The Limping Adolescent

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The Limping Adolescent - Page #3

Lab Studies: Xray hip and pelvis: Normal <a href="CaseStudyImages/CS5TheLimpingAdolesc-699.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> <a href="CaseStudyImages/CS6CS5TheLimpingAdol-699.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> <br> <br>Sedimentation Rate(ESR), CRP, CBC: WNL <br> <br>MRI Hip: Regional abnormal bone marrow signal intensity/marrow replacement within the right ilium, encompassing a region measuring about 5.3 cm AP x 4.6 cm proximal-distal x 1.3 cm transverse dimensions, along the iliac side of the sacroiliac joint. The finding is concerning for malignant neoplasia/marrow replacement <a href="CaseStudyImages/CS7CS6CS5TheLimpingA-699.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> <a href="CaseStudyImages/CS8TheLimpingAdolesc-699.jpg" title="Case Photo #8" data-lity><b>Case Photo #8</b></a> . Other Studies: Whole Body MRI: Improvement of previously identified lesions within the left proximal femur and posterior right ilium. Two new lesions within the anterior right ilium, right proximal femur and left ilium. <a href="CaseStudyImages/CS9CS8TheLimpingAdol-699.jpg" title="Case Photo #9" data-lity><b>Case Photo #9</b></a> Consultations: Orthopedic Oncology: Neg Aerobic and Anaerobic Cultures, Neg Fungal Cultures, Neg Pathology <br>Pediatric Infectious Disease: Neg Cultures/Blood work <br>Pediatric Rheumatology: Management Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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