The Musculoskeletal  System       

A 24 year old female came to you complaining of fatigue & joint pain. She also complains of increased light sensitivity, and noticed an ulcer in her mouth.

On examination, you noticed the following rash on her face:

What is this rash called ?

What is the most likely diagnosis?

What is the most sensitive test used to back up your diagnosis? 

Name this deformity?

What disease is associated with this deformatiy?

What are the X-ray findings seen in this disease?

A 55 year old male known case of hypertension, Diabetes  for 20 years came complaining of sudden severe pain in his right big toe. He is obese, smokes 2 packs/day and drinks 2 cans of beer every day. Inspection of his big toe:  

Based on the history and inspection, what is the most likely diagnosis?

What investigation would you do to confirm your diagnosis?

After confirming the Dx, what is the treatment of choice for this patient ?

A 70 year old female complaining of joint pain and stiffness in her right knee  for 6 months. Joint stiffness occurred in the morning and lasts for 30 min. Pain usually is worsened by activity and relieved by rest. X-ray of her knee:

Name three abnormalities seen in the X-ray?

Based on the history and X-ray finding, what is the most likely diagnosis ?

Name this Syndrome?

A mutation at which chromosome causes this syndrome?

What is the protein that is dysfunctional in this Syndrome?

Name the 2 most common cardiovascular abnormalities associated with this syndrome

Name the radiographical signs seen in the X-ray film above?

In which disease would these signs be present in?

What are the 2 most common easrly symptoms in this disease?

23 year old female complaining of slight pain , itchiness & patchy hair loss for 2 weeks. On Examination you noticed this erythamatous skin lesion with white plaques on top. She denies any other similar lesions.  

What is the most likely Diagnosis?

What is the initial treatment of choice for this patient?

Name the abnormalities seen in this X-ray film?

What is this condition known as ? 

What is the typical mechanism of injury causing this condition?

7 year old boy brought to the ER by his parents complaining of severe pain and swelling in his right arm after falling on his arm. X-Ray of his arm:

Name the deformity in the picture above:

Name two conditions associated with this deformity?

A 17 year old male complaining of 2 days of an ‘electrical’ shooting pain associated with tingling sensation and weakness in his lower limb after lifting a very heavy object from the ground improperly. MRI shows :

What is you most likely diagnosis?

What is the most common cause for this disease?

What is the treatment of choice for the most common cause of this disease?

A 20 year old male presented to the emergency room with painful and swollen right hand after he got in a fight and punched someone.

His X-ray is shown bellow:

What is the abnormality seen in this patient’s X-ray?

What is this condition known as?

What is the name of the abnormality in white arrow

What is the name of the abnormality in black arrows?

What is the name of the abnormality in black arrows?

A 70 year old female with these swellings in her hands:

What is this sign called?

It is most commonly seen in which Condition/Disease?

A 4 year old boy brought by his mother complaining of severe pain in his left leg and fever for 10 days. The boy had a cut in his left leg 2 weeks ago and wasn’t treated properly. On examination, there are signs of inflammation and tenderness over his left leg.His x-ray films show the following:

What is the most likely diagnosis?

What is the most common causative pathogen?

What is the most sensitive and specific image modality to diagnose this disease?

A 30 year old obese, shorter than normal male with history of developmental delay, examined during a routine check up. During the inspection of his hands:

A

B

What is the abnormality noticed in picture A?

What is the sign seen in picture B called?

Giving this history and physical, what is the most likely diagnosis?

A 3 year old child brought by his mother complaining that her child’s stature is abnormal. She admits her child’s diet is not as recommended.
His X-ray film shows the following:

What is you most likely diagnosis?

What is the most common cause for this disease?

What is the treatment of choice for the most common cause of this disease?

Spot Diagnosis Team:

Ali Al Othman 
Abdallah Bin Shabib 
Fahad Al Sayed 
Mohnnad Al Sammary 

Main Reviewer:  

Husam Al Tahan 

Publishers: 
Adel Yasky 
Bader Al Tamimi
Bayan Al Zomaili