An Uncommon Cause Of Chronic Knee And Hip Pain In A Refugee Patient

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An Uncommon Cause Of Chronic Knee And Hip Pain In A Refugee Patient - Page #3

Lab Studies: None performed Other Studies: X-Ray: 2+ view radiographs of left knee, ankle, foot demonstrated osteoporotic bones with no acute osseous abnormalities Case Photo #1 , Case Photo #2 , Case Photo #3 , Case Photo #4 , Case Photo #5 , Case Photo #6 Magnetic Resonance Imaging: lumbosacral MRI ordered but not performed. Electromyography: Study limited as patient declined needle exam. Left lower extremity with absent nerve conduction responses in the bilateral tibial motor fibers and left peroneal motor fibers. Right peroneal motor fiber conduction responses were spared. Bilateral sural sensory conduction responses within normal limits. Results suggest lesion prior to dorsal root ganglion, and are potentially consistent with post-polio syndrome Case Photo #7 Case Photo #8 Consultations: Orthopedic Surgery and Physical Medicine and Rehabilitation Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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