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Skeleton Radiology Quiz Cases

How many pathologies can you see and which is the most significant?
view XRAY | case ANSWER.

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63 year old caucasian man with recent pain and restricted movement of the right hip. He is a known case of Non-Hodgkin lymphoma and had been receiving a combination of high dose chemotherapy and steroids.
view XRAY | case ANSWER.

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Young adult male, who was training as a boxer.
view XRAY | case ANSWER.

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18 year old male with a congenital condition.
view XRAY | case ANSWER.

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12 year old girl with some left knee discomfort.
view XRAY | case ANSWER.

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Painless swelling of the knee in a young woman.
view XRAY | case ANSWER.

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62 year old man back pain and a raised plasma alkaline phosphatase.
view XRAY | view XRAY | case ANSWER.

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One year old male with an inherited condition and tender swelling of hands and feet.
view XRAY | case ANSWER.

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Mature adult female with pain in 'right hip'.
view XRAY | case ANSWER.

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Pedestrian hit by moving vehicle.
view XRAY | case ANSWER.

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60 year old woman. Recently stopped smoking. Weight loss and cough, follow-up after treatment.
view XRAY | case ANSWER.

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8 year old with a 3 month history of pain in the right groin, worse on walking or climbing.
view XRAY | case ANSWER.

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Adult male from India with a skin rash and patchy anaesthesia.
view XRAY | case ANSWER.

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50 year old woman with pain in the knee.
view XRAY | case ANSWER.

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11 year old boy with pain in right hip.
view XRAY | case ANSWER.

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14 year old girl with pain and swelling above the right knee.
view XRAY | case ANSWER.

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14 year old boy systemically unwell, being treated with cytotoxic therapy. There is no record of thymic enlargement, common in this condition.
view XRAY | case ANSWER.

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Male aged 13 years. There is no recorded history of obesity or particularly active pursuits.
view XRAY | case ANSWER.

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Girl with a congenital condition and a mass above her right knee.
view XRAY | case ANSWER.

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13 year old boy with pain his right knee.
view XRAY | case ANSWER.

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Incidental finding in a 15 year old girl.
view XRAY | case ANSWER.

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14 year old boy with a generalised abnormality.
view XRAY | case ANSWER.

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17 year old Jamaican girl with inherited anaemia.
view XRAY | case ANSWER.

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Young adult with pain in foot after a hike.
view XRAY | case ANSWER.

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42 year old male with an 8 month history of increasing back pain. Had been bed-ridden for the last 3 weeks. The serum calcium was markedly elevated.
view XRAY | case ANSWER.

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30 year old woman with pain in the right ankle after her aerobics class.
view XRAY | view XRAY | case ANSWER.

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60 year old woman with a history of backache and recent renal colic. Corneal calcification noted by an observant clinican.
view XRAY | case ANSWER.

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Pain and deformity in the leg of an elderly man.
view XRAY | case ANSWER.

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35 year old West-Indian woman with an inherited condition.
view XRAY | case ANSWER.

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12 year old boy with pain and swelling of his right thigh.
view XRAY | case ANSWER.

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16 year old girl had a 6 month history of pain in the left leg, particularly when playing tennis.
view XRAY | case ANSWER.

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Fall by boy aged 8, now pain in the leg.
view XRAY | case ANSWER.

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20 year old male, from the West Indies, with episodic bone pain.
view XRAY | case ANSWER.

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83 yr old female with increasing pain and deformity.
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3 year old child.
view XRAY | view XRAY | case ANSWER.

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Boy aged 7 years with pain and swelling in his right leg.
view XRAY | case ANSWER.

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20 year old woman with sudden onset of pain in the right ankle, which prevented her from standing on that leg.
view XRAY | case ANSWER.

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Mature adult male with bladder outlet obstruction and recent "aches and pains".
view XRAY | case ANSWER.

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Eccentric old man with high stepping gait and painless swelling of his knee.
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68 year old female with ischaemia and ulcers of her fingers.
view XRAY | case ANSWER.

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Warm painless swelling of leg in a wheelchair-bound child.
view XRAY | case ANSWER.

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A man with a previous history of acute pain in the leg, after trauma. Now has slight foot drop.
view XRAY | case ANSWER.

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38 year old male with pain in back and paraplegia.
view XRAY | view XRAY | case ANSWER.

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I year old child with blue sclera and limb deformities.
view XRAY | case ANSWER.

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Young woman with hip pain.
view XRAY | case ANSWER.

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39 year old woman from the Middle-East with a history of bone pains. There was no history of renal colic.
view XRAY | case ANSWER.

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84 year old woman with pain in the right hip.
view XRAY | case ANSWER.

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Mature adult female, on follow-up for a chronic condition.
view XRAY | case ANSWER.

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Mature adult male with sudden onset of calf pain and swelling, after a long walk the previous day. (Two tests)
view XRAY | case ANSWER.

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Mature adult with pain in the heel.
view XRAY | case ANSWER.

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Adult male, whose finger was X-rayed after a laceration. We don't know his job, but assume it was as a tailor.
view XRAY | case ANSWER.

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13 year old male with pain in the knees.
view XRAY | view XRAY | case ANSWER.

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Old woman with an abnormal gait.
view XRAY | case ANSWER.

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13 year old admitted to A&E, following a fall and injury to right ankle. Formerly from Africa. Known immune compromised patient.
view XRAY | case ANSWER.

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4 year old child with an abdominal mass.
view XRAY | case ANSWER.

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Incidental finding in an adult male, trauma case.
view XRAY | view XRAY | case ANSWER.

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12 year old boy with a history of joint swelling in the fingers for the last 4 months.
view XRAY | view XRAY | case ANSWER.

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43 year old female with pain in leg after a fall.
view XRAY | case ANSWER.

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3 year old child with colicky abdominal pain and constipation.
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Child with inherited condition.
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Mature adult with recent onset of wrist pain.
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History of pain in the right shoulder in 30 year old.
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52 year old male with anaemia.
view XRAY | case ANSWER.

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Term infant, stillborn.
view XRAY | case ANSWER.

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60 year old man with left buttock pain, getting worse for the last 10 years. Now has abnormalblood test.
view XRAY | case ANSWER.

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Female aged 5 years, X-rayed after a fall, apparently symptomless.
view XRAY | case ANSWER.

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30 year old female and a recent immigrant from the Sudan, admitted complaining of a 3 week history of pain and swelling in the right ankle.
view XRAY | case ANSWER.

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49 year old woman with pain in the chest after cholecystectomy, pleural effusion and increasing weight loss and ankle swelling.
view XRAY | case ANSWER.

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45 year old male, brought-up in the tropics, with a deformity of his thumb.
view XRAY | case ANSWER.

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Adult male with small, square, pits in his nails.
view XRAY | case ANSWER.

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87 year old caucasian lady with a 2 week history of painful swelling of the right hand. This lay predominantly over the dorsum of the hand and middle metacarpo-phalangeal joint, extending into the right middle finger.
view XRAY | view XRAY | case ANSWER.

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Elderly man with a cough and weight loss.
view XRAY | case ANSWER.

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Middle aged insulin dependant diabetic with right ankle swelling and deformity.
view XRAY | case ANSWER.

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Elderly male with stiff knees.
view XRAY | case ANSWER.

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Large 45 year old woman with coarse features.
view XRAY | view XRAY | case ANSWER.

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Incidental finding of an inherited condition.
view XRAY | case ANSWER.

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Mature adult female with history of right ankle trauma 6 weeks earlier.
view XRAY | case ANSWER.

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Adult with blue sclera and an inherited condition.
view XRAY | case ANSWER.

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80 year old woman with a lump in the breast and back pain.
view XRAY | case ANSWER.

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80 year old woman admitted with swelling of the left knee after a fall.
view XRAY | case ANSWER.

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70 year old man with frequency, post-micturition dribbling and some back pain.
view XRAY | case ANSWER.

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67 year old lady, from India, with a painful thumb.
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28 year old man with disorder since childhood. There is a history of bone pain, tenderness and deafness.
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2 year old girl with a family history of inherited disorder.
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Elderly man with a chronic joint problem since childhood.
view XRAY | case ANSWER.

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Leg pain improved by aspirin in a sixteen year old boy.
view XRAY | case ANSWER.

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16 year old girl with painful swollen right shoulder.
view XRAY | case ANSWER.

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23 year old male, a professional boxer, training hard.
view XRAY | view XRAY | case ANSWER.

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6 month old child with previous fever and limb swelling. There is no history or indication of trauma.
view XRAY | case ANSWER.

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Recent immigrant from south India with a stiff back and bad teeth.
view XRAY | case ANSWER.

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Small 4 year old girl with mental retardation.
view XRAY | case ANSWER.

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History of progressive tender swelling of thumb in 81yr old caucasian female.
view XRAY | case ANSWER.

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Female patient, aged 2 years unwell, failing to thrive.
view XRAY | case ANSWER.

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26 year old woman with pain in the left hip.
view XRAY | case ANSWER.

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Mature adult female with history of renal colic.
view XRAY | case ANSWER.

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Young adult after a fall.
view XRAY | case ANSWER.

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Adult male with an inherited condition.
view XRAY | case ANSWER.

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29 year old female, from India, vegitarian. Back and hip pain, muscle weakness.
view XRAY | case ANSWER.

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19 year old female with pain and swelling of the left leg.
view XRAY | case ANSWER.

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15 year old West-Indian male with an inherited condition and episodes of bone pain.
view XRAY | case ANSWER.

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Post-natal assessment.
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7 year old after a fall onto the right hand.
view XRAY | case ANSWER.

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Thin adult male with steatorrhea, high stool fat excretion.
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30 year old man with a history of pain in the left middle finger, relieved by aspirin.
view XRAY | case ANSWER.

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Very unwell child with fever.
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24 year old woman from Nigeria with back pain.
view XRAY | case ANSWER.

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19 year old male with a limp.
view XRAY | case ANSWER.

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62 year old woman, former smoker, with cough, finger clubbing and non-specific joint pains
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Incidental finding in an immigrant now in the UK.
view XRAY | case ANSWER.

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40 year old female, originally from the West Indies, with episodic bone pain.
view XRAY | case ANSWER.

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54 year old man with pain in the left hip.
view XRAY | case ANSWER.

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Female patient aged 50 years with backache and proteinuria. Recent pain in right humerus after a fall.
view XRAY | case ANSWER.

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9 year old boy with feet turned-in (varus deformity) and no pain.
view XRAY | case ANSWER.

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26 year old lady with bone pain, immigrant originally from India.
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Adult female with recent trauma.
view XRAY | case ANSWER.

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Adult male with difficulty passing urine and burning chest pain.
view XRAY | case ANSWER.

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15 year old girl with abnormal gait and a recent enema.
view XRAY | case ANSWER.

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young teenager after a fall.
view XRAY | case ANSWER.

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Female patient, 18 years old with discomfort in the left shoulder.
view XRAY | case ANSWER.

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35 year old male with wrist pain.
view XRAY | case ANSWER.

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38 year old woman with a history of Raynaud phenomenon, extreme vasoconstriction when cold, and some thickening of the soft tissue of the fingers.
view XRAY | case ANSWER.

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7 year old boy fell from bicycle.
view XRAY | case ANSWER.

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17 year old Jamaican girl with inherited anaemia.
view XRAY | case ANSWER.

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26 year old woman, trauma case.
view XRAY | case ANSWER.

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Mature adult male with reduced mobility.
view XRAY | case ANSWER.

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A 13 year old boy with anaemia.
view XRAY | case ANSWER.

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5 year old child from Lebanon with normal mental development.
view XRAY | case ANSWER.

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Woman aged 50 years with swelling of the left hand.
view XRAY | case ANSWER.

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4 year old Jamaican girl being treated for pain in the right arm.
view XRAY | case ANSWER.

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19 year old male with pain in the knee.
view XRAY | case ANSWER.

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Man aged 47yr with back pain and night sweats.
view XRAY | case ANSWER.

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Two and a half year old asian child, failure to walk and thrive.
view XRAY | case ANSWER.

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Adult female with bone pain, no other detail.
view XRAY | case ANSWER.

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Trauma case, adult female, known heart abnormality.
view XRAY | case ANSWER.

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24 year old male with Trisomy 21, Mongolism.
view XRAY | view XRAY | case ANSWER.

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21 year old male post-trauma assessment.
view XRAY | case ANSWER.

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2 year old girl with an inherited condition. Anaemia, low white-cell count, low platelet count.
view XRAY | case ANSWER.

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Adult male with pain in the left leg and no history of trauma.
view XRAY | case ANSWER.

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Adult female with dissociated sensory loss and depressed upper limb reflexes.
view XRAY | case ANSWER.

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18 year old with knee symptoms.
view XRAY | case ANSWER.

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78 year old man with breathlessness and abnormal gait.
view XRAY | case ANSWER.

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25 year old man who has pain in both feet, after jumping from 10ft up onto a hard surface.
view XRAY | view XRAY | case ANSWER.

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A 45 year old man with anaemia.
view XRAY | case ANSWER.

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Incidental finding in an 80 year old woman.
view XRAY | case ANSWER.

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Old woman with chronic pain in the right wrist, after a previous fall.
view XRAY | case ANSWER.

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56 year old woman with a long history of varicous veins in both legs.
view XRAY | case ANSWER.

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70 year old woman with known carcinoma of breast.
view XRAY | case ANSWER.

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Adult male with long history of type I diabetes mellitus.
view XRAY | case ANSWER.

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Follow up view after a previous fracture in a 16 year old male.
view XRAY | case ANSWER.

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31 year old man with pain in both hips and inability to walk, originally from India.
view XRAY | case ANSWER.

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46 year old Jewish Iraqi with an inherited condition.
view XRAY | case ANSWER.

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Two views of the hand of a boy.
view XRAY | case ANSWER.

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33 year old woman, training and determined to run in the London Marathon, but with pain in her legs.
view XRAY | case ANSWER.

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A 25 year old male recipient of a 'sliding tackle', while playing English football.
view XRAY | case ANSWER.

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A young adult male with night fevers and lymphadenopathy.
view XRAY | case ANSWER.

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7 year old boy with pain in the knee.
view XRAY | case ANSWER.

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Young adult, trauma case. Some dysaesthesia in fingers.
view XRAY | case ANSWER.

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9 year old boy with varus deformity of feet.
view XRAY | case ANSWER.

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Non-specific 'aches and pains' and recent passage of a kidney stone.
view XRAY | case ANSWER.

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29 year old woman with previous mastectomy and recent injury.
view XRAY | case ANSWER.

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31 year old female, with a history of pain in the right arm.
view XRAY | case ANSWER.

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14 year old boy with pain in the left hip.
view XRAY | case ANSWER.

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Gradual onset of pain and swelling in the left knee in a 30 year old man, originally from India.
view XRAY | view XRAY | case ANSWER.

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Male in his late teens with a chronic condition and recent painful joints.
view XRAY | case ANSWER.

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22 year old female with pain in the left knee.
view XRAY | case ANSWER.

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Adult female with stiff painful joints. No other detail.
view XRAY | case ANSWER.

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77 year old woman with hip pain.
view XRAY | case ANSWER.

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64 year old man with poor urine stream and back pain.
view XRAY | case ANSWER.

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Mature female with background of deprived childhood, now has renal colic.
view XRAY | case ANSWER.

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3 year old child of recent immigrants from India, not walking properly.
view XRAY | case ANSWER.

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X-rayed for trauma.
view XRAY | case ANSWER.

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50 year old woman with surgery for a hormonal disorder 5 years earlier.
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Two and a half year old boy with an abdominal tumour.
view XRAY | case ANSWER.

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Young adult female with pain in her right foot. No clinical detail, but gymastics and high-heels often get blamed.
view XRAY | case ANSWER.

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72 year old man with pain on walking.
view XRAY | case ANSWER.

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8 year old boy with some pain in the left hip for several months. He has minimal limitation of abduction and external rotation of the right hip.
view XRAY | case ANSWER.

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Young male adult with anaemia, whose family came from Greece.
view XRAY | case ANSWER.

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Adult female with nausia and recent renal colic.
view XRAY | case ANSWER.

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Mature adult male with pain in the left knee.
view XRAY | case ANSWER.

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10 year old boy for assessment of an inherited condition.
view XRAY | case ANSWER.

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Young patient, no detail.
view XRAY | case ANSWER.

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50 year old male with pain in the right hip, on movement.
view XRAY | case ANSWER.

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Female aged 49 years, sudden onset of pain in the left elbow, after a fall.
view XRAY | case ANSWER.

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4 year old boy, complaining of pain in the left hip.
view XRAY | case ANSWER.

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Young adult woman with tender swelling of her elbow.
view XRAY | case ANSWER.

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Female aged 1.5 years, delayed walking.
view XRAY | case ANSWER.

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40 year old, painful shoulder with axillary swelling.
view XRAY | case ANSWER.

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Adult female after a fall onto her hand.
view XRAY | view XRAY | case ANSWER.

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Short lady for obstetric assessment in the 'bad old days'. No detail.
view XRAY | case ANSWER.

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24 year old male from the West Indies with a skin ulcer behind his left ankle.
view XRAY | case ANSWER.

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39 year old female with an inherited anaemia, during the most recent of many hospital admissions.
view XRAY | case ANSWER.

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Follow-up in a patient with hand pain.
view XRAY | case ANSWER.

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Mature adult male, having immature red-cells in his blood.
view XRAY | case ANSWER.

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67 year old man with a history of a direct blow to the shoulder 5 years earlier.
view XRAY | case ANSWER.

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Routine chest in a 27 year old male with long standing abnormality.
view XRAY | case ANSWER.

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Swelling and discomfort in the left ankle in an adult male from India.
view XRAY | view XRAY | case ANSWER.

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6 year old girl with leg deformity.
view XRAY | case ANSWER.

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Mature adult female, no oither clinical detail.
view XRAY | case ANSWER.

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Abnormal gait. No pain, historical case.
view XRAY | case ANSWER.

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Middle aged male with sudden onset of inability to stand from pain in the left hip.
view XRAY | view XRAY | case ANSWER.

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Mature adult male, trauma case.
view XRAY | case ANSWER.

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Woman with a 10 year history of poor peripheral circulation and hands blanching with the cold.
view XRAY | case ANSWER.

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9 year old girl from the West-Indies with a history of muscle disease, treated with steroids, and a recent 3 month history of lumps on her right leg.
view XRAY | case ANSWER.

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Middle-aged woman with a plaque-like skin condition.
view XRAY | case ANSWER.

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5 year old west-indian girl with pain in the arm.
view XRAY | case ANSWER.

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83 year old man with pain in his left hip.
view XRAY | case ANSWER.

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Adult jamaican female with systemic condition and recent onset of a painful middle finger.
view XRAY | case ANSWER.

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Girl with acute onset of pain in left hip.
view XRAY | case ANSWER.

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Mature adult male with painful hands.
view XRAY | case ANSWER.

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Girl of 7 years with a limp.
view XRAY | case ANSWER.

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Mature adult female with previous treatment, including surgery, on follow-up.
view XRAY | case ANSWER.

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Adult male with anaemia.
view XRAY | case ANSWER.

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Young adult female arrived with swelling of her hand. She came from a community, who were originally from the Indian sub-continent.
view XRAY | case ANSWER.

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18 year old male with left hand deformity.
view XRAY | case ANSWER.

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30 year old woman, incidental finding.
view XRAY | case ANSWER.

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Incidental finding in a 15 year old boy, trauma case.
view XRAY | case ANSWER.

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Teenager with houlder pain.
view XRAY | case ANSWER.

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Mature adult female with pain in the left hip and recent steroid treatment.
view XRAY | view XRAY | case ANSWER.

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27 year old male with pain and swelling of the left knee after falling and hitting his knee.
view XRAY | view XRAY | case ANSWER.

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5 year old boy with with swelling of the right thigh.
view XRAY | case ANSWER.

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A Middle-aged woman with chest discomfort and previous treatment for Ca Breast.
view XRAY | case ANSWER.

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8 year old girl with a cerebellar tumour.
view XRAY | case ANSWER.

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Adult male with chronic shoulder problem.
view XRAY | case ANSWER.

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68 year old woman with ulcerating nodules on her left ring and little fingers and a long history of 'poor circulation'. She has a positive test for centromere antibody
view XRAY | case ANSWER.

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Recent fall with wrist injury.
view XRAY | view XRAY | case ANSWER.

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35 year old male with an inherited condition.
view XRAY | case ANSWER.

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38 year old woman from the West Indies with an inherited condition and episodic bouts of bone pain.
view XRAY | case ANSWER.

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Jewish woman with a limp and an inherited condition.
view XRAY | case ANSWER.

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Male 23 years old, with a history of increasing pain in the left shoulder, relieved by aspirin.
view XRAY | case ANSWER.

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18 month old child, failure to thrive.
view XRAY | case ANSWER.

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Teenage girl with pain in the leg.
view XRAY | case ANSWER.

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60 year old woman who previously had had an anterior resection for carcinoma of the rectum and subsequently developed pain in the right knee.
view XRAY | case ANSWER.

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Adult male with painful swellings in his hands.
view XRAY | case ANSWER.

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Adult female, pedestrian, follow-up after a road accident.
view XRAY | case ANSWER.

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IDM July 2007