NOTE: * = UNFINISHED CASE – A WORK IN PROGRESS
History of Present Illness:
A patient in their mid-30’s presents to the hospital with 1 year of intermittent left groin pain now worse today after going to the gym yesterday
Vital Signs & Physical Exam:
Vital signs are normal. Physical exam is also normal except for limping and pain with log rolling left leg. Skin and GU exam are normal
Initial Diagnostic Testing:
What is the most likely diagnosis?
- A) AVN
- B) Bone cyst
- C) advanced OA
- D) kidney stone
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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ANSWER:
- A) AVN – CORRECT
- B) Bone cyst
- C) advanced OA
- D) kidney stone
1-Minute Consult on this topic: Click HERE and scroll to the XXX of page XX.
AVN: Avascular Necrosis: Hip >shoulder. X-ray positive by ~2wk (sclerosis), MRI:99%/98%
Causes: EtOH, steroid, sickle, dislocation, Gaucher, radiation, chemo, caisson dz, pancreatitis, HIV
Treatment: NWB on crutches >surgery (core decompression, bone graft) >(bisphosphonates, statins)
CASE CONCLUSION:
CASE LESSONS:
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