My mother who is 67 years old is an osteoporosis patient. She has been recently operated for carpal tunnel in the left hand. A few months back, she had developed an ankle effusion which subsided after starting osteoporosis injections. She is on Gemtide and Calcium. Recently, she has developed swelling in the right wrist with pain and stiffness. She had an ultrasound and an X-ray as advised by her doctor. The ultrasound report is attached herewith. The X-ray suggests osteopenia. Does the ultrasound report suggest she has tuberculosis? Please advise as to what should be done.
I went through your attachments (attachment removed to protect patient identity). An ultrasound cannot diagnose whether she has tuberculosis or not. This requires an MRI (magnetic resonance imaging) scan and also a needle biopsy under ultrasound guidance which needs histopathologic examination. A thickened synovium can be an infection or just an inflammation that cannot be differentiated by ultrasound alone. Injection Gemtide (Teriparatide) is good for her osteoporosis and is a correct drug. I suggest you get an MRI scan done first and upload the reports and then we will decide whether a needle biopsy is needed or not. This professional advice provided by me stands subject to the actual examination of the report and image and is based entirely on inputs provided to me. It should be correlated with clinical findings.
Was this answer helpful?
Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
.. read your query and from what you have mentioned, I feel that you could have osteoporosis or osteopenia rather than growth hormone deficiency.
You can have your bone DEXA scan done and follow up with your orthopedician if it turns out to be either. Read full
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.