Professional Documents
Culture Documents
Adapted from Collins RD (2003) Differential Diagnosis in Primary Care. Lipponcott Williams & Wilkins (3 rd Ed). Table 45.
Vascular Inflammatory Neoplasm Degenerative Idiopathic Congenital & Auto immune Trauma Endocrine
/ infection & Deficiency & intoxication Acquired Allergic
anomaly
Lumbo sacral Osteochrondritis Tuberculosis, Hodgkin Osteomalacia, Pagets disease. Disc bulge/ Rheumatoid Disc bulge. Osteitis fibrosa
spine Osteomyelitis. disease, Osteoporosis, Alkaptonuria. herniation / spondylitis. Nuclear Cystica.
Facet capsulitis. Metastatic Osteoarthritis, Gout. sequestration Ankylosing sequestration.
Facet lock. carcinoma, Lumbar Lumbarisation spondylitis. Anular strain. Osteomalacia
Radiculitis. Multiple spondylosis. Sacralisation Sero negative Fracture Hyper-Adrenal
myeloma. Spondylarthrosis Spinabifida. arthropathies. Sprung back. Cushings
Meniscoid Spondylysis Spondylolisthesi Reiters Coccydynia osteoporosis.
locking Secondary from s. Crohns
breast, lung, GIT, Coccydynia. Ulcerative colitis Hyperthyroidism
kidney, prostate. Scoliosis. SLE. osteoporosis.
Hemivertebra
Pagets (Sacroiliitis)
Hypermobility
Bone Calves disease TB (ant vertebral Hodgkin disease, Pectus carinatum. Rib fracture Osteoporosis
body) Metastatic Pectus excavatum Vertebral fracture
Vertebra and
Osteochondritis carcinoma,
rib Scheurmanns Tietzes syndrome Multiple myeloma. Kypho-scoliosis.
Secondary from
breast, lung, GIT,
kidney, prostate.
Disc Spondyolosis
Disc bulge /
prolapse.
Cartilage Osteo-arthritis
Capsule Rib lesion RA,
Facet lock AS ,
Psoriatic
Reiters
Enteropathic
Crohns
Whipples
UC
SLE
Ligaments Strain spinal,
costo/vertebral,
and costo/
transverse joint.
Muscles PAN Hiatus hernia Scapulo/ thoracic Diaphragm Strain
DISH dysfunction.
Nerves T4 syndrome Spinal stenosis Intercostal nerve Myaesthenia cord compression
Herpez zoster and cord compression gravis
compression
Viscera Aortic aneurysm, Kidney (T/L, Apical Renal calculi, Asthma Pneumothorax Hyperthyroidism
Cor pulmonalae, L1/2) carcinoma. gallbladder Hyper-ventilation - angina
MI, Referred pain
Endocarditis, from heart, lung Oesophageal Mastitis
Rheumatic fever. bronchiltis, lesion.
Buergers empyema, Hypothyroidism
disease COPD, pleuricy, diaphragmatic
pneumonia,abd pain
DVT / embolism. ominal viscera;
gall baldder, GI
ulcer, peritonitis,
bowel, spleen,
pancreatitis.
Cervical Spine Pain VINDICATE.
Students Team 1 and 3 Summer 2010
Vascular Inflammatory Neoplasm Degenerative Idiopathic Congenital & Auto immune Trauma Endocrine
/ infection & Deficiency & intoxication Acquired Allergic
anomaly
Vascular Inflammatory Neoplasm Degenerative Idiopathic Congenital & Auto immune Trauma Endocrine
/ Infection & Deficiency & intoxication Acquired Allergic
anomaly
Ottos pelvis
Capsule/ Transient RA, Strain Pregnancy
ligament synovitis, AS, Dislocation hip, ligamentous
Septic (acute Psoriatic Snapping hip, laxity.
pyogenic) Reiters Clicking hip
arthritis **** Enteropathic
TB Crohns
Whipples
UC
SLE
Cartilage / Primary or CDH Labral tear or
labrum secondary OA impingement
Trochanteric bursitis
bursa
Muscle / Psoas PMR ITB friction
tendon shortening PAN syndrome
(Tyler 2010).
Piriformis
syndrome.
Inguinal hernia.
Nerve Radiculopathy MS Meralgia
L2 -5NR paraesthetica
Viscera Appendicitis Femoral hernia
Pelvic
inflammatory
disease.
Sacro-iliac Referred pain pubic
joint symphysis
Knee Pain VINDICATE.
Students Team 1 and 3 Summer 2010
Vascular Inflammatory Neoplasm Degenerative Idiopathic Congenital & Auto immune Trauma Endocrine
/ Infection & Deficiency & Acquired Allergic
intoxication anomaly
Bone Avascular necrosis Osteomyelitis Metastases. Rickets Pagets Fracture Osteoporosis
Osteosarcoma. Osteomalacia Patella alta Patella
leukaemia Genu varum / valgum Fibular (Bumper
Osgood Schlatters fracture)
Tibia (& end plate)
Femur
Cartilage/ Tabes dorsalis Osteoarthritis primary Loose bodies Meniscal tear Diabetic Charcots
and secondary. joint
menisci
Chondromalacia
patellae.
Ostechondritis
descicans.
Viscera Popliteal
aneurysm****
DVT****
Ankle and Foot Pain VINDICATE.
Students Team 1 and 3 Summer 2010
Vascular Inflammatory Neoplasm Degenerative Idiopathic Congenital & Auto immune Trauma Endocrine /
& & Deficiency & intoxication Acquired Allergic metabolic
Infection & iatrogenic anomaly