Her past medical history is significant only for mild hypertension treated with a diuretic. On examination, her vital signs are normal. Her general exam is unremarkable. There is adenopathy. Her abdomen is soft without masses or bruits.
Peripheral joints show no signs of inflammation.
Peripheral pulses are full and symmetric. Strength and sensation in her lower extremities is intact. Tendon reflexes are normal. Straight leg raising test is negative. Herniated disc b .