Leg Pain, More Than Just A Strain - Page #3
 

Lab Studies:
Normal: CMP, Lipid panel
Negative B-HCG
CBC: WBC 9.8, Hgb 11.7, Hct 35.2, Plt 212, normal differential
Protein S Activity 52
Protein S Antigen 133
Free Protein S Antigen 60
Antithrombin III 92
Prothrombin Mutation negative
Factor V Leiden negative

Other Studies:
X-ray: evidence of cam type impingement and flattening of superior acetabulum.
Doppler u/s LLE: thrombus in left common femoral vein and greater saphenous vein with occlusion
Left LE venogram: occlusive thrombus from origin of left common iliac vein through popliteal vein and short segment of stenosis involving left common iliac vein Photo 1, Photo 2

Consultations:
Hematology/Oncology
Interventional Radiology

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, 11639 Earnshaw, Overland Park, KS 66210, (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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