Semi-pro Soccer Struggle

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Semi-pro Soccer Struggle - Page #3

Lab Studies: None Other Studies: Point-of-care ultrasound performed with a 15-6 megahertz linear probe showed no accessory muscle slips or abnormal pathway of the popliteal artery or vein through the gastrocnemius. Bilateral popliteal artery compression with isometric plantarflexion was observed. Case Photo #1 Case Photo #2 Nerve Conduction Studies & Electromyography: normal. No tibial or peroneal mononeuropathies noted, nor any L4-S1 radiculopathies. Exertional Ankle/Brachial Indices: Moderate peripheral vascular occlusive disease bilaterally post-exercise. Magnetic resonance angiogram without and with contrast: No evidence of popliteal entrapment. Diagnostic angiogram: Widely patent common femoral, profunda femoris, and popliteal arteries bilaterally at rest. With active plantarflexion, there was complete cessation of flow of the left popliteal artery and severe narrowing on the right. Case Photo #3 Case Photo #4 Consultations: Vascular Surgery, who performed the magnetic resonance angiogram and diagnostic angiogram. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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