DrAlex_76
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A 67-year-old man is brought to the emergency department 4 hours after the onset of severe midlumbar back pain. He is anxious, pale, and diaphoretic. His temperature is 37.1 C (98.8 F), blood pressure is 105/65 mm Hg, and pulse is 120/min. Examination shows no other abnormalities. X-ray films of the lumbar spine show degenerative disc disease with calcifications anterior to the vertebral bodies. Which of the following is the most likely diagnosis?
A
) Aortoiliac occlusion
B
) Herniated nucleus pulposus
C
) Lumbar discitis
D
) Lumbar strain
E
) Pyelonephritis
F
) Ruptured aortic aneurysm
G
) Spinal stenosis
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| Eagle_303
Forum Guru
Topics: 77
Posts: 655
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Patient is in shock. No cause of back pain can give rise to shock condition.Pulse of 120/min shows patient is bleeding inside .
Ruptured AAA
Best of luck
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| jehanzebali
Forum Junior
Topics: 5
Posts: 88
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AAA for sure.. old age..bak pain.. paleness.. diaphoresis..hypotension...tachycardia.. x ray tellin abt calcification of abd aorta..
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| DrAlex_76
Forum Guru
Topics: 120
Posts: 410
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bravo .......I miss the that very important sign ! thanks a lot
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| jehanzebali
Forum Junior
Topics: 5
Posts: 88
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my pleasure 
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| nightflight1945
banned
Topics: 32
Posts: 920
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