COS Quiz 7

September 2014

65 yr old man

Clinical findings

• 65 yr old man • Pain and swelling of left shoulder- 2 months

duration• Diabetic• Chronic renal failure patient on hemodialysis

weekly thrice• ESR 45mm/1hr• The humeral head is damaged in radiograph,

osteoporotic with moth eaten like appearance• An incision and drainage yielded ------

Diagnosis

• 1. Amyloidosis• 2.Tuberculosis• 3.Atypical mycobacterial infection• 4.Chronic suppurative syanovitis• 5.Villonodular syanovitis• 6.Acute syanovitis