Gwenda case

disc herniation

fracture

osetoporosis- loss of vertebral height with anterior wedging

sprain

xray: osteoporitic changes, loss of joint space, loss of vertebral height, herniation of disc

extra: CMP, DEXA, vit D

Ming

RA The affected joint is her left hip, The affected joint is her right 1st MCPJ and her left 1st MCPJ is also sore, Ming is a Type 1 diabetic, The pain is worse in the mornings,

GOUT: The affected joint is the 1st MTPJ, Ming drinks 5 glasses of wine a day, The pain is worse with movin, The skin is hypersensitive, Ming is on a paleo diet

OSTEO: The affected joint is her left hip, The pain is worse with movin