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Symptoms and Signs - Differential Diagnosis of Back Pain
• Vascular: leaking aortic aneurysm, subarachnoid or spinal hemorrhage/infarction
• Trauma: injury to bone, joint, or ligament
• Renal: hydronephrosis, calculus, neoplasm, renal infarction, pyelonephritis
• Psychogenic: malingering, hysteria, anxiety
• Neoplastic: myeloma; Hodgkin’s disease; carcinoma of pancreas; metastatic neoplasm from breast, prostate, lung
• Metabolic: osteoporosis, osteomalacia
• Mechanical: pregnancy, obesity, fatigue, scoliosis
• Lumbosacral strain
• Inflammatory: ankylosing spondylitis, psoriatic arthritis, Reiter’s syndrome
• Infections: osteomyelitis, subarachnoid or spinal abscess, TB, meningitis, basilar pneumonia
• Hematologic: sickle cell crisis, acute hemolysis
• Gynecologic: neoplasm of uterus or ovary, dysmenorrhea, salpingitis, uterine prolapse
• GI: penetrating ulcer, pancreatitis, cholelithiasis, inflammatory bowel disease (IBD)
• Endocrine: adrenal hemorrhage or infarction
• Degenerative: osteoarthritis
• Vascular: leaking aortic aneurysm, subarachnoid or spinal hemorrhage/infarction
• Trauma: injury to bone, joint, or ligament
• Renal: hydronephrosis, calculus, neoplasm, renal infarction, pyelonephritis
• Psychogenic: malingering, hysteria, anxiety
• Neoplastic: myeloma; Hodgkin’s disease; carcinoma of pancreas; metastatic neoplasm from breast, prostate, lung
• Metabolic: osteoporosis, osteomalacia
• Mechanical: pregnancy, obesity, fatigue, scoliosis
• Lumbosacral strain
• Inflammatory: ankylosing spondylitis, psoriatic arthritis, Reiter’s syndrome
• Infections: osteomyelitis, subarachnoid or spinal abscess, TB, meningitis, basilar pneumonia
• Hematologic: sickle cell crisis, acute hemolysis
• Gynecologic: neoplasm of uterus or ovary, dysmenorrhea, salpingitis, uterine prolapse
• GI: penetrating ulcer, pancreatitis, cholelithiasis, inflammatory bowel disease (IBD)
• Endocrine: adrenal hemorrhage or infarction
• Degenerative: osteoarthritis
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