WBR1037

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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.
Educational Objective:
References: ]]

Approved Approved::No
Keyword WBRKeyword::Drug induced myopathy, WBRKeyword::Steroid induced myopathy
Linked Question Linked::
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