History
HPI: 61 y/o male with seven year history of progressive hip, knee and shoulder pain. 3 ½ years ago he became confined to a wheelchair due to chronic pain, weakness and multiple pathologic fractures. Prior to seven years ago he was healthy and employed as an electrician. No history of musculoskeletal problems prior to seven years ago.
Medical Hx: Good health. He is a Syrian who was born in Iran and moved to the U.S. in 1973. No prior surgeries. He smokes 1.5 ppd x 30 years and eats a healthy diet.
No family history of metabolic bone disease
Medications: Vicodin 7.5/500 2-3 tab bid, Morphine ER 30 mg 1.5 tab qd.
Initial Imaging
Diagnosis (Click to see answer)
Treatment
Discussion
References
Attachments:
678792836 ap pelvis.jpg (image/pjpeg)
678792836 lat chest 2005_3_21.jpg (image/pjpeg)
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678792836 T2mri axial_1.jpg (image/pjpeg)
678792836 T2mri coronal_1.jpg (image/pjpeg)
678792836 T2mri sagittal_1.jpg (image/pjpeg)
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678792836 histo 4.jpg (image/pjpeg)
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678792836 histo 1.jpg (image/pjpeg)
678 ap pelvis.jpg (image/jpeg)
