Answer BOF 47

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BOF 47
Red flags for a possible spinal pathology in a patient with back pain, all are true except:
1-Presentation between the ages of 20-50
2-the pain is constant, progressive and unremitting
3-dorsal spine pain per se
4-presence of systemic symptoms like fever, weight loss and sweating
5-past history of TB

Answer: 1
1-less than 20 and more than 50 years
2-also history of a major trauma
3-also , presence of a painful spinal deformity, severe symmetrical spinal deformity , saddle anaesthesia , progressive neurological signs in the lower limbs , sphincter dysfunction and sensory level
4-very important indicators
5-and HIV, malignancy, on long term steroids...etc

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