Challenge of the Week / Sports / 05.22.20

An 18-year-old female patient who is a cross-country runner presents with hip pain. She reports that she occasionally misses menstrual cycles. She denies any disordered eating habits and states that she does not worry about her weight. She has a body mass index of 18 kg/m. She is currently in the middle of her cross-country season but has had increasing groin pain that is present even when walking. Which of the following is the most likely diagnosis?A 54-year-old male patient presents to the emergency department with non-radiating thoracic back pain. He has an intact motor, sensory, and reflex examination of the bilateral upper and lower extremities. The patient has a history of hepatitis C, a 30-pack per year history of smoking cigarettes, and chronic cough for the last 3 months. His white blood-cell count, erythrocyte sedimentation rate, and C-reactive protein level are slightly elevated. Which of the following best describes the appropriate imaging modality and findings to diagnose spinal discitis/osteomyelitis?

Challenge of the Week / Spine / 05.15.20

A 54-year-old male patient presents to the emergency department with non-radiating thoracic back pain. He has an intact motor, sensory, and reflex examination of the bilateral upper and lower extremities. The patient has a history of hepatitis C, a 30-pack per year history of smoking cigarettes, and chronic cough for the last 3 months. His white blood-cell count, erythrocyte sedimentation rate, and C-reactive protein level are slightly elevated. Which of the following best describes the appropriate imaging modality and findings to diagnose spinal discitis/osteomyelitis?