{"ops":[{"insert":"A 71 year old man presents with persistent lower back pain for one and a half months. The pain is dull and aching in nature and does not radiate. There is no history of recent trauma.\n\nHis co-morbidities are well controlled hypertension for 15 years and ischemic heart disease for which coronary artery bypass grafting was performed 10 years ago.\n\nA full blood count and urinalysis are found to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-011_en.png"}},{"insert":"\n"}]}
2
Investigate
X-Ray lumbo-sacral spine
{"ops":[{"insert":"The x-ray appears normal\n"}]}
Ultrasound abdomen
{"ops":[{"insert":"The ultrasound scan shows a dilated infra-renal abdominal aorta with a maximum diameter of approximately 5.7cm.\n"}]}