Question.......Pain :) - psychmledr

[ArchivalUser]

A 65-year-old man presents with bilateral leg pain that is brought on by walking. His past medical history includes peptic ulcer disease and osteoarthritis. He can typically walk for around 5 minutes before it develops. The pain subsides when he sits down. He has also noticed that leaning forwards or crouching improves the pain. Musculoskeletal and vascular examination of his lower limbs is unremarkable. What is the most likely diagnosis?

A. Inflammatory arachnoiditis
B. Peripheral arterial disease
C. Raised intracranial pressure
D. Spinal stenosis
E. Lumbar vertebral crush fracture

[ArchivalUser]

E...

[ArchivalUser]

ddd, lumbar foraminal stenosis., but a little bit confused, since it maybe caused by crashed lumbar vertebra. But the pathophysiology of the disease is narrowing of the area within of spinal canal.

[ArchivalUser]

D typical presentation..... crush fracture would be more dramatic

[ArchivalUser]

Yes, correct answer is D....

This is a classic presentation of spinal stenosis.