BACK AND SPINE
	#fast FAST Face Arm Speech - negative No new or progressive neurological symptoms face arms legs, no disturbance to cognition, vision, speech. #ao Alert orientated tpp. CNS PNS  intact symmetrical  No ataxia  #neuro: full cns pns Fever: nill   Trauma impact injury: nill No new or progressive neurological symptoms face arms legs, no disturbance to cognition, vision, speech. #neuro: CNS Fever: nill   Trauma impact injury: nill No new or progressive neurological symptoms face, no disturbance to cognition, vision, speech #neuro: PNS Cervical Fever: nill   Trauma impact injury: nill  Neck jolts or forces: Nill Axillary swellings changes: Nill No new or progressive neurological symptoms Upper limbs Hands,  No association with neck movements #neuro: PNS lumbosacral Fever: nill   Trauma impact injury: nill  Excessive strenuous use: Nill Heavy Lifting: nill   No new or progressive neurological symptoms lower limbs or perineum,  No urinary or perianal neurological symptoms Analgesia used: Nill  Analgesia issued  Naproxen with ppi cover  Co-codamol with lactulose cover  Gentle heat massage mobilisation posture advise  Safety net cauda equina Urgent attention if any features Bp one of needed  No recent bp check  BP check, monitoring required.  1. via chemist or Practice Nurse.  2. Advised to get own machine/ bp check twice, twice daily. Send in 7 days readings.   3. Urgent attention if above 160/90 or any new or worsening headaches. Here / ooh 111/ a+e BP Ongoing  BP check, monitoring required.   Advised to get own machine/ check twice, twice daily. Send in 7 days readings.   Urgent attention if above 160/90 or any new or worsening headaches.  Here / ooh 111/ a+e #fast FAST Face Arm Speech - negative No new or progressive neurological symptoms face arms legs, no disturbance to cognition, vision, speech. #ao Alert orientated tpp. CNS PNS  intact symmetrical  No ataxia