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Holena DN et al. - An 86 year-old man resented to the emergency department after falling down a flight of stairs with a chief complaint of lower back pain. Physical examination was unremarkable except for tenderness to palpation along the lumbar paraspinal musculature. Although a trauma workup revealed no visceral injury or bony fracture the patient had lower back pain severe enough to require intravenous hydromorphone and so he was admitted for pain management.

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