{"ops":[{"insert":"A 32-year-old man presents with worsening pain in his right hip for 6 months. The pain is localized to the front of the hip, occurs with movement, and is associated with restriction of motion. There is no pain at rest. He also experienced pain in his right knee during the same time period, but without associated swelling or restriction of motion. There is no history of recent trauma. \n\nHis medical, surgical, and family histories are unremarkable. He is not on any medications, including supplements and over-the-counter medications. Has is a heavy drinker, having consumed an average of 3 to 4 units of alcohol per day for around half a decade now.\n\nA full blood count is normal. His ESR is 5 mm\/1h. A c-reactive protein assay is within normal limits.\n\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-048_en.png"}},{"insert":"\n"}]}
2
Investigate
X-ray R/knee
{"ops":[{"insert":"The X-ray of the right knee appears completely normal.\n"}]}
X-ray pelvis + B/L hips
{"ops":[{"insert":"The x-rays reveal sclerotic and lytic areas in the head of the right femur, in association with a partial subchondral collapse. The joint space of the right hip joint is diminished. The left hip joint and femur appear normal.\n"}]}
