Bone Disease (Spine)

Tenderness to focal percussion of one vertebra

Suspect especially if any of the following:
  • Sufficient Trauma to fracture a vertebra
  • Elderly patient at risk for cancer
  • Strongly suspect if Hx of wt. loss, fevers, night sweats
  • Elevated ESR (>50)
X-ray usually diagnostic.  Conditions include:
  • Metastasis
  • Multiple myeloma
  • Osteomyelitis
  • Epidural compression

See posting Back Pain & Neck Pain.

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