Quote:
Originally Posted by ender18d
Problem list:
Vertebral Pain
Fever
Night Sweats
Pallor
Recent Dental Work
Give me your differentials!
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1. Osteomyelitis - one should also evaluate for endocarditis given recent dental work - does he have a murmur, any splinter hemorrhages until his fingernails?
2. New onset acute leukemia (also should consider lymphoblastic lymphoma or other malignancy).
3. Vertebral fracture and concomitant (and unrelated) random infection.
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"The dignity of man is not shattered in a single blow, but slowly softened, bent, and eventually neutered. Men are seldom forced to act, but are constantly restrained from acting. Such power does not destroy outright, but prevents genuine existence. It does not tyrannize immediately, but it dampens, weakens, and ultimately suffocates, until the entire population is reduced to nothing better than a flock of timid, uninspired animals, of which the government is shepherd." - Alexis de Tocqueville
Last edited by PedOncoDoc; 12-04-2013 at 16:26.
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