Discrete Unilateral Abdominal Wall Pain In A Cross-country Runner Case Study

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Discrete Unilateral Abdominal Wall Pain In A Cross-country Runner Case Study - Page #3

Lab Studies: Complete blood count, complete metabolic panel, hepatic function tests, lipase, urine pregnancy test, thyroid stimulating hormone, and free thyroxine were all within normal limits. Other Studies: Pelvis ultrasound, CT abdomen/pelvis, MRI abdomen/pelvis and MRI total spine were performed and showed no evidence of acute pathology. The patient underwent a diagnostic ultrasound in clinic which revealed signs of anterior cutaneous nerve entrapment, including hourglass narrowing, loss of echotexture and enlargement of the nerve at the level of entrapment. Ultrasound images included below demonstrate the difference in cross sectional area between the left and right anterior abdominal cutaneous nerve, respectively; note the slight variation in the course of the nerve as it traverses the fibrous band within the rectus abdominis. Case Photo #1 , Case Photo #2 Consultations: Consultations included Pediatric Neurosurgery, Pediatric Pain Medicine, Physical Medicine and Rehabilitation, Pediatric Plastic 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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