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Exam questionKROK 2Medicine ยท 2012

A 37-year-old patient complains of pain in the lumbar spine that is getting stronger during walking; restricted mobility, edema of the right side of abdomen. He has a history of focal tuberculosis. X-ray picture shows the destruction of the adjacent surfaces of the 1-2 vertebral bodies of the lumbar spine, vertebral body height is decreased, intervertebral foramen is undetectable. Abdominal ultrasound reveals a 15x20 cm formation in the retroperitoneal space, there are echo signals of fluid presence. What is the most likely diagnosis?

Answer options

  1. Fracture of the 1-2 vertebral bodies of the lumbar spine
  2. Spinal metastases
  3. Spondylolisthesis of the lumbar spine
  4. Tuberculous spondylitis of the lumbar spine
  5. Osteochondrosis
Correct answer

Tuberculous spondylitis of the lumbar spine

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