When Walking Funny Is Not Funny

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When Walking Funny Is Not Funny - Page #3

Lab Studies: Complete blood count: normal Complete metabolic panel: anion gap metabolic acidosis C-reactive protein: 3.4 mg/dl Erythrocyte sedimentation rate: 50 mm Creatine kinase: normal Urinalysis: unremarkable Other Studies: Anteroposterior pelvis x-ray and lateral sacrum/coccyx x-ray: no acute fracture or dislocation Case Photo #1 Case Photo #2 Magnetic resonance imaging of the entire spine with and without intravenous contrast: large right presacral, partially necrotic mass 4.8 cm x 6.2 cm x 5.6 cm at the anterior right S1 vertebral body with caudal extension to the coccyx and invasion of the right sacrum, right sacral neural foramina and encasement of the right internal iliac artery Case Photo #3 Magnetic resonance imaging of lumbar spine, sagittal view, STIR Case Photo #4 Magnetic resonance imaging of S1, axial view, T1 post Consultations: Pediatric oncology, orthopedics, neurology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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