When Lower Back Pain Is Not Just A Muscle Strain In A College Golfer

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When Lower Back Pain Is Not Just A Muscle Strain In A College Golfer - Page #3

Lab Studies: CBC: WBC 9.09, Hgb 11.8, Hct 36.3, platelets 327 Iron studies: Iron 35, TIBC 261, percent saturation 13, unsaturated iron binding 226, ferritin 37.7 CMP: unremarkable, BUN 12, creatinine 0.9, eGFR 85 Beta-hCG: negative Urinalysis: clear, pH 6, small occult blood, negative for protein, glucose, ketones, nitrites, leukocyte esterase, no bacteria, ascorbic acid, urine culture not indicated Stool occult blood: negative 24-hour urine collection: unremarkable Other Studies: CT abdomen and pelvis with and without contrast: severe left hydronephrosis with ureteropelvic junction (UPJ) obstruction without apparent stone or mass. An adjacent lower pole renal vein may cross over the ureter but hard to tell. Delayed excretion prevents enhancement of the collecting system and ureter. Renal ultrasound: moderate-severe left hydronephrosis. Case Photo #1 Lasix-challenged renal scintigraphy: severe function asymmetry between kidneys with no evidence of significant function contribution by the left kidney in the 30-minute study. Case Photo #2 Consultations: Urology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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