Which of the following correctly lists the life expectancy from least life expectancy to greatest life expectancy when a patient presents with metastatic carcinoma to bone?

A 10-year-old female presents after being struck by a car while riding her bicycle. Her right leg shows significant swelling and deformity around the knee. An injury radiograph is shown in Figure A. Further radiographic work-up confirms the diagnosis of a Salter-Harris II fracture, without any other significant bony injury. The patient is treated definitively with open reduction and internal fixation with lag screws in the metaphysis. While all of the following have been studied with respect to this injury, which of the following is least predictive of the outcome?

A 10-year-old boy complains of two days of worsening right knee pain. He has been unable to ambulate on the leg since waking up this morning. He denies any recent trauma to the leg. Physical exam is notable for focal tenderness over the distal femur without a palpable fluid collection. His ESR is 68 mm/hr (normal <15) and CRP is 14 mg/dL (normal <1). His temperature is currently 101.2 degrees F. Radiographs are provided in Figures A and B. An aspiration of the knee yielding 7 mL of straw colored fluid reveals 1700 nucleated cells per mL, and no organisms on gram stain. Which of the following is the most appropriate next step?

A 58-year-old female falls and sustains the injury shown in Figures A and B. Following surgical treatment of the fracture, which of the following is the most appropriate additional investigation?

A 27-year-old male presents with a 3-month history of right ...

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A 65-year-old female presents to establish care after recently moving from another state. She reports a long history of right-sided back pain that was initially treated with physical therapy. After minimal improvement, another physician obtained X-rays (shown in Figure A) and opted to perform an intra-articular right hip injection. The patient reports she had 1 week of symptom relief before once again becoming symptomatic and is currently very painful. On physical exam, the patient has a positive straight leg raise and pain with resisted hip flexion. When asked to demonstrate her pain she grips her inguinal crease between thumb and index finger at the level of her hip. Given the patient’s treatment course to this point, what is the next best step in her treatment?

A 66-year-old male presents to the emergency department via ambulance after feeling “a snap in his leg” when stepping down off his lifted truck. The patient reports antecedent thigh pain over the past few weeks but felt it was a strained muscle from working on his ranch. He has smoked one pack per day since his twenties but otherwise has no contributing past medical history. No open wounds are present, and Figures A and B demonstrate radiographic images obtained in the emergency department. He expresses a desire for a treatment that allows him to immediately walk so he can return to the busy season on his ranch. Which of the following is the most appropriate next step in management?