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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 3, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's the name of this posture and what's the most likely diagnosis?

    I'll post the correct answer in a couple of days!

    DDx.JPG
     

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  2. lakmalDJ

    lakmalDJ Famous Member

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    TB Osteomyelitis which has caused kyphosis
     

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  3. Vagner Borges

    Vagner Borges Well-Known Member

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    Ankylosing Spondylitis
     


  4. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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  5. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Its patological thoracal hyperkyphosis, called gibbus.
     


  6. sundarto

    sundarto Bronze Member

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    kyphosis caused by probably tuberculosal osteomyelitis
     


  7. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Question mark posture, as seen in ankylosing spondylitis.

    A chronic inflammatory disease of the spine and sacroiliac joints, of unknown etiology. The typical patient is a man <30 years old with gradual onset of low back pain, worse at night, with spinal morning stiffness relieved by exercise. In a few, there's progression to kyphosis (question mark posture) and spino-cranial ankylosis. Over 95% of the patients is HLA B27 +ve.

    I realize now that the mask is misleading, I should've said it was unrelated to the condition.
     


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