A Real Pain In The Butt

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A Real Pain In The Butt - Page #3

Lab Studies: WBC: 10,000 ESR: 76 CRP: 2.78 Blood Cultures- No growth Other Studies: X-ray Hips bilateral Frog leg Case Photo #1 : No bony or soft tissue abnormally evident on these oblique views. Femoral heads symmetric in size and density. No destructive or sclerotic lesions. MRI Pelvis W/O: Left sacroiliac joint septic arthritis with adjacent osteomyelitis. Significant soft tissue inflammation including several fluid collections compatible with abscesses in the region of/behind the iliopsoas musculature and also in left pelvic sidewall Case Photo #2 , Case Photo #3 . Culture from CT guided abscess aspiration: methicillin resistant staph aureus Consultations: Infectious Disease Interventional Radiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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