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Drs. Baraki and Feigenbaum discuss hospitalizations from exercise gone wrong, including a tragic case of multiple infarctions. They cover evaluating joint pain, return-to-play recommendations post-injury, and a case study of exercise collapse related to sickle cell trait.
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- Symptoms migration poses diagnostic challenges across multiple body systems.
- Appendicitis can present with atypical symptoms, necessitating proactive evaluation.
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Presentation and Evaluation of Knee Pain
A 20-year-old female soccer player presents with left medial knee pain that spread to her lower leg, accompanied by loss of appetite, fatigue, and night sweats. Despite an initial clinic evaluation with normal findings, subsequent symptoms led to concerns of systemic inflammation. Labs revealed normal CBC, mild elevation in CRP and ESR. MRI results were normal. Examination in the ED showed abdominal pain, nausea, and vomiting, prompting further assessment.
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