Uncomplicated Shoulder Pain Becomes Complicated

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Uncomplicated Shoulder Pain Becomes Complicated - Page #3

Lab Studies: - Joint fluid aspirate: thick and purulent (WBC 73,870, 87% PMN) - Aspirate Culture: MSSA - WBC: 4.9 - CRP: 22.2 - ESR: 42 Other Studies: - X-ray left shoulder: No acute fracture or dislocation. - MRI of left shoulder W/O contrast: Very large joint effusion. Supraspinatus tendon strain with partial-thickness articular sided tearing extending longitudinally along the articular surface of the tendon involving up to 50% tendon thickness. Concern for a tear over the sublabral foramen. Bone contusion on the superior humeral head. No overlying chondral defect. Consultations: Infectious Disease Orthopedic Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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