Author Topic: Ok "Doctor" (Read 2578 times)

Mr. Intenseone · « **on:** May 14, 2007, 09:51:13 AM »

What is your clinical diagnosis of this?

. Sprained ACL

2. Tear of the anterior horn of the lateral meniscus w/parameniscal cyst

3. Degenerative changes of the posterior horn of the lateral meniscus

4. Bone edema and reactive changes involving the proximal tibia as well as the medial and lateral femoral condyles with some cystic within the the lateral tibial plateau.

5. Sprains of the medial and lateral collateral ligaments.

6. Small joint effusion.

The Enigma · « **Reply #1 on:** May 14, 2007, 09:56:27 AM »

Quote from: Mr. Intenseone on May 14, 2007, 09:51:13 AM

What is your clinical diagnosis of this?

. Sprained ACL

2. Tear of the anterior horn of the lateral meniscus w/parameniscal cyst

3. Degenerative changes of the posterior horn of the lateral meniscus

4. Bone edema and reactive changes involving the proximal tibia as well as the medial and lateral femoral condyles with some cystic within the the lateral tibial plateau.

5. Sprains of the medial and lateral collateral ligaments.

6. Small joint effusion.

Is our bet based on my differential diagnosis?

Mr. Intenseone · « **Reply #2 on:** May 14, 2007, 10:07:37 AM »

Quote from: The Enigma on May 14, 2007, 09:56:27 AM

Is our bet based on my differential diagnosis?

No bet, if your in Sports medicine you should know this!

ieffinhatecardio · « **Reply #3 on:** May 14, 2007, 10:10:26 AM »

This is a new tactic. Are we to assume your "investigation" isn't panning out too well?

Mr. Intenseone · « **Reply #4 on:** May 14, 2007, 10:11:31 AM »

Quote from: ieffinhatecardio on May 14, 2007, 10:10:26 AM

This is a new tactic. Are we to assume your "investigation" isn't panning out too well?

Yes, thats it........it's a conspiracy

!!

The Enigma · « **Reply #5 on:** May 14, 2007, 10:21:39 AM »

Quote from: ieffinhatecardio on May 14, 2007, 10:10:26 AM

This is a new tactic. Are we to assume your "investigation" isn't panning out too well?

Jeff, that is under investigation with the proper authorities and he can't comment now.

No wager......no differential diagnosis. I never work for free......especially for Libs like yourself.

Mr. Intenseone · « **Reply #6 on:** May 14, 2007, 10:24:01 AM »

Quote from: The Enigma on May 14, 2007, 10:21:39 AM

No wager......no differential diagnosis. I never work for free......especially for Libs like yourself.

Translation= "I don't have a clue"

ieffinhatecardio · « **Reply #7 on:** May 14, 2007, 10:28:51 AM »

Quote from: Mr. Intenseone on May 14, 2007, 10:11:31 AM

Yes, thats it........it's a conspiracy !!

Conspiracy? Where are you getting that drivel?

egj13 · « **Reply #8 on:** May 14, 2007, 10:34:55 AM »

Quote from: Mr. Intenseone on May 14, 2007, 09:51:13 AM

What is your clinical diagnosis of this?

. Sprained ACL

2. Tear of the anterior horn of the lateral meniscus w/parameniscal cyst

3. Degenerative changes of the posterior horn of the lateral meniscus

4. Bone edema and reactive changes involving the proximal tibia as well as the medial and lateral femoral condyles with some cystic within the the lateral tibial plateau.

5. Sprains of the medial and lateral collateral ligaments.

6. Small joint effusion.

This is stupid, I am willing to bet you could look up an answer on the net for something like this.

Mr. Intenseone · « **Reply #9 on:** May 14, 2007, 10:36:11 AM »

Quote from: egj13 on May 14, 2007, 10:34:55 AM

This is stupid, I am willing to bet you could look up an answer on the net for something like this.

No I didn't...............it's my knee

!!

OzmO · « **Reply #10 on:** May 14, 2007, 10:37:55 AM »

Yeah, but you could find the answer on the net i'm sure.

Mr. Intenseone · « **Reply #11 on:** May 14, 2007, 10:40:12 AM »

Quote from: OzmO on May 14, 2007, 10:37:55 AM

Yeah, but you could find the answer on the net i'm sure.

True.

I deal alot with this throughout the year with my athletes, or most of it at least!

The Enigma · « **Reply #12 on:** May 14, 2007, 10:45:00 AM »

Quote from: Mr. Intenseone on May 14, 2007, 10:36:11 AM

No I didn't...............it's my knee !!

Honestly, sorry to hear about your knee.

What type of trauma did you sustain?

Is the ligamentous and meniscus damage acute or chronic?

The Enigma · « **Reply #13 on:** May 14, 2007, 10:51:25 AM »

Quote from: Mr. Intenseone on May 14, 2007, 10:36:11 AM

No I didn't...............it's my knee !!

Unfortunately, you sound like a future knee replacement candidate.

240 is Back · « **Reply #14 on:** May 14, 2007, 11:07:39 AM »

Quote from: The Enigma on May 14, 2007, 10:51:25 AM

Unfortunately, you sound like a future knee replacement candidate.

he did vote for clinton, and now he has knee problems.

If we find out her has a blue dress, I think we're going to unveil the real reason "Mr" I hates Clinton so much...

The Enigma · « **Reply #15 on:** May 14, 2007, 11:19:40 AM »

Quote from: 240 is Back on May 14, 2007, 11:07:39 AM

he did vote for clinton, and now he has knee problems.

If we find out her has a blue dress, I think we're going to unveil the real reason "Mr" I hates Clinton so much...

240......I'm beginning to see your point.

It all makes sense now.

AE · « **Reply #16 on:** May 14, 2007, 11:28:20 AM »

Quote from: 240 is Back on May 14, 2007, 11:07:39 AM

he did vote for clinton, and now he has knee problems.

If we find out her has a blue dress, I think we're going to unveil the real reason "Mr" I hates Clinton so much...

And I hear he likes the occasional cigar.

240 is Back · « **Reply #17 on:** May 14, 2007, 11:29:23 AM »

Quote from: AE on May 14, 2007, 11:28:20 AM

And I here he likes the occasional cigar.

We shouldn't Rush to judgment here.

The Enigma · « **Reply #18 on:** May 14, 2007, 11:33:08 AM »

Quote from: 240 is Back on May 14, 2007, 11:29:23 AM

We shouldn't Rush to judgment here.

I had forgotton about the cigars.............hummm mm. We may need to MORE closely observe Mr Libs behavior.

Something smells like tubesteak here.

headhuntersix · « **Reply #19 on:** May 14, 2007, 11:35:28 AM »

Look Enigma I get alot of left elbow pain.....I figure since ur on here u should give out free advice..Your an Army doc anyway so it will save me a trip to the TMC and the misdiagnosis thats sure to follow. I'll end up with a bottle of motrin.

AE · « **Reply #20 on:** May 14, 2007, 11:35:48 AM »

Quote from: Mr. Intenseone on May 14, 2007, 09:51:13 AM

What is your clinical diagnosis of this?

. Sprained ACL

2. Tear of the anterior horn of the lateral meniscus w/parameniscal cyst

3. Degenerative changes of the posterior horn of the lateral meniscus

4. Bone edema and reactive changes involving the proximal tibia as well as the medial and lateral femoral condyles with some cystic within the the lateral tibial plateau.

5. Sprains of the medial and lateral collateral ligaments.

6. Small joint effusion.

Acute rug burn from spending so much time on knees.

Option D · « **Reply #21 on:** May 14, 2007, 11:38:52 AM »

Quote from: AE on May 14, 2007, 11:35:48 AM

Acute rug burn from spending so much time on knees.

hahahahaha

Camel Jockey · « **Reply #22 on:** May 14, 2007, 12:01:23 PM »

Quote from: AE on May 14, 2007, 11:35:48 AM

Acute rug burn from spending so much time on knees.

haha

Mr. I loves ad hominem attacks.

Mr. Intenseone · « **Reply #23 on:** May 14, 2007, 01:54:37 PM »

Quote from: The Enigma on May 14, 2007, 10:45:00 AM

Honestly, sorry to hear about your knee.

What type of trauma did you sustain?

Is the ligamentous and meniscus damage acute or chronic?

The damage is chronic, I think the meniscus tear is old, the only trama was a hyperextension and I figure thats what caused the sprains, I but now I think I have a partial tear to my ACL (didn't show on the MRI) because I have little stability and exteme pain if I go into a lateral motion, even though not recommended, I'm back to light jogs, and no pain when I squat. The parameniscal cyst is evident on the outside part of the patella, I feel the pain now is due to fluid and the meniscus tear. I really think when they go in they will find more than what they saw in the MRI!

The Enigma · « **Reply #24 on:** May 14, 2007, 02:17:52 PM »

Quote from: Mr. Intenseone on May 14, 2007, 01:54:37 PM

The damage is chronic, I think the meniscus tear is old, the only trama was a hyperextension and I figure thats what caused the sprains, I but now I think I have a partial tear to my ACL (didn't show on the MRI) because I have little stability and exteme pain if I go into a lateral motion, even though not recommended, I'm back to light jogs, and no pain when I squat. The parameniscal cyst is evident on the outside part of the patella, I feel the pain now is due to fluid and the meniscus tear. I really think when they go in they will find more than what they saw in the MRI!

If you feel inclined, type out the impression on the MRI report. I'm a little perpexed/concerned about the bone edema you identified. I'd be interested in the radiologists description of this area.