Shadow Health Musculoskeletal Tina Jones with complete solution

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Shadow Health Musculoskeletal Tina Jones with complete solution chief complaint Ans- -reports low back pain -describes injury as a "tweak to back" onset of pain Ans- -original injury occurred 3 days... ago -sudden onset -happed when lifting heavy box location of pain Ans- -located in low back and butt -does not radiate or migrate -denies neck pain -denies pain between shoulder blades -reports pain is same on both sides of back frequency and duration of pain Ans- -pain lasted 3 days -constant pain severity of pain Ans- -current pain "pretty bad" -original injury as 6 or 7/10 -current pain 5/10 character of pain Ans- -pain at the onset was sharp -aching pain -denies burning pain -back is sore to touch -pain accompanied by stiffness aggravating factors Ans- -feels least comfortable when sitting -some pain with movement such as walking or bending relieving factors Ans- -slight pain relief with rest -feels most comfortable when lying flat on back -denies hear or ice impact of pain of ADL Ans- -pain interferes with ADLs -slight sleep disturbance -no exercise since accident -receiving help from mom and sister confirmed use of meds Ans- -confirms meds -increased ibuprofen use for pain followed up on ibuprofen Ans- -take for past 3 days -last dose ~5 hours ago -takes 2 at a time -takes every 5-6 hours per instructions -unsure of dose, not extra strenght -provides relief for several hours confirms allergies Ans- no new allergies reported possible contributing factors in health history Ans- -no hx of previous back pain/injury -no hx of severe trauma -denies past surgery -denies increase in alcohol use since injury -denies hx of fractures -denies heavy lifting at work impact of pain on income and education Ans- -no missed work due to pain -no missed school due to pain, but discomfort sitting in class general symptoms Ans- -denies fever, chills, night sweats, NV -low energy level ROS for MSK system Ans- -denies muscle weakness -denies joint pain, swelling, redness, stiffness ROS for [Show More]

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