I have a case of an 82-year-old man you have provided care to for a few years presents. He comes with his daughter today with complaints of low back pain and change in the urine stream.
Based on the patient’s age, symptoms, and absence of red flags, Herniated Disc is my definitive diagnosis for his low back pain and change in urine stream. However, further diagnostic tests, such as MRI or CT scan, may be needed to confirm the diagnosis and rule out other conditions.
Please write more about lab and radiology.
For the lab and radiology that you include, you will need to provide interpretation, to include what the high/low values are as well as common indications that occur with highs/lows.
The workup should include the appropriate lab work with rationale and interpretation, and a treatment plan (including any medications, education, follow-up plan) with supporting references.
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