[ender18d]

Originally Posted by PedOncoDoc

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.

I'd mentioned that the urine was medium yellow. Its a little darker-ish, consistent with someone not drinking enough water... I'll even throw you a bone and say you have a dipstick that comes up with no heme.