Bony

Musculoskeletal System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young lady has presented with vague pain in her right thigh for several weeks. Most cases of limb pain in this age group are musculoskeletal in origin and benign in nature; however, this patient does have a concerning symptom: the persistence of pain even at night, with no relief by paracetamol or NSAIDs.\n \nA thorough examination with a particular focus on the musculoskeletal system is mandatory; however, this reveals no abnormalities of the right lower limb or spine. In this context, x-rays of the affected region are a justified next step.\n \nHere, the x-ray findings are concerning: a lytic lesion of the right femoral diaphysis, an associated soft tissue mass, and a Codman triangle. The latter is a distinctive triangular sign that occu"}]}

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