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          Patient with hip arthritis. 3 phase bone scan.
              
    
    

          
    
          
  
  
  
      
          
            
          
  
      
  
  
          
    
          2011
            
          

  
  
          
  
          

    
    
    
          
  Teaching Case    
    
    
  
          
  
          

    
    
    
          
    
    
    
  
          
  
          

    
    
    
          
  
          Case presentation:
          

            

          • Male.
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          • 4 y.o.
            • 

          • Left limp from 2 days ago.
            • 

          • Fever 38.5oC.
            • 

          

          Teaching points:
          

            

          • To value the hips in childre: pin-hole images are assential.
            • 

          • Acute lack of perfusion of the femoral head can hbe presen in septic arthritis and osteomyelitis. In these case urgent articula drainage is mandatory.
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          • Paediatric Nuclear Medicine is related to different diagnosis and bones scan patterns tha in adults.
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