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Sixty-one year old male with history of joint pain, weakness, and multiple fractures


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

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Diagnosis (Click to see answer)

Treatment

Discussion

References


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Corresponding Author

Chris Estes
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