Jake Gamble MF4 MSK
Activity
Tutorial
Tutorial
Part One: Jake Gamble, an obese 65-year-old man, presents complaining of back pain that began 5 days ago while shovelling snow. The pain becomes worse when he stands.
Part Two: The patient reports he got over that last "attack" in less than a week but has had low back pain ever since. He now returns 2 years later because of another attack of acute back pain after chopping wood.
Part Three: The patient returns in 6 weeks because the pain has not decreased. His legs feel "heavy," and he has had some incontinence in the last week.
Curriculum Block
Medical Foundation 4 / Musculoskeletal Medicine / Part 4 / Week 4
- Indicates most relevant
Objectives
General Objectives
- Develop a basic approach to low back pain and explain its common causes and its investigation and management.
- Differentiate between back pain, spine pain and radicular pain.
Global Objectives
Assessments
Mid-Unit Tutorial Assessment
Concept Application Exercise (CAE)
End-Unit Tutorial Assessment
Tags
Basic Sciences
Anatomy
Epidemiology
Cohort Year
2010
Curriculum Block
Medical Foundation 4
Musculoskeletal Medicine
Part 4
Week 4
Curriculum Week
Part 4
Week 4
Discipline
Orthopedics
Radiology
General MCC Objectives
Investigations
Management Skills
MCC Presentations
Ataxia (Gait)
Back Pain and Related Symptoms (e.g., Sciatica)
Incontinence, Urine, Adult
McMaster Program Competencies
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
1.5 Develop and carry out patient management plans
1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making
1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.
MeSH
Low Back Pain [C10.597.617.152.400]
Spinal Nerves [A08.800.800.720]
Aged [M01.060.116.100]
Analgesia [E03.091]
Ankle [A01.378.610.250.149]
Cauda Equina [A08.800.800.720.725.150]
Chronic Pain [C23.888.592.612.274]
Muscle Weakness [C10.597.613.593]
Musculoskeletal Diseases [C05]
Obesity [G07.100.100.160.120.699.500]
Pain Management [E02.745]
Pain Management [N04.590.607.500]
Polyradiculopathy [C10.668.829.800.750.700]
Reflex, Abnormal [C10.597.704]
Spasm [C10.597.613.750]
Spine [A02.835.232.834]
Urinary Incontinence [C13.351.968.934.814]
