When Walking Funny Is Not Funny - Page #3
 

Lab Studies:
Complete blood count: normal <br>Complete metabolic panel: anion gap metabolic acidosis <br>C-reactive protein: 3.4 mg/dl <br>Erythrocyte sedimentation rate: 50 mm <br>Creatine kinase: normal <br>Urinalysis: unremarkable

Other Studies:
Anteroposterior pelvis x-ray and lateral sacrum/coccyx x-ray: no acute fracture or dislocation <br> <a href="CaseStudyImages/CS1WhenWalkingFunnyI-1181.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <a href="CaseStudyImages/CS2CS1WhenWalkingFun-1181.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br> <br>Magnetic resonance imaging of the entire spine with and without intravenous contrast: large right presacral, partially necrotic mass 4.8 cm x 6.2 cm x 5.6 cm at the anterior right S1 vertebral body with caudal extension to the coccyx and invasion of the right sacrum, right sacral neural foramina and encasement of the right internal iliac artery <br> <a href="CaseStudyImages/CS3CS2CS1WhenWalking-1181.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <br>Magnetic resonance imaging of lumbar spine, sagittal view, STIR <br> <br> <a href="CaseStudyImages/CS4CS3CS2CS1WhenWalk-1181.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <br>Magnetic resonance imaging of S1, axial view, T1 post

Consultations:
Pediatric oncology, orthopedics, neurology

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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