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Quick Scroll question 12.09.03 (5 years ago) #1
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A patient on dialysis presents with a large swollen tender shoulder. Aspiration yields a milky slurry. Plain films show this appearance (see image). What is the most likely underlying cause of this problem?

A : Poor control of calcium and phosphate
B : Primary hyperparathyroidism
C : Osteolytic metastasis
D : Myeloma
E : Septic arthritis.
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Quick Scroll 12.10.03 (5 years ago) #2
Looks to me like HA deposition in periarticular tissue.In this particular person this can be a result of calcium+phosphate deposition because of renal failure,dialysis and poor control.So I will go for A.It is very sad to see this paucity of participation.
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