Sudden onset severe back pain (878/1700)

A 20yo fit man suddenly developed severe lower back pain as getting up from bed. What is the single most probable dx?
a. Paget’s disease
b. Multiple myeloma
c. PID
d. AS
e. Spondylosis




























answer: C

Sudden onset rules out a degenerative pathology

Back pain

The pain is often severe and usually comes on suddenly. The pain is usually eased by lying down flat and is often made worse if you move your back, cough or sneeze.

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