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Internal Medicine

Answer 3
  1. Hip fracture. This patient likely has a right hip fracture. In Figure 2, note the displaced femoral neck. Plain radiography is a good initial study but is not sensitive for diagnosing acute nondisplaced fractures. If this patient’s initial radiograph did not show hip fracture, further studies would be indicated given this patient’s recent fall, inability to walk, and history of osteoporosis. Computed tomography or MRI likely would reveal a nondisplaced acute fracture. Osteoarthritis has a more insidious course and would not cause acute pain. Trochanteric bursitis causes lateral hip pain.

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