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Why Have a List of Differential Diagnosis?

It is important for clinicians to frequently refer to a list of differential diagnosis so they could ask good questions from the patient or parent. A good clinical history depends on a complete list of differential diagnosis of the chief complaint or main problem.

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CAUSES OF BACK PAIN

INFECTIONS

Urinary Tract Infection
Diskitis
Osteomyelitis of the Vertebra
Tuberculosis
Epidural Abscess
Brucellosis
Acute Transverse Myelopathy
Iliac Osteomyelitis
Sacroiliac joint infections
Myalgia

NEOPLASTIC DISEASES

Benign tumor
Osteoid Osteoma
Benign Osteoblastoma
Eosinophilic Granuloma
Aneurysmal Bone Cyst
Neurenteric Cysts

Malignant or Cancer of the Bone
Ewing Sarcoma
Osteogenic Sarcoma

Metastatic Tumor
Neuroblastoma
Wilms Tumor

Spinal Cord Tumors

Leukemia and Lymphoma

BONE ABNORMALITIES

Scheuermann Disease
Spondylolisthesis
Spondylolysis
Osteoporosis
Scoliosis

INJURY

Ligamentous or Muscle Strain
Prolapse of Intervertebral Disc

PSYCHOGENIC PAIN

OTHER CAUSES

Anklyosing Spondylitis
Chronic Hemolytic Anemias
Calcification of Intervertebral Disks
Diastematomyelia
Arteriovenous Malformation of Cord
Limb-Girdle Muscular Dystrophy
Multiple Epiphyseal Dysplasia

Reference:
Signs & Symptoms in Pediatrics
2nd Edition, page467
Tunnessen, Jr

Belly Pain   Air Leaks From Lungs   Acute Crying   Back Pain   Bed Wetting   Big Lymph Node   Big Spleen   Blood in Urine Chronic Diarrhea   Chest Pain   Cough   Coughing Up Blood   Constipation Droopy Eye   Enlarged Glands   Eye Swelling   Excessive Thrist   Facial Paralysis   Fainting Spell   Feeding Problem GI Bleeding   Headache   Head Tilt   Hives   High ESR   Hoarseness   Joint Pain   Limp   Leg Pain   Muscle Weakness   Noisy Breathing   Nose Bleeding   Nose Obstruction   Pyuria   Recurrent Infection   Red Green Urine   Ringing in the Ears Scrotal Swelling     Seizures   Stiff Neck   Swelling of the Parotic Gland   Toe Walking   Toeing In   Toeing Out   Unequal Pupils   Vomiting   Wheezing

 

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