Fitness Instructor With More Than Just A Crick In The Neck: When Pt Is Not The Only Answer

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Fitness Instructor With More Than Just A Crick In The Neck: When Pt Is Not The Only Answer - Page #3

Lab Studies: WBC 10.22, HGB 10.2 (L), HCT 31.9 (L), PLT 337 <br>Na 144, K 3.7, Cl 101, CO2 28, BUN 18, Cr 0.79, Gluc 63 <br>AST 16, ALT 24, ALK Phos 160, TBili 0.2 <br>Lactate 1.2 <br>ESR 59 (H), CRP 6.1 (H) Other Studies: Xray from ED showed degenerative disc disease at C5-6, C6-7 <a href="CaseStudyImages/CS1FitnessInstructor-1068.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <br>MRI Ordered from clinic showed significant edema in C6-7 in both vertebral bodies, fluid collection in the disc space extending anteriorly and tracking cranial and caudal from C5-T1 deep to anterior longitudinal ligament and to a lesser degree posteriorly along the posterior longitudinal ligament. <br>Cystic erosive change in both end plates anteriorly resulting in a focal wedging. Highly concerning for discitis osteomyelitis <a href="CaseStudyImages/CS2CS1FitnessInstruc-1068.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1FitnessInst-1068.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> Consultations: Neurosurgery consulted based off of MRI findings when patient admitted to the hospital Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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