J.C. is a 41-year-old man who comes to the emergency department (ED) with complaints of acute low back pain. He
states that he did some heavy lifting yesterday, went to bed with a mild backache, and awoke this morning with terrible back pain. He admits to having had a similar episode of back pain "after I lifted something heavy at work." J.C. has a past medical history (PMH) of peptic ulcer disease (PUD) related to NSAIDs use, non-insulin dependent diabetes, and hypertension. His is 6' tall, weighs 265 pounds, and has a prominent "potbelly."
1)J.C. used to take celecoxib (Celebrex) 100 mg daily until he developed his duodenal ulcer. What is the relationship between the two? What signs and symptoms (S/S) would you expect if an ulcer developed?
2) What observable characteristic does J.C. have that makes him highly susceptible to low back injury?
3) What questions would be appropriate to ask J.C. in evaluating the extent of his back pain and injury?
4) What pain scale would you select to use with this patient? Why?
1) Celebrex is an NSAID that raises the patient's chance for developing a duodenal ulcer. Heartburn, possibly with a burning... View the full answer