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Emerg Med J 29:181 doi:10.1136/emermed-2011-200743
  • Images in emergency medicine

Bilateral hip pain as presentation of multiple myeloma

  1. Walter Wu
  1. Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan, Province of China
  1. Correspondence to Dr Wei-Jing Lee, Emergency Medicine, Chi-Mei Medical Center, 901 Zhonghua Rd, Yongkang District, Tainan 710, Taiwan, Province of China; saab934151{at}pchome.com.tw
  1. Contributors Both authors contributed equally.

  • Accepted 24 September 2011
  • Published Online First 11 October 2011

A 76-year-old man, without systemic disease but with progressive disability due to bilateral hip pain in 1 month, was brought to the emergency department. He denied any episode of trauma and was able to walk during his first visit to the emergency department. Pelvis radiography showed generalised osteopenia along with a bilateral femur neck fracture (figure 1). The patient was admitted …


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Poll

Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?

Results

0.5% - 43% response rate
3% - 41% response rate
10% - 16% response rate

Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study

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