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Case presentation

A 25-year-old Explosive Ordnance Disposal (EOD) technician presents with a history of 10 blast exposures over 4 months and a significant injury from a vehicle strike by an 80-pound IED. He suffered initial headaches and low back pain following the incident on October 28, 2011. While his headache has resolved, he still experiences persistent low back pain. MRI results reveal a 4mm disc herniation at L5-S1 impinging on the S1 nerve roots. An orthopedic consult was requested, and he had previously undergone chiropractic manipulations for some relief.

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Case presentation

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Presentation Transcript

  1. Case presentation

  2. History of Present Illness • 25 y/o EOD technician, history of 10 blast exposures over 4 months. • Head and back injury when vehicle struck 80 pound IED on 28 Oct 2011. Vehicle destroyed. SM wearing a helmet. • Initial evaluation: GCS 13/15 with pre and post amnestic symptoms. • Complaint of headache and low back pain upon initial evaluation.

  3. History of Present Illness (cont’d) • MACE at time of injury: 30/30. • Headache resolved, but continues to have low back pain. • MRI of lumbar spine shows 4mm disc herniation at L5-S1 with bilateral abutment of S1 nerve. • Ortho consult ordered, but unclear if patient saw the specialist. • Chiropractic manipulations in the past with some relief.

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