Case:Leg Pain 001: Difference between revisions
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He does not have any current back pain. He has also been getting dystonia in the bilateral hands and fingers over the past few months. He has had an intentional weight loss of 10kg | He does not have any current back pain. He has also been getting dystonia in the bilateral hands and fingers over the past few months. He has had an intentional weight loss of 10kg | ||
'''PMHx''' | '''PMHx''' | ||
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=Imaging 1= | =Imaging 1= | ||
The referring doctor previously organised the below x-ray of his pelvis and hips | |||
<gallery mode=packed heights=250px> | |||
File:Leg pain case 001 pelvis AP.png | |||
File:Leg pain case 001 L hip lateral.png | |||
</gallery> | |||
{{Collapsible textbox | |||
|title=Pelvis and Left Hip Radiograph Report | |||
|text= There is slight cartilage space narrowing posteromedially in both hips not associated with any marginal spur formation. Cartilage space is preserved superiorly. Remainder of the bony pelvis and the sacroiliac joints are normal. | |||
}} | |||
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=Imaging 2= | |||
You refer him for an MRI of his lumbar spine to query spinal stenosis | You refer him for an MRI of his lumbar spine to query spinal stenosis | ||
<gallery mode=packed heights= | <gallery mode=packed heights=350px> | ||
File:Leg pain case 001 MRI Lumbar Spine Sagittal Median.jpg|Sagittal Median | File:Leg pain case 001 MRI Lumbar Spine Sagittal Median.jpg|Sagittal Median | ||
File:Leg pain case 001 MRI Lumbar Spine Sagittal Paramedian.jpg|Sagittal Paramedian left | File:Leg pain case 001 MRI Lumbar Spine Sagittal Paramedian.jpg|Sagittal Paramedian left | ||
File:Leg pain case 001 MRI Lumbar L4-5 Transarticular.jpg|L4-5 Transarticular | File:Leg pain case 001 MRI Lumbar L4-5 Transarticular.jpg|L4-5 Transarticular | ||
</gallery> | </gallery> | ||
{{Collapsible textbox | {{Collapsible textbox | ||
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*left ABPI: 0.78 (symptomatic side) | *left ABPI: 0.78 (symptomatic side) | ||
=Imaging | =Imaging 3= | ||
You refer him to vascular surgery who organise an MRI angiogram | You refer him to vascular surgery who organise an MRI angiogram | ||
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=Management= | =Management= | ||
Left distal CIA stenosis treated with 8mm Shockwave IVL and 9 x 59 Omnilink | Left distal CIA stenosis treated with 8mm Shockwave IVL and 9 x 59 Omnilink Elite stent | ||
Elite stent | |||
He is doing much better | |||
{{Header tabs}} | {{Header tabs}} | ||
[[Category:Case Histories]] | [[Category:Case Histories]] |