Step 2

Rheumatology 1

A 50 year old woman presents with constant left hip pain with associated dull ache and throbbing groin pain. She has a past medical history of systemic lupus erythematosus (SLE), hypertension, and chronic kidney disease. Her SLE is difficult to control and she has been of prednisone 20 mg daily for more than a year and hydroxychloroquine. She claims the pain started spontaneously about a week ago and has gradually worsened. The pain is worse with walking and weight bearing. She walks with a limp and has marked discomfort and limitation of the range of motion on the left side.

Which of the following imaging modalities is diagnostic of the patient’s condition?

  • A) Pelvic ultrasonography
  • B) Technetium 99m bone scan
  • C) Magnetic Resonance Imaging (MRI) of the left hip
  • D) Plain radiography of the entire pelvis
  • E) Plain radiography of the left hip

Authors

Marina Tawadrous

Editor

Dr. Raj Dasgupta

Last updated

Jan 08, 2023

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