Case Presentation: A 67-year-old man with a history of previously treated prostate cancer presented with two weeks of low back pain. The pain had progressed and was now associated with bilateral lower extremity shooting pain and weakness. He denied bowel or bladder incontinence or saddle anesthesia. He was found to be afebrile with normal vital signs, poor dental [...]

Case Presentation: A 63- year-old man with a history of seizures, hepatitis C infection and multiple spinal fusion surgeries presented to the emergency room (ER) for the evaluation of back pain. Back pain was said to have commenced 3 days prior to presentation. Pain was mainly located in the lumbar region, dull in nature, rated [...]

Case Presentation: A 33-year-old man presented to the emergency department with sudden onset, severe abdominal pain radiating toward the back. Medical history included bipolar disorder treated with bupropion, sertraline, and lamotrigine. Surgical history included prior appendectomy. There was no history of sick contacts, alcohol use, gallstones, or peptic ulcer disease. On exam he was tachycardic [...]

Case Presentation: A 46 year-old gentleman presents with an acute worsening of his chronic low back pain with radiation and paresthesias down his left leg. On admission, he was febrile, tachycardiac and uncomfortable appearing. He has point tenderness of lumbar spine, normal rectal tone, 2+  patellar, Achilles reflexes and 5/5 strength in bilateral upper and [...]

Case Presentation: A 36-year-old female was referred for an infectious disease consultation for severe lower back pain, 40 lbs weight lost over 6 months and abnormal MRI imaging consistent with discitis. She was in excellent health until 6 months prior to presentation, when she developed left gluteus muscle swelling, severe left hip and lower back [...]