Concluded Case

51 Year old male patient with pain in Left Hip Joint for 3 days. Increased pain in morning and decreasing during day time. No pain during walking but increases during sittings and standing from sitting position. Patient is diabetic for 18 years. Sugar is within normal limits with oral hypoglycimic drugs. Patient has history of steroid containing ointment for long duration approximately 2 years or more. Your Valuable Opinion Needed Respected Doctors.

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Done MRI of this patient. No any abnormalities seen in Lt. Hip Joint. Patient is on NSAID. Aceclofenac 200mg sustained released tablet with significant improvement. Thank you All doctors for your valuable opinion.
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रोगी वात व्याधि से ग्रस्त है चिकित्सा शुरू करें।वातचिंतामणि रस स्वर्ण युक्त 1 रत्ती भर शहद के साथ सुबह शाम सेवन कराएं। लहसूनादि गुगल योगेन्द्र रस दूध के साथ सुबह शाम सेवन कराएं महाविषगर्भ तेल की मालिश करें। त्रिफला चूर्ण 10 ग्राम रात को सोते समय दूध के साथ दे निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं
Marginal osteophytes in acetabulum Loss of trabeculae in femoral head Joint space is concentric Further evaluation CBC esr RA factor Crp Uric acid Usg evaluation of both hips Take patient's symptoms seriously inspire of benign looking xrays We could be missing something
Thank You Sir for your valuable opinion.
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Done MRI of this patient. No any abnormalities seen in Lt. Hip Joint. Patient is on NSAID. Aceclofenac 200mg sustained released tablet with significant improvement. Thank you All doctors for your valuable opinion.
You may correlate with any other diseases like kidney liver .it may be by diabetic neuropathy.. plz send other investigation blood test for suspected diagnosis. Fall history any other thing.
Urea Creatinine Uric acid Blood Sugar F/PP All reports are also within normal limits. Patient is fit now after giving 10 days of NSAID.
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Clinical exam is very important. PERIPHERAL NEUROPATHY LUMBER DISC DISEASE LT SACRO-ILIAC ILEITIS VITAMIN D Deficiency ANKOLYSING SPONDYLITIS LUMBER SPONDYLOSIS
Thank You Sir for your valuable opinion.
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Please do a neurological examination chances of neuropathy is high if it is normal then please get a MRI early avn changes are not visible on x ray
Thank you Sir. I forgot to mention that this patient has been undergone MRI 8 years back where he was detected AVN in early stage.
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Rheumatoid Arthritis Hip(Lt) .But this diagnosis must be established only after exclusion of infection from the hip.
Stretching of the gluteal muscles and piriformis muscle, and open chain exercises that can be help them
Thank You for your valuable opinion.
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No bony abnormalities,could be radiating pain from the back ,Please advice x ray of lumbar spine.
?Subcapital fracture of neck of femur Lt. Adv--CT Scn Pelvis including both hip jts..
Dear Dr. Agarwal. Already done MRI. MRI Report shows no any abnormalities in Lt. Hip Joint.
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