- This is a case report.
- The author indicates that his design is to make it an evidence based report.
- The patient had symptoms of lumbar stenosis but the examination and imaging (MRI) were not conclusive.
- The author searched PubMed to find information from "systematic reviews of diagnostic studies" which were related to lumbar stenosis.
- He found two relevant articles and then used those in combination with the MRIs to further the accuracy of the diagnosis.
- With the additional information from the literature search,the author was able to make the diagnosis of lumbar spinal stenosis (LSS).
- Using the results of the literature search "a more accurate diagnosis of LSS was reached."
A literature search done by a clinician can result in a better understanding of the case and serve as a tool in appropriate care.
We usually don't discuss a lot of case studies in Science in Brief because of the difficulty in extrapolating valid information. But this case report is different, in that it illustrates a broader point. It is a practical reason for reading the literature. The literature is there to be used. It is great to learn things in college. It is wonderful to have clinical experience. It is fantastic to get an overview of articles from Science in Brief. But when you need further information on a troublesome case you can search PubMed and then use the information to guide your care of the patient. It's an obvious thing, but one that is probably used far too seldom by most doctors. Thanks for writing this article Dr. Emary.
Reviewer: Roger Coleman DC
Editor: Mark R. Payne DC
Reference: Emary PC. Diagnosis of a 64-year-old patient presenting with suspected lumbar spinal stenosis: an evidence-based case report. J Can Chiropr Assoc. 2015;59:46-52.
Link to Abstract: http://www.ncbi.nlm.nih.gov/pubmed/25729085
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