64 Y/o Male Recreational Tennis Player With Shoulder And Chest Pain, Fever, And Weakness

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64 Y/o Male Recreational Tennis Player With Shoulder And Chest Pain, Fever, And Weakness - Page #3

Lab Studies: WBC 21,000 with 96% PMNs and 30% Bands, Creatinine 1.6, Lactate 1.2. CBC and CMP otherwise within normal limits. Other Studies: Shoulder Series X-Rays â€“ Osteoarthtitis for glenohumeral and acromioclavicular joints without fracture or dislocation Chest X-ray â€“ No acute cardiopulmonary process. No subcutaneous air. CT Neck Large inflammatory change centered at the right sternoclavicular joint likely representing septic arthritis with adjacent phlegmon. Case Photo #1 CT Neck & Chest with Contrast Right sternoclavicular (SC) septic arthritis with several fluid collections, most prominent posterior to the right SC joint, the largest measuring 2.3 x 2.1 cm. The right subclavian vein is compressed at the first rib but is patent. Case Photo #2 , Case Photo #3 , Case Photo #4 , Case Photo #5 Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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