HPI - Chronic pain lateral side of left leg of 3 years duration. No treatment for this problem taken to date.
what is the most likely diagnosis based on the radiographs provided?
HPI - Pain on loading right thumb fort 02 ys duration.
Gradually worsening, aggravated for 02 months
HPI - Optd in other center 04 yrs back for some calcaneal lesion - Curettage + Autologous iliac crest Bone grafting was done. (Documents, previuo radiographs and HPE report not available) .. wounds healed.
Sustained trauma to same side 01 yr back.. developed swelling laterally in hind foot. Had some discharge for a months which resolved on medications.(? antibiotics) and dressings.
Presently has swelling over the hind foot behind and below lateral malleolus (Picture for reference). Mild pain on weight bearing. No discharge.
Treatment options presently
HPI - Pain thigh for 03 months spontaneous onset, gradually progressive.
No history of trauma, fever, tuberculosis in past.
Likely diagnosis on radiographs
HPI - 17 yo male with 1 week of pain after walking at school. XR in ER are normal in first images. no constitutional symptoms. walking down steps and hears a pop in leg with pain with Xr showing displaced posterior cortex fracture and no anterior involvement. Has anyone seen a fracture pattern like this previously and any comment as to its etiology??
Is this fracture pattern suspicious for:
HPI - volume increased pain at metatarsal plantar.
What is your diagnosis?
HPI - Fall from bed and sustained fracture shaft femur left
Additional work up in this case
HPI - The pain in right hip started since 5 years. not relieved by analgesic .Pt tried local intraosseous injection of bone marrow one year ago without improvement of pain
what is the best treatment option?
HPI - incidental finding on xray. follwing which a ct scan was done
Based on xrays alone would you recommend further investigations?
HPI - Came to the ER after a road traffic accident ,general condition is good,discovered after routine x-ray
Do you need any additional imaging studies in addition to the radiographs? If so, what?
HPI - 3 weeks of pain. Limping.
Based only on the radiographs, what is the most likely diagnosis?
HPI - pain at rt leg since 4 months, gradual in on set progressive in nature,first swelling followed by pain,pain is increased on walking & relived by taking rest,no h\o trauma,fever ,wt loss,no similar complaints in the past.
what is your probable diagnosis ?
HPI - Patient had a gradually enlarging swelling over the poster medial aspect of the right distal tibia for more than one year.
Assuming the diagnosis is Giant Cell Tumor (osteoclastoma), what would be the next step in management?
HPI - He is a doctor presented with R / Hip pain for last 3 months. Temporarily responding to analgesics.
Based only on the radiographs, what is causing the patient's hip pain?
HPI - Past untreated scaphoid nonunion. Wrist pain since two years ago. Now worse.
How would you treat this case?
HPI - low back pain radiating to right knee since 6 months,
what should be the further management
HPI - Dull hip pain six months non progressive,non radiating.not restricting activities.sports participation once a week.
Based on the images provide, what is the most likely diagnosis in your differential diagnosis?
HPI - Insidious onset of dull pain on her right distal femur since two years ago. Pain has a nocturnal character and gets worse on palpation. Palpable mass since unknown time origin. Negative trauma history. Pain does not respond specifically to NSAIDS. No weight loss.
What is the best approach for biopsy?
HPI - swelling over left upper back for last 4 yrs increasing in size.first noticed by his mother.
history of fall from tree 4 yrs back about 12 feet height didnot seek any medical advice.he was asymptomatic till today except swelling which doesnot interfer with his daily activities.
what is your provisional diagnosis?
HPI - Pain of 2-3 months
What is the most likely diagnosis based on the images provided?
HPI - Swelling medial aspect of right arm. Approximate mass/swelling is 6x2 cms. No erythema or tenderness. Full range of motion of right shoulder and elbow.
What is the most likely diagnosis for this lesion based on radiographs alone?
HPI - Pain started in Rt knee .gradual swelling.
no trauma. no fever.
No other body joint involvement
What would be your next step in managment?
HPI - Otherwise healthy 6 year old boy who fell at the playground on his left elbow. He has had elbow pain since with any ROM. No prior elbow injury known.
What do you think this is?
HPI - Presents with pain in the left shoulder, initially milder and occasional but now constant and increases with activity and at NIGHT, unable to use his left arm for ADL, for the last two years.
No H/O fever, appetite or weight loss.
Underwent left shoulder Arthroscopy and biopsy two years ago in another hospital at the start of the complaints. The biopsy was reported as "nonspecific chronic inflammation and fibrosis". Was advised to do exercises post-biopsy.
Had undergone Nerve Conduction and EMG studies twice for wasting along the upper limb. These were reported as "chronic denervation potential seen" in deltoid, biceps and triceps muscles.
What is your possible Differential Diagnosis?
HPI - Insidious right knee pain without trauma 4 weeks ago
Whati is the diagnosis?
HPI - 8 months history of left hip pain. pain started in Winter this year and has improved in severity recently.
What is the most likely diagnosis?
HPI - pain rt hip since 3 months.with pain on walking
What would be your treatment choice for this patient?
HPI - pt is c/o pain swelling rt knee for 2 months
HPI - pain in the lt knee since 8 mths. pain moderate intensity increasing while runnin
How would you treat this patient?
HPI - Painful Lt ankle since 1 year, no other swellings, no significant medical history
What is the best treatment option ?
HPI - falling from body-height.
pain-deformity.inability to move her elbow.
no other injuries.
what is your approach to this injury
HPI - Incidental finding on xray a day ago,done by GP
observation or intervention.role of mri to do or not
HPI - A 16 year old male patient with one year history of painless mass in left elbow with no previous history of trauma. no fever and no restriction of motions.
What is your next step for treatment?
HPI - increasing pain and stiffness of the right index finger since over 6 months
curretage and bone grafting
HPI - pain in the rt hip thigh since 6 mths pain increases on long walking.
prophlactic nailing or prophlactic nailing with curettage of lesion
HPI - She was operated due to ABC 7 Months ago with curettage and bone grafting. Pathology result: ABC
What is the next step in managment and surgical approach?
HPI - Pathological hip fracture 12 weeks ago. The treatment was a Gamma Nail at the time of diagnosis.
What about re-administration of Zolendronic acid?
HPI - 67 yr-old lady with presents with 7 month history of pain and swelling over the right shoulder extending from medial scapular border to proximal humerus and from inferior angle of scapular to anterior aspect of shoulder joint. Biopsy pending
HPI - 6 months back patient started having sudden onset of pain.continous agrrevated on wt bearing walking(walking with walker support)h/o trivial injury following which he developed swelling after few weeks.swelling is nonprogressivepast 6 months.
no ho of contact with TB..
Is it GCT OR Aneurysmal BONE CYST?
HPI - 12-year-old boy presents with 2 months of knee pain and a limp. Biopsy and staging show high grade osteosarcoma without metastasis.
What surgical treatment would you propose for a 12-year-old with a proximal tibial osteosarcoma
HPI - 62-year-old male presents with a 6 month history of increasing buttock pain with ambulation. Now using a walker.
What treatment would you propose?
HPI - 68-year-old woman presents with slowly increasing knee and leg pain. Past history of renal cell carcinoma with biopsy proven metastasis to spine.
What treatment do you propose for this distal femur and tibial diaphyseal renal cell metastasis?
HPI - 72-year-old male presented to clinic with a 3 month history of arm swelling. No pain or other symptoms. Imaging and biopsy show a high grade soft tissue sarcoma which is adjacent to all nerves and brachial vessels.
What treatment do you propose?
HPI - pt had both elbow swelling since 3yrs. no h/o trauma, fever, other jts involvement, drug taken. swelling is painless, nontender and associated with terminal restriction of motion. initially swelling was small size gradually increased to present size
bilateral olecranon bursitis in this case what should be treatment?
HPI - 62 y/o male with 6 months of left shoulder pain. Had x-rays done at primary care office that did not show anything abnormal by report three months prior to presentation. He was thought to have rotator cuff tear/tendonitis and was given a steroid inje
HPI - The patient is an 85-year-old female, very active, with no history of prior cancer, that presents with 3 months over gradually increasing neck pain that has escalated to the point that now it is unbearable.