Seven masquerades checklist

Of these conditions, depression and urinary tract infection have to be seriously considered. For the young woman with upper lumbar pain, especially if she is pregnant, the possibility of a urinary tract infection must be considered. These patients may not have urinary symptoms such as dysuria and frequency.

Depressive illness has to be considered in any patient with a chronic pain complaint. This common psychiatric disorder can continue to aggravate or maintain the pain even though the provoking problem has disappeared. This is more likely to occur in people who have become anxious about their problem or who are under excessive stress. Many doctors treat such patients with a therapeutic trial of antidepressant medication, for example, amitriptyline or doxepin.

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