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dr_jojo

03/08/07 - 09:31 AM       #1


A 77-year-old woman comes to the physician because of low back pain for 3 months. She has hypertension controlled with a calcium-channel blocking agent and type 2 diabetes mellitus controlled with diet. Her vital signs are within normal limits. Examination shows no spinal or costovertebral angle tenderness; straight-leg raising produces pain in the low back at the L2–4 range. Knee jerk and ankle reflexes are 2+ bilaterally. Babinski's sign is absent bilaterally. Urinalysis shows 5–10 epithelial cells/hpf, 2–5 leukocytes/hpf, and few bacteria. Which of the following is the most appropriate pharmacotherapy?

A
) Acetaminophen

B
) Gold

C
) Methotrexate

D
) Prednisone

E
) Probenecid



robin082006
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03/08/07 - 09:36 AM       #2

A

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dr_jojo

03/08/07 - 09:38 AM       #3

A


Edited by dr_jojo on 03/23/07 - 03:56 AM

doc_clotaire
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03/08/07 - 10:06 AM       #4

NSAIDS is preferred over Steroids for cronic back pain secondary to herniated disk

The most recommended one is Ibuprofen for pain and inflamation , Since we don ' t have this choice here , we can pick acetaminophen just for the pain


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dr in trouble
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03/08/07 - 03:04 PM       #5

Yes NSAIDS r the best choice.

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Dr_kholioo
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03/09/07 - 04:41 AM       #6

ya but what about her HTN with NSAID ?

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Adam
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03/09/07 - 12:31 PM       #7

the best one from the choices is A Acetaminphen , even that NSAIDs are preferred in mild disc hernaition


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eaguin
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03/12/07 - 09:54 AM       #8

a

AAzad
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03/22/07 - 08:46 AM       #9

Acetaminpophen is not an Nsaid Is iT?
I go with Corton

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