Question

Thank you for referring Mr. Samuels to my office. I saw him on March 3, 2017. Mr. Samuels has a 4-month history of increasing pain in his right distal femur. He first noticed pain after being kicked in the leg at a soccer game and was evaluated in your office 3 weeks later for persistent pain. There was a soft tissue mass in his distal femur that was tender to touch.

Answer 1

The medical scenarios cover infected wounds, signs of serious bacterial infection, gangrenous inflammation, and musculoskeletal injuries like runner's knee. Detailed histories and symptom presentations are crucial for accurate diagnosis and treatment planning.

Step-by-step explanation:

The various cases presented span across different medical conditions that might be encountered in a healthcare setting. These conditions range from infected wounds, severe abdominal pain potentially linked with previous medical procedures abroad, to symptoms that could be indicative of critical vascular issues like gangrene. Special attention is paid to the history and presentation of symptoms for an accurate diagnosis.

For instance, Mark's incident with the blackberry brambles resulted in an infected wound characterized by increasing redness, swelling, and warmth, followed by fever and stiffness, indicating a serious bacterial infection that could potentially be cellulitis. On the other hand, Marisa's severe abdominal pain and swollen lymph nodes after a medical procedure in Vietnam pose a complex case that may involve complications from the procedure or an acquired infection abroad.

The historical case from 1861 describes a diffuse gangrenous inflammation, which is a life-threatening condition requiring immediate medical attention. The detailed attention given to the symptoms such as paralysis, visual issues, and swallowing difficulties assist in constructing a comprehensive understanding of the patient's condition.

The cases also touch upon musculoskeletal injuries and conditions such as runner's knee, or patellofemoral syndrome, emphasizing the importance of considering the individual's activities and medical history when diagnosing and recommending treatment.

Answer 2

The defects in the bone can be diagnosed by using the X ray technique. The small dose of the ionizing radiation is used to generate the picture of the bone.

The dislocation of the bone or joint can be easily diagnosed with x ray. The X ray never shows the formation of the new bone of the periosteum. The material present inside the bone cannot be diagnosed by the x ray technique used in medical application.