Case CC: 39M c/o right hip pain VS: WNL ...waiting 6 hours ot be seen HPI: dull, constant aching x 3 months, worse iwth physical activity, acutely worse after basketball today, happening more often No trauma (remote surgery of right knee), has unprotected intercourse with monogamous partner Soc/Fam: remote drug history (not IV); active, fit, plays basketball frequently ROS: sporatic back pain, infrequent night sweats over summer, occasional numbness/tingling in right foot PE: right hip pain with add/ab, prominent thoracic spine DDx: traumatic injury/repetititve injury, cauda equina, epidural hematoma, joint infection, ankylosing spondylitis, bony fracture, discitis Labs: normal XR hip: erosion at hte femoral head-neck junction, osteopenia, loss of joint space Gibbus formation
Potts Disease
Other Extrapulmonary TB
Tx Pearls
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February 2018
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