Acute Atraumatic Knee Effusion In A College Basketball Player

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Acute Atraumatic Knee Effusion In A College Basketball Player - Page #3

Lab Studies: WBC 4500/µL, ESR 34 mm/hr, CRP of 2.4 mg/dL. Joint aspiration yielded 120 mL of a cloudy yellow fluid with 24,200 nucleated cells/mm3 with 89% neutrophils, 2000 RBCs/mm3, no crystals, and a negative culture. Other Studies: Knee radiographs showed a large joint effusion, normal joint spaces and bones and otherwise negative. Knee MRI showed a moderate-to-large joint effusion with frond-like fatty tissue in the anterolateral knee; synovial proliferation or scarring; and intact menisci, ligaments, and tendons Case Photo #1 Case Photo #2 . Photo 1: MRI T2 FS axial image of knee at level of superior patella showing the effusion, frond-like fatty tissue at the superolateral patellar pouch. Photo 2: MRI T2 FS sagittal image of knee at lateral side of knee showing the effusion, frond-like fatty tissue at the superolateral patellar pouch. Consultations: He was referred to orthopedic surgery. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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