Fitness Instructor With More Than Just A Crick In The Neck: When Pt Is Not The Only Answer

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Fitness Instructor With More Than Just A Crick In The Neck: When Pt Is Not The Only Answer - Page #3

Lab Studies: WBC 10.22, HGB 10.2 (L), HCT 31.9 (L), PLT 337 Na 144, K 3.7, Cl 101, CO2 28, BUN 18, Cr 0.79, Gluc 63 AST 16, ALT 24, ALK Phos 160, TBili 0.2 Lactate 1.2 ESR 59 (H), CRP 6.1 (H) Other Studies: Xray from ED showed degenerative disc disease at C5-6, C6-7 Case Photo #1 MRI Ordered from clinic showed significant edema in C6-7 in both vertebral bodies, fluid collection in the disc space extending anteriorly and tracking cranial and caudal from C5-T1 deep to anterior longitudinal ligament and to a lesser degree posteriorly along the posterior longitudinal ligament. Cystic erosive change in both end plates anteriorly resulting in a focal wedging. Highly concerning for discitis osteomyelitis Case Photo #2 Case Photo #3 Consultations: Neurosurgery consulted based off of MRI findings when patient admitted to the hospital Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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