Shoulder Pain In Drummer

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Shoulder Pain In Drummer - Page #3

Lab Studies: WBC 12.4 (76% segs, 11% lymphs). BMP WNL. ESR 85, CRP 14.5. <br>Arthroscopic cell count 24,293 WBCs with 100 percent seg predominance. <br>Microscopic evaluation <a href="CaseStudyImages/CS1ShoulderPaininDru-835.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>Culture grew 4+ Hyaline Mold and negative acid-fast bacilli testing. CSF within normal limits. Coccidioides IgM and IgG was positive. B-D Glucan and Histo Ag were negative. Autoimmune workup including ANA, Ds-DNA ab, C3/C4 was within normal limits. HIV, Hepatitis panel, and syphilis screen was nonreactive. Other Studies: CT Thorax with abdomen/pelvis without contrast demonstrated Lytic lesions diffusely along the spine, ribs, pelvic girdle with involvement of bilateral Psoas muscles. Gas in the left shoulder consistent with recent incision and drainage. <a href="CaseStudyImages/CS2CS1ShoulderPainin-835.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> Consultations: Infectious disease, Orthopedics Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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