ABR Pain Medicine case studies
ABR Pain Medicine · Put your knowledge to work in context.
The Pain Medicine subspecialty certification associated with the American Board of Radiology is a credential for radiologists - most often those practicing interventional radiology - who have completed additional training in pain medicine and want to demonstrate specialty-level command of the field. It is intended for physicians whose practice includes the evaluation and treatment of acute, chronic, and cancer-related pain: image-guided injections and ablations, medication management, and coordinated multidisciplinary care. The ABR Pain Medicine case studies are 5 cases and about 2,663 words.
1Buprenorphine Maintenance and Acute Fracture Pain
R is a 58-year-old man with opioid use disorder maintained on buprenorphine-naloxone 16/4 mg daily for 2 years. He falls and sustains a displaced femoral neck fracture; ORIF is scheduled in 6 hours.
563 words, about 3 min2Cervical Transforaminal Injection and Catastrophic Vascular Risk
L is a 67-year-old woman with 10 weeks of right C6 radicular pain after a fall. MRI shows a right paracentral C5-C6 disc herniation contacting the right C6 nerve root.
546 words, about 3 min3Widespread Pain, Incidental MRI Findings, and a Surgical Recommendation
K is a 44-year-old woman with 3 years of diffuse pain involving the neck, shoulders, low back, and hips. She reports fatigue, nonrestorative sleep, and difficulty concentrating.
523 words, about 3 min4Opioid and Benzodiazepine Co-prescribing With Aberrant Behavior
D is a 61-year-old man with chronic low back pain on oxycodone 20 mg three times daily and alprazolam 1 mg three times daily. The opioid is prescribed by his primary care physician and the benzodiazepine by a psychiatrist.
518 words, about 3 min5Diffuse Worsening Pain on High-Dose Opioid: Hyperalgesia or Progression?
S is a 52-year-old woman with chronic abdominal pain from idiopathic pancreatitis. Over 8 months her morphine equivalent daily dose has risen from 60 mg to 180 mg because of worsening diffuse pain.
513 words, about 3 min