Running The Distance For A Diagnosis

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Running The Distance For A Diagnosis - Page #3

Other Studies: XR for lumbar spine, foot, hip, tib/fib: normal LS MRI: showed mild L5-S1 bilateral facet arthropathy w/o canal or foraminal stenosis. EMG/NCS: normal LLE Bilateral ABI US: normal. CTA AA: large parauterine veins (L>R). L ovarian vein enlarged indicative of pelvic congestion syndrome. 3 vessel runoff was normal bilaterally w/ no acute findings in abdomen or pelvis. Case Photo #1 Lower extremity duplex US: showed decreased flow in L common iliac vein due to compression by R common iliac artery. Negative for DVT. Case Photo #2 Case Photo #3 Case Photo #4 Case Photo #5 Consultations: Worsening symptoms with exercise hinted at exertional compartment syndrome, but Orthopedics consult did not feel her symptoms were consistent. A diagnosis of pelvic congestion syndrome was made on CT, but OB-GYN was consulted and did not believe it was the cause of the patient's LLE symptoms. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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