Case 16-2008 — A 46-Year-Old Woman with Bone Pain  

Oleh:

Demay, Marie B. ; Rosenthal, Daniel I. ; Deshpande, Vikram

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 358 no. 21 (May 2008), page 2266-2274.

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2008.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

A 46-year-old woman was seen in the orthopedic oncology clinic of this hospital because of pain in the right hip and leg. Several months earlier, pain had developed in her right upper medial thigh and had gradually increased in intensity despite treatment with ibuprofen, pantoprazole, and acetaminophen–codeine. Four weeks before this evaluation, she was seen at another facility. On examination, her vital signs were normal; her height was 156.2 cm, and her weight 44.5 kg. There was tenderness over the right medial adductor magnus muscle, full range of motion of the hip joint, and pain on standing. Two weeks later, radiographs obtained at the other facility showed diffuse osteopenia, an ill-defined lucency in the metadiaphyseal region of the left tibia, and surgical hardware in the right femoral head and neck. A bone scan showed areas of increased uptake on the right side of the pelvis, in the proximal left tibia, and in the skull. She was referred to the orthopedic oncology clinic of this hospital.

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