A 60yo woman presents with acute onset of bone and back pain following a rough journey in a
car. Exam: tenderness at mid-thoracic vertebra with spasm, she feels better once she bends
forward. What is the single most probable dx?
a. Osteoporotic fx verterbra
b. Myofascial pain
c. Whiplash injury
d. MI
e. Pancreatitis
Answer: A
Forward flexion of the back may open up narrowed spinal-canal foraminal
spaces in patients with vertebral compression fracture. Compression fractures are associated with osteoporosis and this female is of old age.
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