Mr.

Khan, a-40-year old man presented with acute lower back pain radiating to the right lower limb
after he lifted a heavy object. On further history taking, he also had low back pain for the past six
months associated with loss of appetite, loss of weight and night sweat. His wife was treated for
pulmonary tuberculosis two years ago.

Mr. Khan, a-40-year old man -man

acute lower back pain radiating
to the right lower limb after he
lifted a heavy object
low back pain for the past six
months associated with loss of
appetite, loss of weight and
night sweat
-middle age
-age increase, back pain risk
increase
-involving lumbar spine Diff diagnosis lower back pain
-nerve pinch -sciatica
- -heerniated disc
-back strain
-osteoartritis
-malignancy
-infection
-have chronic symptom of -batson plexus
lower back pain -nerves inpinchment
-why don’t come clinic -classification of nerve injury
-pain not exagerating
-pt take pain killers
-occcupation too busy
-symptomp lead to mtb
infections but not hemoptesis
-extra pulmonary tb

wife was treated for pulmonary
tuberculosis two years ago.
-risk fx for mtb -tb pathophysiology
-airborne transmission -fever
-wife current conditon? -night sweats
-any recurrency? -weight loss
-management for the wife Tb pathigenesis
-may cause by heamatogenous -lab test
spread -mantoux skin test
-start with pulmonary tb but -c/s for mtb
still latent phase -total blood count
-border break and mtb spread -imaging
thru blood Chest/spine radiograph
-thru batson plexus
-c/s for bacteria confirmation
-pt low immune respond

Patient felt radiating pain when his leg was raised in between 40 to 60 degree on straight leg raising
(SLR) test. Plain lumbosacral radiograph showed destruction of the lumbar 1 (L1) vertebrae body. He
was investigated and he was later diagnosed as spinal tuberculosis.

Patient felt radiating pain when Slr test

his leg was raised in between 40 -how done
to 60 degree on straight leg -interpret data
raising (SLR) test
Plain lumbosacral radiograph Lumbosacral radiograph
showed destruction of the -interpretation
lumbar 1 (L1) vertebrae body
He was investigated and he was -pathophysiology stb
later diagnosed as spinal -Long term complications
tuberculosis. -risk factor
Treatment/ management
Histopathology of stb