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Case Presentation Cushing.23.04.1399

Medical History and Physical Examination

Case  23 – 4 – 99

A 45-year old man with pathologic fracture

  • CC: low back pain and muscle weakness’’
  • PI: The patient is a 45 year old man who suffered from low back pain for 5 years  with the diagnosis of L4 Spondylolisthesis.
  • He underwent surgery at Be’sat Hospital.
  • The pain didn’t get relieved and 3 months later more fractures were diagnosed in the spine.
  • 96 >> The BMD shows osteoporosis in spine and femoral neck but no investigation was done in that era.
  • 97 >> The patient admitted in Pakdasht Hospital after adding lower ext. edema to his symptoms, for more work ups.