You can use DiffPDF for this. From the description:
DiffPDF is used to compare two PDF
files. By default the comparison is
of the text on each pair of pages, but
comparing the appearance of pages is
also supported (for example, if a
diagram is changed or a paragraph
reformatted). It is also possible to
c> ompare particular pages or page
ranges. For example, if there are two
versions of a PDF file, one with pages
1-12 and the other with pages 1-13
because of an extra page having been
added as page 4, they can be compared
by specifying two page ranges, 1-12
for the first and 1-3, 5-13 for the
second. This will make DiffPDF compare
pages in the pairs (1, 1), (2, 2),
(3, 3), (4, 5), (5, 6), and so on, to
(12, 13).