The Hidden Cost Of Muscle Mass

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The Hidden Cost Of Muscle Mass - Page #3

Lab Studies: Labs were notable for an elevated D-dimer of 5.47, potassium of 5.0, BUN/Cr ratio of 19/1.35, CPK of 552, CRP of 24.2, hemoglobin of 8.6, WBC of 15.7, platelets of 687, and Testosterone level of 5,323. Respiratory viral panel, blood cultures, AFP, CA 15-3, and CEA were all negative. Other Studies: EKG demonstrated rightward axis and incomplete right bundle branch block. Echo found an EF of 60-65%, normal LV wall motion, moderate concentric LV hypertrophy, and mild to moderate dilation of the RV. Chest X-ray was notable for right pleural effusion, ill-defined airspace opacity in the left upper and mid lung zones, possibly an infectious/inflammatory process, cannot exclude neoplasm. <a href="CaseStudyImages/CS1TheHiddenCostofMu-1307.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> CTA chest with contrast demonstrated 5.6cm x 5.4 mass causing severe narrowing of left upper lobe segmental pulmonary artery branches, as well as nodules. <a href="CaseStudyImages/CS2CS1TheHiddenCosto-1307.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> Thoracentesis was performed, and pleural fluid cultures were negative for growth, and cytology was negative for malignancy. Repeat CT chest with contrast done 11 days later showed a decrease in mass to 3.3 x 2.7 cm. <a href="CaseStudyImages/CS3CS2CS1TheHiddenCo-1307.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> Consultations: Pulmonology <br>Endocrinology <br>Psychiatry Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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