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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 1/Question#25 (reveal difficulty score)
A 15-year-old girl is brought to the ...
Compression fracture 🔍 / 📺 / 🌳 / 📖
tags: msk

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submitted by osler_weber_rendu(160)
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Why in the world was the Xray taken from that angle?

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submitted by step_prep4(11)
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  • Young girl with a history of chronic corticosteroid use and cushingoid appearance who presents with constant back pain with vertebral point tenderness with imaging showing vertebrae with increased lucency, most consistent with a compression fracture in the setting of steroid-induced osteoporosis
  • Key idea: Vertebral compression fracture comes in 2 flavors (1) Chronic fracture: Painless with progressive kyphosis and loss of stature (2) Acute fracture: Low back pain with decreased spinal mobility + tenderness at affected level
  • Key idea: Causes of point tenderness over vertebral body includes compression vertebral fractures, osteomyelitis and metastatic disease to vertebral bone
  • Risk factors for osteoporosis –> compression fracture: Low weight (osteoporosis), increased age, women, chronic corticosteroid use or Cushing syndrome

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seagull  Jesus dude, just take my virginity while you're at it/ +10

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