Atypical Presentation Of An Uncommon Cause Of Lower Leg Pain

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Atypical Presentation Of An Uncommon Cause Of Lower Leg Pain - Page #3

Lab Studies: White Blood Cell Count - 6.2 <br>Sedimentation Rate - 19 <br>C-Reactive Protein - 3.1 Other Studies: X-ray of tibia and fibula <a href="CaseStudyImages/CS1AtypicalPresentat-888.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1AtypicalPresen-888.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> - periosteal reaction of the proximal fibula <br> Point-of-care Ultrasound <a href="CaseStudyImages/CS3CS2CS1AtypicalPre-888.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> - heterogenous but predominantly hypoechoic area of swelling with positive flow on color doppler near proximal fibula <br> MRI of tibia and fibula with and without contrast <a href="CaseStudyImages/CS4CS3CS2CS1Atypical-888.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <a href="CaseStudyImages/CS5CS4CS3CS2CS1Atypi-888.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1At-888.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> - progressive osteitis of proximal fibula with enhancing periosteal component and extensive surrounding soft tissue edema suggests osteomyelitis, however cannot exclude sarcoma <br>Fibula biopsy - fragments of reactive bone and focal spindle cell proliferation compatible with myositis ossificans. Consultations: Orthopedics and Hematology/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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