When Bone Turns To Jello

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When Bone Turns To Jello - Page #3

Lab Studies: CBC (complete blood count), ESR (erythrocyte sedimentation rate), TSH (thyroid stimulating hormone), Iron studies, and Vitamin D were all within normal limits CMP (Complete metabolic panel) revealed albumin 5.3 (high), but otherwise was within normal limits Other Studies: Xray left hip, femur, knee: no acute fractures MR left thigh without contrast at outside hospital: no stress fracture however +T2 elongated signal in distal femur without periostitis was noted Case Photo #1 MR left thigh without contrast on re-read: findings were compatible with gelatinous translation of the bone marrow. Correlate clinically with malnutrition DEXA scan: lowest Z score -0.8 at lumbar spine Consultations: In the setting of a reassuring CBC (complete blood count) and known malnutrition, a Hematology consultation did not recommend further bone marrow evaluation unless she failed to respond to nutritional optimization. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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