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

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.

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

Website created by the computer geek