Advisor Dx Interact with your peers by viewing the images and offering your diagnosis and comments. To post your answer, obtain more clues, or view similar cases, visit ClinicalAdvisor.com/AdvisorDx. Learn more about diagnosing and treating these conditions, and see how you compare with your fellow colleagues. Check out some of our latest cases below!
DERM DX
Diffuse Rash Affecting Fingertips A 28-year-old woman presents with fever and diffuse, tender, erythematous to violaceous punctate lesions on her limbs, trunk, face, fingertips, and palms. She also has anemia, a positive Coombs test, and leukopenia. One year ago, the woman was diagnosed with systemic lupus erythematosus with cutaneous and renal involvement. CAN YOU DIAGNOSE THIS CASE?
• Subacute lupus erythematosus • Small-vessel vasculitis in systemic lupus erythematosus • Antiphospholipid syndrome • Urticarial vasculitis ● See the full case at ClinicalAdvisor.com/DermDx_July_August21
ORTHO DX
In partnership with
TheJopa.org
Journal of Orthopedics for Physician Assistants
Hip Tightness After Total Hip Replacement A 76-year-old man presents with right hip “tightness” that has progressed over the past 4 months. He denies significant pain in the hip and his gait remains unchanged. He underwent a hip replacement 1 year prior. The patient’s right hip internal rotation measures 15°; abduction, 20°; and hip flexion, 95°. Anteroposterior radiograph of the pelvis shows heterotopic ossification in the right hip. WHAT IS THE BEST TREATMENT OPTION FOR THIS PATIENT?
• Observation • Indomethacin for 6 weeks
• External beam radiation • Surgical excision
● See the full case at ClinicalAdvisor.com/OrthoDx_July_August21
www.ClinicalAdvisor.com • THE CLINICAL ADVISOR • JULY/AUGUST 2021 13
