20-year-old Female Cross Country Runner Presenting With Exertional Right Thigh Pain

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20-year-old Female Cross Country Runner Presenting With Exertional Right Thigh Pain - Page #3

Lab Studies: None Other Studies: Abdominal doppler study of Aorta/Inferior vena cava/Iliac: Very mild proximal external iliac artery stenosis with velocity ratio of 2.4 (suggestive of >50% stenosis). Case Photo #1 . Case Photo #2 . CT Angiogram Abdomen/Aorta with Runoff: “Mild to moderate stenosis of the proximal external iliac artery. No aneurysm. All other vessels normal.” Case Photo #3 . Ankle Brachial Index:Right 1.14 and Left 1.19 (Normal at rest). Right 0.96 and Left 1.2 (With exercise) (15% drop is significant). Consultations: Interventional Cardiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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