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Question Keywords:
Anatomical Science:	Nervous
Clinical Science:	History Physical
Last Updated:	9/16/2017 9:12:44 PM

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A 73-year-old female with a history of hypertension and gastroesophageal reflux disease on hydrochlorothiazide and omeprazole presents complaining of pain in her low back and buttocks for the past 7 months that is improved by bending forward. She denies trauma and weight loss. On examination, she has pain with lumbar extension and decreased vibratory sensation but no other abnormalities. What is the most likely diagnosis?

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1. Herniated disc
2. Lumbar spinal stenosis
3. Peripheral arterial disease
4. Rheumatoid arthritis

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PubMed References

	Cervical Spondylotic Myelopathy: What the Neurologist Should Know., de Oliveira Vilaça C,Orsini M,Leite MA,de Freitas MR,Davidovich E,Fiorelli R,Fiorelli S,Fiorelli C,Oliveira AB,Pessoa BL,, Neurology international, 2016 Nov 2 [PubMed PMID: 27994827]
	Surgical options for lumbar spinal stenosis., Machado GC,Ferreira PH,Yoo RI,Harris IA,Pinheiro MB,Koes BW,van Tulder MW,Rzewuska M,Maher CG,Ferreira ML,, The Cochrane database of systematic reviews, 2016 Nov 1 [PubMed PMID: 27801521]
	Management of degenerative lumbar spinal stenosis: an evidence-based review., Covaro A,Vilà-Canet G,de Frutos AG,Ubierna MT,Ciccolo F,Caceres E,, EFORT open reviews, 2016 Jul [PubMed PMID: 28461958]