Background: Nearly 80% of adults will experience non-specific low back pain at some point in their life.(1) In the absence of concerning features such as saddle anesthesia, imaging studies are not indicated and can lead to a downstream cascade of services which can result in undue physical, emotional, and financial harm to the patient.(2-6) As [...]

Case Presentation: A 27-year-old male with a past medical history of HIV, poorly adherent to antiretroviral therapy (ART), presented with a 1-month history of worsening lower back pain. Pain was described as 10/10 in intensity, radiated to upper back, unrelieved by Ibuprofen, aggravated by lying flat and associated with a frontal headache. He denied fever, [...]

Case Presentation: A 42-year-old female presented with two days of fever, dysuria, and hematuria, associated with upper and lower back pain, body aches, and anorexia. She had no significant past medical history and no recent surgical procedures. She denied tobacco, alcohol, and intravenous drug use. The exam was significant for suprapubic pain and left costovertebral [...]