Arm Pain In An Adolescent Tennis Player

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Arm Pain In An Adolescent Tennis Player - Page #3

Lab Studies: Bone biopsy of left humeral lesion revealed increased plasma cells consistent with chronic recurrent multifocal osteomyelitis. There was no evidence of sarcoma or neoplasm. No acute osteomyelitis or osteonecrosis noted. Special stains for bacterial and fungal organisms were negative as well. Other Studies: An X-ray was ordered during the initial visit and revealed a periosteal reaction of the left humerus. Case Photo #1 Due to this concerning radiographic finding a STAT MRI of the left humerus was then ordered. Case Photo #2 It was significant for an intramedullary lesion in the proximal diaphysis with surrounding periosteal reaction. Consultations: ased on the imaging findings a referral to orthopedic oncology was placed, who in return recommended a bone biopsy of the lesion. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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