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.