Back pain

History & P/E

Musculoskeletal

Strain ,OA, RA, spondylolisthesis

, vertebral compression fx, inflammatory

spondyloarthritis

Spinal cord / nerve root

Degenerative/traumatic

Disc herniation,

spondylosis, fracture

Neoplastic

Lung, breast,

prostate, multiple

myeloma, lymphoma

Infectious

Osteomyelitis, epidural

abscess, zoster, Lyme, CMV, HIV

Referred pain

GI

PUD, cholelithiasis, pancreatitis, pancreatic

cancer

GU

Pyelonephritis, nephrolithiasis,

uterine or ovarian cancer,

salpingitis

Vascular

Aortic dissection,

leaking aortic

aneurysm