Bony

Musculoskeletal System


Step 1: View Clinicals

{"ops":[{"insert":"A 21-year-old woman presents with intermittent pain in her right thigh for six weeks. The pain is present throughout the day, does not disappear at night, is not aggravated by movement or changes in posture, and is not alleviated by paracetamol or NSAIDs.\n \nThere is no history of urinary or bowel symptoms. Her medical, surgical, and gynecological histories are unremarkable. She does not smoke, but drinks around 4 to 6 units of alcohol per week, and consumes marijuana occasionally. She denies using hard drugs.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-084_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. X-rays lumbosacral spine + pelvis + R/femur
2. MRI R/leg
3. Incisional biopsy
4. CT Thorax + whole body FDG-PET

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