a patient with back pain that is severe that started three days ago while lifting a laundry basket, she has lost

20 lbs in three months without trying, has fatigue and tiredness, that started six months, night sweats like menopause, ago has a history of breast ca , has pain in back that radiated all the way down to the foot, took ibuprofen and Tylenol for pain pretty constant, 10/10 pain scale, history of asthma, and HTN, of course history of breast ca, what other concerning question should be asked and what do you think she has or what test should I order