20 year old male with sickle cell disease presents with chro | Figure 1

KoderKris

Clinical Researcher

20 year old male with sickle cell disease presents with chronic "worsening" of the hip joint. On inspection young healthy male in nil obvious distress, mildly icteric acyanotic, afebrile to touch, musculoskeletal system only significant finding was to the hip- reduced flexion and abduction at the left hip in comparison to the right. Decreased range of motion. X-ray findings as above. Right hip (not shown) appears normal on x-ray. MRI shows features in keeping with a grade four Avascular necrosis of the femoral head and marked derangement of the acetabulum on the same side.

33 yoM presented to sports medicine for right hip pain > 6 months duration. Pain interferes with daily activities. Relieved by rest and medication. Pt is morbidly obese. The findings are :1) mild bilateral degenerative changes of the left hip joint. 2) A bump at the left femoral head/neck junction likely associated with a femoral acetabular impingement CAM type
More Details on Similar Case 1

Radiograph of the pelvis (image 1) shows findings of right-sided developmental dysplasia of the hip. The right femoral head is smaller than the left, the right acetabular angle is steeper than the left, and the right hip is subluxed superolaterally. A fluoroscopic image (image 2) was obtained during arthrogram and hip reduction for hip dysplasia. The arthrogram shows that the majority of the femoral head is cartilaginous and not visible on x-ray. Developmental hip dysplasia is usually treated by placing the child in a Pavlik harness.
More Details on Similar Case 2

61 yo male, came in with hip pain x 4 years, states "I can't take it"
More Details on Similar Case 3

fall, hip pain, please describe your findings, if any (I'll post an update with more images soon)
More Details on Similar Case 4

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
More Details on Trending Case 1

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
More Details on Trending Case 2

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
More Details on Trending Case 3

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?
More Details on Trending Case 4