Difference between revisions of "WSI23-111-Case-18"
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|performer=RMN6 | |performer=RMN6 | ||
| − | |reasonCode=Case #18 - The patient is a 62-year-old female with past medical history significant for obesity, type II diabetes mellitus, severe aortic stenosis, atrial fibrillation on warfarin, peripheral vascular disease, and end-stage renal disease on hemodialysis. She has had progressive ulcerated skin lesions of the groin which now involve her lower extremity. She endorses severe pain. Relevant laboratory results: Creatinine 7.04 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.4 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 5.6 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 504 pg/mL (reference interval 10-60 pg/mL). On exam, there are multiple wounds involving lower extremity and abdomen, some with black eschar and some with foul-smelling discharge (see clinical photograph #18 | + | |reasonCode=Case #18 - The patient is a 62-year-old female with past medical history significant for obesity, type II diabetes mellitus, severe aortic stenosis, atrial fibrillation on warfarin, peripheral vascular disease, and end-stage renal disease on hemodialysis. She has had progressive ulcerated skin lesions of the groin which now involve her lower extremity. She endorses severe pain. Relevant laboratory results: Creatinine 7.04 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.4 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 5.6 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 504 pg/mL (reference interval 10-60 pg/mL). On exam, there are multiple wounds involving lower extremity and abdomen, some with black eschar and some with foul-smelling discharge (see clinical photograph #18). An excisional biopsy is performed. |
|supportingInfo=18 | |supportingInfo=18 | ||
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|type=image | |type=image | ||
|subject=Z0FBQUFBQmt5NHM2TXFpSWRfNEZzanNGSW15T211NGlRMFJKM0RyRnFhNGVyMEo5Z2R2NmNwQkxoaWxqV1hJaDlrUzd4OFlpNm1LRzhaYWtXTUlGVExkUGZFTThsZkNsbGc9PQ | |subject=Z0FBQUFBQmt5NHM2TXFpSWRfNEZzanNGSW15T211NGlRMFJKM0RyRnFhNGVyMEo5Z2R2NmNwQkxoaWxqV1hJaDlrUzd4OFlpNm1LRzhaYWtXTUlGVExkUGZFTThsZkNsbGc9PQ | ||
| + | |reasonCode=H&E | ||
|view=show | |view=show | ||
|modality=mrxs | |modality=mrxs | ||
| + | |identifier=c9f9e4f3-435d-4f60-8555-0338449d2d81 | ||
| + | }} | ||
| + | {{Media | ||
| + | |createdDateTime=August 03, 2023 12:56:24 PM | ||
| + | |operator=Em99 | ||
| + | |status=completed | ||
| + | |type=image | ||
| + | |subject=Z0FBQUFBQmt5NlFZdWlDX3BvUGJDTVVkdHhNLVNmQkNraHRHQUpJRU1mN1hMamlONFlRcUNvT3JtQjEzYk5tS1JCUVF2TVBnT1VoNWxhREZfaDV2ZWVpcjVaal9rY2tXY1E9PQ | ||
| + | |reasonCode=Von Kossa | ||
| + | |view=show | ||
| + | |modality=mrxs | ||
| + | |identifier=2cfb6325-41af-431d-b8c5-7569bbe21710 | ||
| + | }} | ||
| + | {{status | ||
| + | |status=active | ||
| + | |requester=Em99 | ||
| + | |authoredOn=August 03, 2023 11:10:46 AM | ||
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Latest revision as of 15:43, December 9, 2024
