53 year old Caucasian female
with bone metastases
Step 3: Generate a Differential Diagnosis
Use a Diagnostic Sieve to generate a differential diagnosis list
Diagnostic sieves are a valuable and efficient way of assessing a patient's symptoms and signs to reach a diagnosis.
Click on the categories that are relevant to this case. Correct answers are highlighted in green.
The mass in the breast combined with enlarged lymph nodes make a neoplasm a definite possibility. The pain in the right hip without any history of trauma also points toward this diagnosis.Close
The pain and inability to weight bear on the right hip without any history of trauma could be caused by a fracture due to osteoporosis.Close
Hearing the crack is highly suggestive the bone has fractured. But the trauma is very minor, so you have to be suspicious something else is going on too.Close