Final answer:
Based on Helen's history, the serious underlying condition that is most likely causing her low back pain is: Spinal fracture.
The answer is option ⇒4
Step-by-step explanation:
The red flags in Helen's history, such as a minor fall, having osteopenia (low bone density), and prolonged steroid use for systemic lupus erythematosus, suggest the possibility of a spinal fracture as the cause of her low back pain.
A minor fall can exert significant force on the spine, especially in individuals with low bone density. Osteopenia weakens the bones, making them more prone to fractures. Prolonged steroid use can further increase the risk of bone loss and fractures.
Spinal fractures can be serious and may result in significant pain, limited mobility, and potentially lead to other complications. It is important for Helen to seek medical attention to confirm the diagnosis and receive appropriate treatment.
While other conditions listed, such as cancer, cauda equina syndrome, and neurologic compromise, could potentially cause low back pain, the specific red flags mentioned in Helen's history make a spinal fracture a more likely underlying cause.
The answer is option ⇒4
Your question is incomplete, but most probably the full question was:
Helen, age 74, presents with a complaint of low back pain. Red flags in her history of a minor fall, having osteopenia, and prolonged steroid use for systemic lupus erythematosus suggest the possibility of which of the following serious underlying conditions as the cause of her low back pain?
1.
Cancer.
2.
Cauda equina syndrome.
3.
Neurologic compromise.
4.
Spinal fracture.