At 0215 hours you are dispatched to a 54-year-old female with a complaint of back pain. On your arrival you are directed to the patient who is lying supine on her bed. She states that she was awoken from sleep with pain in her lumbar region about 1 hour ago for which she has taken Nurofen without relief. She has experienced similar pain over the past couple of weeks but tonight is worse.The pain seems to be more prevalent at night. She denies having sustained any injury and has no associated complaints. Her past medical history includes gastric reflux, breast cancer and hypertension. Her medications include Nexium and Perindopril. Red flags in the patient's history include:

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The Answer of At 0215 hours you are dispatched to a 54-year-old female with a complaint of back pain. On your arrival you are directed to the patient who is lying supine on her bed. She states that she was awoken from sleep with pain in her lumbar region about 1 hour ago for which she has taken Nurofen without relief. She has experienced similar pain over the past couple of weeks but tonight is worse.The pain seems to be more prevalent at night. She denies having sustained any injury and has no associated complaints. Her past medical history includes gastric reflux, breast cancer and hypertension. Her medications include Nexium and Perindopril. Red flags in the patient's history include:

At 0215 Hours You Are Dispatched to a 54-Year-Old Female