Bone Lesions Case 3 History/Physical Exam

A detailed medical history focusing on malignancy history, including staging and treatment history, is critical in any older patient presenting with bony pain. Bony metastases typically present with gradual onset, atraumatic, poorly localized but often-severe pain. In patients with no known cancer history, a focused review-of-systems should be used to screen for symptoms of renal and lung cancer, as bony metastases can be the initial presentation of these cancers.

There are no specific physical exam findings. The exam should be used to focus radiographic examination.