A page comes in from downstairs—another admission. A 41-year-old postal worker in bed 22, presented with severe back pain and needs pain control and a physical therapy evaluation. Three weeks ago, he was lifting a box when he felt a sharp pain in the middle of his lower back. The pain has not decreased, despite his taking naproxen around the clock. I look at the vital signs: temperature, 99°; pulse, 92 bpm; pressure, 140/90 mm Hg; respirations and oxygen saturation, normal. Nothing stands out as I click through the laboratory results.
Sargsyan Z. The “Hemolyzed” Physical Examination—Situational Challenges to Accurate Bedside Diagnosis. JAMA Intern Med. 2019;179(4):465–466. doi:10.1001/jamainternmed.2018.8753
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