64 Y/o Male Recreational Tennis Player With Shoulder And Chest Pain, Fever, And Weakness

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64 Y/o Male Recreational Tennis Player With Shoulder And Chest Pain, Fever, And Weakness - Page #3

Lab Studies: WBC 21,000 with 96% PMNs and 30% Bands, Creatinine 1.6, Lactate 1.2. CBC and CMP otherwise within normal limits. Other Studies: Shoulder Series X-Rays â€“ Osteoarthtitis for glenohumeral and acromioclavicular joints without fracture or dislocation <br> <br>Chest X-ray â€“ No acute cardiopulmonary process. No subcutaneous air. <br> <br>CT Neck <br>Large inflammatory change centered at the right sternoclavicular joint likely representing septic arthritis with adjacent phlegmon. <a href="CaseStudyImages/CS164yomalerecreatio-109.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <br>CT Neck & Chest with Contrast <br>Right sternoclavicular (SC) septic arthritis with several fluid collections, most prominent posterior to the right SC joint, the largest measuring 2.3 x 2.1 cm. The right subclavian vein is compressed at the first rib but is patent. <a href="CaseStudyImages/CS2CS164yomalerecrea-109.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> , <a href="CaseStudyImages/CS3CS2CS164yomalerec-109.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> , <a href="CaseStudyImages/CS4CS3CS2CS164yomale-109.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> , <a href="CaseStudyImages/CS5CS4CS3CS2CS164yom-109.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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