The Limping Adolescent

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The Limping Adolescent - Page #3

Lab Studies: Xray hip and pelvis: Normal Case Photo #5 Case Photo #6 Sedimentation Rate(ESR), CRP, CBC: WNL MRI Hip: Regional abnormal bone marrow signal intensity/marrow replacement within the right ilium, encompassing a region measuring about 5.3 cm AP x 4.6 cm proximal-distal x 1.3 cm transverse dimensions, along the iliac side of the sacroiliac joint. The finding is concerning for malignant neoplasia/marrow replacement Case Photo #7 Case Photo #8 . Other Studies: Whole Body MRI: Improvement of previously identified lesions within the left proximal femur and posterior right ilium. Two new lesions within the anterior right ilium, right proximal femur and left ilium. Case Photo #9 Consultations: Orthopedic Oncology: Neg Aerobic and Anaerobic Cultures, Neg Fungal Cultures, Neg Pathology Pediatric Infectious Disease: Neg Cultures/Blood work Pediatric Rheumatology: Management Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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