Back Pain - Differential Diagnosis Primary Back Pathology: • Musculoligamentous injury (a.k.a. lumbosacral strain) • Spondylosis (i.e. degenerative arthritis of the spine) • Intervertebral disc herniation • Anatomic abnormalities: Scoliosis, Spondylolisthesis • Spinal stenosis • Compression fracture: Traumatic compression fracture, Spontaneous osteoporotic compression fracture, Pathologic fracture secondary to metastatic disease Systemic Diseases with Back Manifestations: • Infection: Epidural abscess, Vertebral osteomyelitis / discitis • Metastases: Vertebrae (most common: lung, breast, prostate, renal, thyroid, and myeloma), Leptomeningeal carcinomatosis (most common: lung, breast, melanoma, lymphoma, leukemia) • Inflammatory back pain: Axial spondyloarthritis (e.g. ankylosing spondylitis), Peripheral spondyloarthritis (e.g. psoriatic arthritis, reactive arthritis, & enteropathic arthritis) Referred Pain: • Aorta: Dissection, Aneurysm • Pancreas: Pancreatitis, Pancreatic pseudocyst / other peripancreatic fluid collection • Kidney: Pyelonephritis, Perinephric abscess, Nephrolithiasis • Retroperitoneal hemorrhage - Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedi #Back #Pain #Differential #Diagnosis #causes #primarycare #table
