Q. Can a low back pain start from picking up something from the oven? My mother has a low back pain. It started five days ago while she picked up a cake from the oven. the pain is always there, it bugs her while she sleeps and it excruciate while she is doing her regular physical activity. What can it be? should we go to our GP? Is there anything we can do to ease the pain except Tylenol? Just for the record my mom is 69 years old, and she has tuberculosis and a heart disease. A. This is a case where your mom should have an examination by a professional. A chiropractor would be the specialist to deal with back pain and can make any appropriate referrals if necessary.
nonduplication of benefits : Term used to describe one of the ways the secondary carrier may calculate its portion of the payment if a patient is covered by two benefit plans. The secondary carrier calculates what it would have paid if it were the primary plan and subtracts what the other plan paid. For example, if the primary carrier paid 80 percent, and the secondary carrier normally covers 80 percent as well, the secondary carrier would not make any additional payment. If the primary carrier paid 50 percent, however, the secondary carrier would pay up to 30 percent.
Abdominal imaging is useful to confirm the diagnosis of AP. CECT provides over 90% sensitivity and specificity for the diagnosis of AP (20). Routine use of CECT in patients with AP is unwarranted, as the diagnosis is apparent in many patients and most have a mild, uncomplicated course. However, in a patient failing to improve after 48–72 (., persistent pain, fever, nausea, unable to begin oral feeding), CECT or MRI imaging is recommended to assess local complications such as pancreatic necrosis (21,22,23). Computed tomography (CT) and MRI are comparable in the early assessment of AP (24). MRI, by employing magnetic resonance cholangiopancreatography (MRCP), has the advantage of detecting choledocholithiasis down to 3 mm diameter and pancreatic duct disruption while providing high-quality imaging for diagnostic and/or severity purposes. MRI is helpful in patients with a contrast allergy and renal insufficiency where T2-weighted images without gadolinium contrast can diagnose pancreatic necrosis (24).