Ankle Pain In A Street Hockey Player

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Ankle Pain In A Street Hockey Player - Page #3

Lab Studies: X-Rays: Initial Case Photo #1 : Minimal lateral soft tissue swelling. Triangular lucency at the distal fibular metaphysis. Two months later Case Photo #2 : Increase in size of lucency in the distal metaphysis with new linear periostitis. MRI,: Enhancing lesion at the distal fibula with evidence of Brodie’s abscess superior to the distal fibular physis, as well as a possible chronic infection. Bones Scan Case Photo #6 , Case Photo #7 : Linear uptake in the distal right fibula. CT-Guided Bone Biopsy Case Photo #8 ,: Osteolytic lesion of the distal fibula. Sterile Biopsy Results: Escherichia Coli - Ciprofloxacin (sensitive) Klebsiella oxytoca – Ciprofloxacin (sensitive) Klebsiella pneumoniae – Ciprofloxacin (sensitive) Shigella sonnei (subgroup D) – Ciprofloxacin (sensitive) Other Studies: Admission Labs: WBC: 4.47 ESR: 9 CRP: 0.8 ANA: +1:160 (nucleolar pattern) Stool Culture - Negative HIV- negative Consultations: Infectious Disease Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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