Michael G. DePalma is an assistant professor in the PA program at Lock Haven University in Harrisburg, Pa. The author has disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2020 Aug;33(8):8-11. doi: 10.1097/01.JAA.0000684112.91641.4c.
Low back pain is a frequent complaint of patients seeking care at private offices, ambulatory clinics, and EDs. Key signs and symptoms can guide clinicians in differentiating acute and persistent mechanical low back pain from back pain resulting from a specific cause. Awareness of these findings can reduce the number of missed or incorrect diagnoses that lead to poor patient outcomes. The ability to recognize the red flag findings of serious causes of low back pain ensures prompt diagnosis and initiation of appropriate treatment. This article highlights the history and physical examination findings that will improve identification of red flags associated with emergency or serious causes.
下背痛是在私人诊所、流动诊所和急诊部就诊的患者常见的主诉。主要体征和症状有助于临床医生区分急性和持续性机械性下背痛与特定病因所致的背痛。了解这些发现可减少导致患者预后不良的漏诊或误诊。认识到下背痛严重病因的危险信号发现可确保及时诊断和启动适当的治疗。本文重点介绍了病史和体格检查发现，这些发现将有助于识别与急诊或严重病因相关的危险信号。
