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Differential Diagnosis for Right Side Neck Pain, Non-Radiating, Headaches, Night Sweats

Single Most Likely Diagnosis

  • Cervical Strain or Sprain: Given the presentation of non-radiating neck pain and headaches without a positive Spurling test, a musculoskeletal issue such as a strain or sprain is the most likely diagnosis. The absence of radiation suggests that nerve root involvement is less likely. Night sweats could be related to discomfort or stress but are not specific to this condition.

Other Likely Diagnoses

  • Tension Headache: Often presents with neck pain and headaches, which could be exacerbated by or contribute to the neck pain. Night sweats are not typical but could occur due to stress or discomfort.
  • Cervicogenic Headache: Headaches that are referred from the cervical spine, often accompanied by neck pain. The non-radiating nature of the pain and negative Spurling test support this diagnosis, though typically, there would be some provocation of pain with cervical movements or pressure.
  • Stress or Anxiety: Can cause both neck pain and headaches, and night sweats can be associated with anxiety. The duration of 6-8 weeks suggests a chronic stressor.

Do Not Miss Diagnoses

  • Lymphoma or Other Malignancies: Night sweats are a classic symptom of lymphoma and other cancers. Although less likely, given the primary complaint of neck pain, it's crucial to consider and rule out malignancies, especially if other systemic symptoms are present or if the patient has risk factors.
  • Infectious Diseases (e.g., Tuberculosis): Can present with night sweats and neck pain if there is involvement of the cervical spine (Pott's disease) or lymph nodes. Although rare, the combination of symptoms warrants consideration.
  • Temporal Arteritis: Typically presents with headaches but can also cause neck pain. While night sweats are not a primary symptom, the condition's potential to lead to serious complications (like blindness) if not treated makes it a "do not miss" diagnosis.

Rare Diagnoses

  • Cervical Dystonia: A neurological disorder that can cause neck pain and abnormal postures of the neck. It's less likely given the description but could be considered if there are unusual movements or posturing of the neck.
  • Atlantoaxial Subluxation: More commonly seen in rheumatoid arthritis or Down syndrome, this condition can cause neck pain and neurological symptoms. It's rare and typically presents with more significant neurological deficits or systemic symptoms.

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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