A 30 year old female patient with a past medical history of IV drug abuse, chronic back pain, osteomyelitis and tricuspid valve replacement secondary to vegetation presents to the office as a new patient.

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A 30 year old female patient with a past medical history of IV drug abuse, chronic back pain, osteomyelitis and tricuspid valve replacement secondary to vegetation presents to the office as a new patient. She explains that she has not been hospitalized in over one-year but has severe low back pain that is now radiating down the back of her right thigh. She is crying and states she feels like dying. She would like a “Percocet” prescription. What differentials apply to this case? What alternative hypotheses? What could increase the risk for diagnostic errors? Develop an evidence based approach to her condition.

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As a public health professional, it is likely that you will conduct focus groups as part of community health assessments.

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