A 70-year-old female with known osteoporosis presents with sudden onset of severe thoracic back pain after coughing. She has point tenderness over T8....

Question

A 70-year-old female with known osteoporosis presents with sudden onset of severe thoracic back pain after coughing. She has point tenderness over T8. There is no neurological deficit. Her pain is 9/10 on the NRS. What is the most likely diagnosis?

Accepted Answer

Osteoporotic vertebral compression fracture - a low-energy mechanism (coughing) can cause fractures in osteoporotic bone

Answer

Myocardial infarction

Answer

Pulmonary embolism

Answer

Thoracic disc herniation

Answer

Thoracic aortic dissection

uk-dipimc MCQ (SBA): Osteoporotic Vertebral Fracture

A 70-year-old female with known osteoporosis presents with sudden onset of severe thoracic back pain after coughing. She has point tenderness over T8. There is no neurological deficit. Her pain is 9/10 on the NRS. What is the most likely diagnosis?