Quote:
Originally Posted by PedOncoDoc
Has urine been darker?
If you're moving into exam - CVA tenderness? Distribution of tenderness on palpation of the back (over the spine, paraspinous muscles, etc?)
Can we look at the shoulders for evidence of petechiae/bruising?
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No CVA tenderness.
The patient is exquisitely tender on the vertebral prominence of L3 & L4 with a conspicuous absence of tenderness in the paraspinous muscles. Shoulder exam unremarkable.
Quote:
Originally Posted by DocIllinois
May as well begin at the beginning...
Agree with Ped's palpation of the affected area and shoulders check.
BP, HR
Valsalva's, SLR tests
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See above.
BP 130/85
HR 90
What exactly are you checking with valsalva? There are a number of possible PE techniques with valsalva. Are you checking volume status?
Straight leg raise results in mild bilateral hamstring pain w/o paresthesias radiating below the knee.