Answer :
The options for diagnosis of the 59-year-old trauma nurse with back pain and fatigue are Osteoarthritis, Degenerative disc disease, Muscular strain, and Fibromyalgia, with the latter being challenging to diagnose due to non-specific symptoms. All options are corect.
The case study in the question involves a 59-year-old female trauma nurse experiencing low back pain and fatigue. The potential diagnoses proposed are Osteoarthritis, Degenerative disc disease, Muscular strain, and Fibromyalgia. All options are corect.
Fibromyalgia is particularly challenging in terms of diagnosis, as it presents widespread pain, chronic fatigue, gastrointestinal issues, and headaches, with symptoms mirroring other conditions. Diagnosis often involves ruling out other diseases. Other issues such as arthritis, osteoporosis, and chronic back conditions can significantly impact quality of life and daily functioning. Likewise, chronic pain is a persistent condition that can occur even without observable tissue damage.
Based on the symptoms described, the most likely diagnosis for the 59-year-old female trauma nurse with low back pain and fatigue for 2 days is Muscular strain thus the correct option is c.
Muscular strain, characterized by localized pain and fatigue, is a common issue, especially among individuals with physically demanding professions like nursing. The sudden onset of symptoms aligns with the nature of muscular strain, often triggered by overexertion or improper lifting techniques. Additionally, the absence of chronic symptoms or systemic manifestations suggests a more acute and localized issue, further supporting the diagnosis of muscular strain. Therefore, option C) Muscular strain is the most plausible diagnosis in this case.(option c)
While osteoarthritis and degenerative disc disease are potential causes of low back pain, they typically manifest with chronic symptoms and may present with additional signs such as joint stiffness or neurological deficits, which are not mentioned in the case study. Fibromyalgia, characterized by widespread pain and fatigue, is less likely given the acute onset of symptoms and the absence of widespread pain or other associated features commonly seen in fibromyalgia. Therefore, considering the context of the case study and the presenting symptoms, muscular strain emerges as the most probable diagnosis, warranting further evaluation and management focused on alleviating pain and promoting recovery.(option c)
