Published on
While there is no injury associated with the presenting complaint, there is a lytic lesion in the proximal tibia.
On review by the orthopedist, the patient was advised to get a bone scan.
This was incidental to the injury, but the differential diagnosis warrants further woke-up, as described.
Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
Clinical Challenge 2: January 2010
Nahum Kovalski, BSc, MDCM
1 2