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10271 Medicine

A 36-year-old woman with sickle cell disease presents with increasing pain in her right hip. She has no fever, chills, back or other bone pain, and there is no history of any trauma.On examination, her temperature is 37.3degC, range of motion in the right hip is reduced, she walks with a limp, and the right leg is shorter than the left. Movements of the hip and walking on it are painful. X-rays of the hip are shown in Figure below. Which of the following is the most likely diagnosis?

Aavascular necrosis (AVN) of the femoral head
Bosteomyelitis
Chip fracture
Dseptic arthritis
Medicine
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