When A Bike Ride Takes A Wrong Turn

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When A Bike Ride Takes A Wrong Turn - Page #3

Lab Studies: RBC 5.93 <br>Hgb 10.4 <br>Hct 33.9 <br>MCV 57.2 <br>MCH 17.5 <br>MCHC 30.7 <br> <br>WBC 8.33 <br>CRP normal < 0.40 <br>ESR elevated at 73.0 Other Studies: X-ray of the right ankle was unremarkable. <a href="CaseStudyImages/CS1Whenabikeridetake-881.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> X-ray of the right knee showed salter-harris II fracture of the proximal tibia physis. <a href="CaseStudyImages/CS2Whenabikeridetake-881.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> MRI of the right knee showed pathologic salter-harris II fracture of the proximal tibia physis with contrast-enhancing lesions in the poster-lateral proximal tibia. <a href="CaseStudyImages/CS3CS2Whenabikeridet-881.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <a href="CaseStudyImages/CS4CS3CS2Whenabikeri-881.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <br> <br>Bilateral iliac crest bone marrow biopsy showed increased lymphoid lineage blasts (9.0%) showing aberrant antigen expression of bright CD34 and CD10, moderate CD19, CD22, cCD22, CD38 and cTdT, dim to moderate HLA-DR and negative for CD45 is identified. Consultations: Pediatric oncology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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