Ent With Knee Pain - Page #3
 

Lab Studies:
WBC 5.5
Uric Acid 5.0
ESR 6
CRP 0.1
Lyme Antibody ELISA 1.95
RF < 10
ANA Positive 1:160
B. Burgdorferi Immunoblot IgG negative, IgM positive
C6 Peptide for Lyme 3.26

Other Studies:
Left Knee X-rays: no osseous abnormality Case Photo #5
Left knee MRI: Moderate Baker's cyst and synovial thickening within the knee joint. Findings are nonspecific but may relate to mild inflammatory changes Case Photo #2 Case Photo #3 Case Photo #4

Consultations:
Infectious Disease - suspected Lyme Arthritis of Left knee and recommended Doxycycline 100mg BID x 28 days.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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