COS Quiz 7 September 2014
COS Quiz 7
September 2014
65 yr old man
Clinical findings
• 65 yr old man • Pain and swelling of left shoulder- 2 months
duration• Diabetic• Chronic renal failure patient on hemodialysis
weekly thrice• ESR 45mm/1hr• The humeral head is damaged in radiograph,
osteoporotic with moth eaten like appearance• An incision and drainage yielded ------
Diagnosis
• 1. Amyloidosis• 2.Tuberculosis• 3.Atypical mycobacterial infection• 4.Chronic suppurative syanovitis• 5.Villonodular syanovitis• 6.Acute syanovitis