Concluded Case

Emergency case

Pain for 20 days

(Edited)

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Concluded answer

Nail in femur used for fixation is loosened and getting unscrewed and result necrosis of tissue and infection FB fibrositis with secondary infection Rx removal of nail urgently

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Xray shows it is post operative.case of Internal fixation by pin plating for fracture neck femur about 10 years back. As pt is having pain it may be due to the distraction of plate due the loosening of the screws causing local reaction and pain Xray hip to asses the status of pin plating and may have to remove the pin plate.

Single Nail no platting and screw
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Nail in femur used for fixation is loosened and getting unscrewed and result necrosis of tissue and infection FB fibrositis with secondary infection Rx removal of nail urgently

no screwed used only single nail since 10-15 years
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SUGGESTIVE. OF POST. OPERATIVE NEEDS. FURTHER. EVALUATION TO. RULE. OUT SEPSIS

? POST SURGICAL.. SCARRING AND.. DEPIGMENTATION.. D/D.. ? OSTEOMYELITIS..

Surgery done In 2008
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Suspected to be abscess or OSTEOMYELITIS

suggests prescription
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Osteomyelitis Brodie's abscess

Prescription and suggestion
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Black pigmentation and superficial erosion suggest that it can be bed sore/ pressure sore Is the patient immobile and lying down all the time??

maximum time sitting
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POSSIBLY STAPHYLOCOCCUS INDUCED BRODIE. ABSCESS.... NEEDS.. CULTURE. AND. SENSITIVITY FURTHER. EVALUATION

Sure you must have the xrays Please share

I msg you
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