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 Hgb 10.4 Hct 33.9 MCV 57.2 MCH 17.5 MCHC 30.7 WBC 8.33 CRP normal < 0.40 ESR elevated at 73.0 Other Studies: X-ray of the right ankle was unremarkable. Case Photo #1 X-ray of the right knee showed salter-harris II fracture of the proximal tibia physis. Case Photo #2 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. Case Photo #3 Case Photo #4 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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