WBR1034
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType:: |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 18-year-old African american male comes to the office for the evaluation of pain in his right hip that started 7 weeks ago. The pain has gradually progressed, and now it limits his daily activities. He has sickle cell disease and was hospitalized 4 months ago due to a painful crisis that was successfully treated with hydration, oxygen, and analgesics. His temperature is 37.4C (99F), blood pressure is 120/90 mmHg, pulse is 90/min, and respirations are 14/min. Physical examination reveals no local tenderness, but there is restriction of abduction and internal rotation of the hip. What is the most likely diagnosis?]] |
| Answer A | AnswerA::Femoral fracture |
| Answer A Explanation | [[AnswerAExp::Incorrect-[[]]]] |
| Answer B | AnswerB::Joint effusion from septic arthritis |
| Answer B Explanation | [[AnswerBExp::Incorrect-[[]].]] |
| Answer C | AnswerC::Avascular necrosis |
| Answer C Explanation | [[AnswerCExp::Correct-[[]]]] |
| Answer D | AnswerD:: |
| Answer D Explanation | [[AnswerDExp::Incorrect-[[]].]] |
| Answer E | AnswerE::Osteomyelitis caused by Staphylococcus |
| Answer E Explanation | [[AnswerEExp::Incorrect-[[]]]] |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::.
Educational Objective:
Avascualr necrosis should be considered in patients with multiple attacks of sickle cell crisis. |
| Approved | Approved::No |
| Keyword | WBRKeyword::Drug induced myopathy, WBRKeyword::Steroid induced myopathy |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |