Journals on Biomedical Imaging - BJSTR Journal

Abstract

A 30-year-old #Ethiopian female presented to the emergency department with intermittent worsening left lower quadrant pain and bilateral upper extremity pain. Past medical history is significant for sickle cell #anemia. Physical exam including vital signs were unremarkable except for tenderness to palpation in bilateral upper extremity and left lower quadrant (posterior greater than anterior). Complete blood count revealed only mild anemia (Hemoglobin 10.1 mg/dL), but was otherwise unremarkable, as was the comprehensive metabolic panel. #Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were elevated at 71 mm/hr and 12.3mg/L.A 30-year-old Ethiopian female presented to the emergency department with intermittent worsening left lower quadrant pain and bilateral upper #extremity pain. Physical exam including vital signs were unremarkable except for tenderness to palpation in bilateral upper extremity and left lower quadrant (posterior greater than anterior). Complete blood count revealed only mild anemia (Hemoglobin 10.1 mg/dL), but was otherwise unremarkable, as was the comprehensive metabolic panel. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were elevated at 71 mm/hr and 12.3mg/L. The patient did not have #hemoglobinuria, avascular #necrosis, #splenic infarcts, and significant drop in her hemoglobin/ hematocrit, or other non-osseous stigmata to suggest this process could be from acute on chronic bone infarct in this patient with history of sickle cell anemia. Past medical history is significant for sickle cell anemia. Patient had normal LDH, no leukopenia/lymphopenia and no clinical signs.

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Imaging Spectrum of Chronic Recurrent Multifocal Osteomyelitis Case Report: An Unusual Cause of Episodic Pain by Ammar Chaudhry in BJSTR