 84/min, and respirations are 20/min. Examination shows warm, dry skin, a supple neck, and no jugular venous distention. There is tenderness over L4. Pelvic examination shows mild erythema around the cervical os and scant discharge; there is no adnexal or cervical motion tenderness. Her hematocrit is 30%, leukocyte count is 10,600/mm3, and serum glucose level is 110 mg/dL. Urinalysis is within normal limits. Which of the following is the most appropriate next step in management? A ) Echocardiography B ) Renal ultrasonography C ) MRI of the back D ) Colposcopy E ) Laparoscopy 0 - ArchivalUser - 06-10-2011 Echo or MRI??? 0 - ArchivalUser - 06-10-2011 c, |