AMSSM Home
AMSSM On FaceBook AMSSM On Twitter AMSSM On Linkedin
 

Chronic Bilateral Exertional Lower Leg Pain And Fatigue In A 16-year-old Soccer Player - Page #3
 

Lab Studies:
CBC, CMP, UA, Lyme, Vit D, and ESR normal/negative
C-reactive protein 6.2mg/L (0.0-4.9)
TSH 131.100 uIU/mL (0.450-4.500), Free T4 0.19mg/dL (0.93-1.60), Thyroid Peroxidase (TPO) antibody 329 IU/mL (0-26)

Other Studies:
MRI calves: No stress fracture
Left Anterior Compartment Pressure Pre-Exercise: 16 mmHg
Left Anterior Compartment Pressure Post-Exercise: 50 mmHg
Right Anterior Compartment Pressure Pre-Exercise:21 mmHg
Right Anterior Compartment Pressure Post-Exercise: 48 mmHg
Left Deep Posterior Compartment Pressure Pre-Exercise: 25 mmHg
Left Deep Posterior Compartment Pressure Post-Exercise: 61 mmHg
Right Deep Posterior Compartment Pressure Pre-Exercise: 24 mmHg
Right Deep Posterior Compartment Pressure Post-Exercise: 30 mmHg
Left Lateral Compartment Pressure Pre-Exercise: 22 mmHg
Left Lateral Compartment Pressure Post-Exercise: 25 mmHg
Right Lateral Compartment Pressure Pre-Exercise: 17 mmHg
Right Lateral Compartment Pressure Post-Exercise: 26 mmHg
Left Superficial Posterior Compartment Pre-Exercise: 17 mmHg
Left Superficial Posterior Compartment Post-Exercise: 37 mmHg
Right Superficial Posterior Compartment Pre-Exercise: 13 mmHg
Right Superficial Posterior Compartment Post-Exercise: 25 mmHg

Consultations:
She was seen by the clinical director of the division of Endocrinology at CHOP and started on synthroid. Based on the duration of her fatigue and laboratory findings, she was thought to have had severe, undiagnosed hypothyroidism for approximately a year.

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.
 

UPCOMING EVENTS

DECEMBER 2024
12/10-12/12/2024
2024 Advanced Team Physician Course

_________________________________
JANUARY 2025
1/10-1/12/2025
2025 AMSSM/South Bend Sports US

_________________________________
FEBRUARY 2025
2/01-2/18/2025
2025 Fellows In Training Exam
Registration Opens 2/15/2025

_________________________________
APRIL 2025
4/22-4/25/2025
2025 AMSSM Annual Meeting
Registration opens in late January 2025

FIND A SPORTS DOC

Please enter a search term relevant to the search type. For US States - use only letter abbreviations.

Choose Search Type

Zip Code: 

 Choose Search Radius: 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek