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NBME 22 Answers
A 49-year-old man comes to the physician because of ...
alcoholic in the hx should point you towards avascular necrosis when there is an “atraumatic” complaint
Pg 455 of F.A. mentions that alcoholism can be a cause of avascular necrosis.
I think the small dark area on the left head of femur and the darkened neck are the avascular sites.
Head: (obvious lesion on the RT femur, but similar discrete lesion on the left as seen on the practice NBME)
He wouldnt be playing golf if he had septic arthritis. Avascular necrosis is a more chronic condition that has a slow onset.