Shoulder Pain In A 25 Year Old Female Following An Influenza Vaccination - Page #3

Lab Studies:
Her CBC showed elevated WBC of 14.2 with 8.7 PMN, otherwise normal. The SED rate was normal, CRP was elevated at 13.8, and blood cultures showed no growth.

Other Studies:
The AP and outlet X-ray images of the left shoulder were normal. An MRI of left shoulder was obtained due to severe pain. This showed localized non-specific humeral edema of the greater tuberosity with no internal derangement or tearing/inflammation of the rotator cuff musculature. Case Photo #1 Case Photo #2 Case Photo #3

The case was reviewed with infectious disease due to concern for possible osteomyelitis. They recommended not starting antibiotics since the patient was afebrile and blood cultures were negative.

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

Website created by the computer geek