ask about pain location and radiation

When you ask her about the site of the pain, she points to her back area, centering on T10. 

You ask her if the pain goes down to her legs. She replies,

"No, it's just in my back, doctor."

Based on the information you have so far, are there red flags in this case?

  • Very unlikely
  • Unlikely
  • Neutral
  • Likely
  • Very likely

ask about feelings, ideas, function and expectations
>> I have enough information
ask about constitutional symptoms
ask what meds she has tried
suggest she come in for full physical next week
ask about exacerbating or relieving factors

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