SCENARIO: A 20-yeаr-оld field hоckey plаyer repоrts to the аthletic training room asking to get her right leg evaluated. History Her chief complaint is unusual tingling and occasional burning sensations that radiate from her back to right buttock and inner thigh. She reports this has been consistent for the past five weeks. She does not recall a specific mechanism of injury. The symptoms increase considerably with drill training as well as extended bouts of scrimmaging and gameplay. Without consent of her strength and conditioning coach, she recently changed her weight training regimen approximately two months ago to include weightlifting techniques she was not accustomed to, such as the clean & jerk, good morning, and snatch. She reports “doing more core work lately” as well as icing and stretching her back, and hamstrings but self-treatment does not seem to be helping. As a result, she began taking 800 mg of Advil or Motrin every eight hours to help manage her pain but noticed the OTC drugs have become progressively less effective. She vaguely reports having had minor back problems in the past that were treated successfully with manual therapy and/or corrective exercise. Knowing this, she independently sought treatment from a chiropractor three weeks ago. While two sessions provided some relief, it was not a significant improvement. She indicates having never experienced anything similar to her current condition and denies prior history of traumatic spine injury. AT RESPONSE: Based on the patient’s history, what corresponding conditions are you considering in the first step of differential diagnosis? DIRECTIONS: Bullet your individual text entries. Your entries must be concise, specific, and accurate. Your entries must include correct spelling. You may (and are encouraged) to use common abbreviations and acronyms linked to anatomical and medical terminology when appropriate.
SCENARIO: A 20-yeаr-оld field hоckey plаyer repоrts to the аthletic training room asking to get her right leg evaluated. History Her chief complaint is unusual tingling and occasional burning sensations that radiate from her back to right buttock and inner thigh. She reports this has been consistent for the past five weeks. She does not recall a specific mechanism of injury. The symptoms increase considerably with drill training as well as extended bouts of scrimmaging and gameplay. Without consent of her strength and conditioning coach, she recently changed her weight training regimen approximately two months ago to include weightlifting techniques she was not accustomed to, such as the clean & jerk, good morning, and snatch. She reports “doing more core work lately” as well as icing and stretching her back, and hamstrings but self-treatment does not seem to be helping. As a result, she began taking 800 mg of Advil or Motrin every eight hours to help manage her pain but noticed the OTC drugs have become progressively less effective. She vaguely reports having had minor back problems in the past that were treated successfully with manual therapy and/or corrective exercise. Knowing this, she independently sought treatment from a chiropractor three weeks ago. While two sessions provided some relief, it was not a significant improvement. She indicates having never experienced anything similar to her current condition and denies prior history of traumatic spine injury. AT RESPONSE: What relevant objective evaluation processes will you perform to differentiate between these conditions and (possibly) determine its severity? DIRECTIONS: Use a standard format in arranging your response. Bullet your individual text entries. Your entries must be concise, specific, and accurate. Your entries must include correct spelling. You may (and are encouraged) to use common abbreviations and acronyms linked to anatomical and medical terminology when appropriate. When listing structural/stress tests, it is expected that you will also list the conditions they are indicated for.