Acute Traumatic Knee Pain: A Case Of An Unexpected Incidental Finding

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Acute Traumatic Knee Pain: A Case Of An Unexpected Incidental Finding - Page #3

Lab Studies: Complete blood count was significant for a leukocytosis of 237,000. The peripheral blood smear showed increased white blood cells and increased blasts. Bone marrow biopsy showed a Philadelphia translocation between chromosomes 9 and 22. Other Studies: Limited bedside knee ultrasound: Diffuse enlargement and heterogeneity of the distal quadriceps musculature. No knee effusion. Normal appearing quadriceps and patellar tendons. Knee X-ray: No acute fracture. Normal anatomical alignment. Mild soft tissue prominence along the medial joint line. Knee MRI: Diffuse marrow signal abnormality with near complete loss of normal T1 marrow signal Case Photo #1 and increased STIR signal abnormality Case Photo #2 . High-grade near-complete tear of the medial collateral ligament at the femoral attachment. Case Photo #3 Consultations: Hematology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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