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The reproducible point tenderness points more to a vertebral injury/fracture IMO. This could be from compression, inadvertent trauma or pathologic secondary to an invasive lesion (e.g. cancer).
My questions about change in urine color (which could indicate hemolysis secondary to medication, malaria or other causes) was not answered. This could also cause back pain, but it's typically not reproducible on palpation.
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"The dignity of man is not shattered in a single blow, but slowly softened, bent, and eventually neutered. Men are seldom forced to act, but are constantly restrained from acting. Such power does not destroy outright, but prevents genuine existence. It does not tyrannize immediately, but it dampens, weakens, and ultimately suffocates, until the entire population is reduced to nothing better than a flock of timid, uninspired animals, of which the government is shepherd." - Alexis de Tocqueville
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