[申覆] 醫學(四) 9

[doublexx (boublexx)]

題號: 醫學(四) 第9題

題目內容:醫師懷疑Legg-calve-perthes diease，哪項檢查對早期診斷最有助益？

題目疑義:(c)plain radiography

本題建議處理方式:(b)(c)

參考來源:

原本答案是(b)MRI， 但在wiki上找到這段話，有強者可以找到佐證嗎？謝謝

http://0rz.tw/7hx3Z

X-Rays of the hip joint are absolutely necessary. X-rays will show a small,
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flattened and fragmented head of femur. A bone scan may be useful in helping

determine the extent of the avascular changes. A hip aspiration may be

performed if there is suspicion of a septic arthritis. The diagnostic finding

will show patchy areas of avascular necrosis and eventually fragmentation and

flattenning in the femoral head.

Diagnosis is made predominantly by X-ray study, together with physical
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examination (MRIs have also been found useful for judging the extent of the
^^^^^^^^^^^
deformity). Sufferers typically have limited range of motion in their hip,

particularly when rotating the joint.



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推 bigbro:還有, 題目指的是"早期診斷"沒有人一開始就來MRI吧
→ doublexx:我也是這樣想，但不知道有沒有人有資料勒?