SURGERY PART ONE OSCA - BACK PAIN This patient presents with back pain. There is no history af infury. Please take a hx to confirm/disprove the diagnosis of a prolapsed disc. Introduction Patients age and occupation Onset problem Pain ‘Site pain bora LY A efoine Beto nad tae oF i ee tons Difference in severity of pain in back/foot ‘Functional limitation due to pain « ahility to werk and ATI ete Symptoms in L leg Weakness General competence ‘The patient was a 55 yo self employed draughtsman with a 3 week history of central low back pain which was worsened by bending and coughing. It radiated down the R leg. There was a 4 day history of R foot numbness. ‘Candhates scored from 12-28/30. Common mistakes were not tulty asking the pas questions and not asking enough question to exclude DDx - ie malignant mets, osteomyalitis ota. Time ‘wae arneted by enme crnfiemina ciuen infrematinn and evalsinina Die inetead af takin a iw