Jean is a 28-year-old female:

• On maternity leave
  
• Mother of two boys, one aged two years and the other six months
  
• Has complained of low back pain in the past, but usually responded to over-the-counter (OTC) medications (ibuprofen [MOTRIN*] or acetaminophen [TYLENOL*(acetaminophen)])
• At previous visits, Jean said she thought the pain was a result of her lifting her children more often
• The increased pain in the third trimester of her current pregnancy was ascribed to postural changes and weight gain
• One previous episode of knee swelling which she self treated for three weeks. No diagnosis was made of the event.

Other history:

• An episode of "eye inflammation" 10 years ago
• Father has a history of back pain that has lasted for many years and he now has a "stiff back."

  What might be included in differential diagnosis? Check off those that apply.

  	Biomechanical back pain
  	Spondyloarthropathy
  	Disc protrusion
  	Referred pain:
  	Genitourinary (GU)
  	Gynecological (Gyn)
  	(Submit)

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