Indium-111 Leukocyte Scintigraphy - Lieberman's eRadiology ...

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Kinzya B. Grant, Year IV Gillian Lieberman, MD Summary of Hospital Course Admitted Joint aspiration & antibiotics OR: irrigation & debridement by orthopedics OR: manubrium and R 1 st rib removed, VAC device placed by thoracics Post-op Post op compl. compl. R pneumothorax => chest tube placement Post-op Post op compl. compl. Persistent R pleural effusion Significant delirium, elective intubation OR repeat debridement shoulder & sternum for continued fevers Sternal debridement grew coag neg staph and group B strep Presumed endocarditis => TEE neg Other areas: MRA brain, brain, LP, bronchoscopy, bronchoscopy, abdominal CT MRI spine – diskitis and osteomyelitis prolonged antibiotics Pt improving Fever => blood, urine, urine/serum eosinophils r/o drug fever 48
Kinzya B. Grant, Year IV Gillian Lieberman, MD Patient Summary 61yo male with PMH of ETOH abuse, pancreatitis, and hypercholesterolemia presented with fevers/NS/wt loss and L shoulder pain/sternal pain/ sternal mass found to have L septic shoulder manubrium/R manubrium/R sternoclavicular joint osteomyelitis T7-8 T7 8 thoracic spine diskitis/osteomyelitis Negative blood cultures, negative TEE, negative LP, normal MRA brain 49
Page 1 and 2: Kinzya B. Grant, Year IV Gillian Li
Page 3 and 4: 61yo male Recent history Kinzya B.
Page 21 and 22: sternum Kinzya B. Grant, Year IV Gi
Page 29 and 30: HPI Kinzya B. Grant, Year IV Gillia
Page 31 and 32: Imaging Kinzya B. Grant, Year IV Gi
Page 33 and 34: CT shoulder coronal Kinzya B. Grant
Page 39 and 40: Axial STIR Kinzya B. Grant, Year IV
Page 47: STIR Kinzya B. Grant, Year IV Gilli
Page 53: Kinzya B. Grant, Year IV Gillian Li

Indium-111 Leukocyte Scintigraphy - Lieberman's eRadiology ...

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