Abstract
Jack is a 78-year-old retired salesman who presents with a 3-week history of left lower back pain that began without any identifiable inciting cause. Jack has a past medical history that includes coronary artery disease with two stents placed, hypertension, diabetes type II, benign prostate hypertrophy, chronic obstructive pulmonary disease, gall bladder surgery, and diverticulitis. Although his medical history is significant, Jack considers himself to be “pretty healthy all things considered.”
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