The Man With Migratory Pains

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The Man With Migratory Pains - Page #3

Lab Studies: Urine Chlamydia trachomatis NAAT: Positive Blood ANA: Positive at 1:80 titer; CCP: Negative; RF: Negative A knee arthrocentesis yielded 94 mLs of cloudy straw-colored aspirate. Cell count: 10,000 WBC. Crystal analysis: Negative; Gram stain/culture: Negative Other Studies: Left knee radiographs, 4-views: An osteochondral lesion measuring up to 1.2 cm was noted of the lateral trochlea and lateral femoral condyle region. A moderate to large joint effusion was present. Case Photo #1 Case Photo #2 Case Photo #3 Case Photo #4 Left Knee MRI: A large joint effusion was present with an impacted osteochondral fracture/defect (OCD) at the lateral trochlea, along with sprains of MCL and LCL. Case Photo #5 Case Photo #6 Case Photo #7 Consultations: None Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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