March 3, 2026

A 44-Year-Old Man with Back Pain and Weakness

Key Points

The differential diagnosis evolves over clinical progression, refining potential causes of symptoms.
An illness script is developed through careful physical examination and targeted testing.
The case engages medical training traditions, inviting collaborative diagnosis exploration among professionals.
This format enhances learning by demonstrating real-world application of theoretical medical knowledge.

Abstract

AbstractMorning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case. This report discusses the story of a 44-year-old man who sought evaluation for back pain and weakness. Using questions, physical examination, and testing, an illness script for the presentation emerges. As the clinical course progresses, the differential is refined until a final diagnosis is made.

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