A case study of @entity615 and XXXX .

@entity1 @entity1643 @entity5 @entity425 @entity615 @entity1358 @entity79 @entity1442 @entity3 @entity158
OBJECTIVE: @entity1358 accounts for 3% of @entity5 and 95% of @entity5 arising from the kidney. One third of the @entity1 have @entity3 at the time of presentation and are asymptomatic with the diagnosis being made incidentally from a radiologic study obtained for other reasons. Typically, skeletal metastases are purely lytic. It is common for cases of @entity615 to be managed in chiropractic clinics. The diagnosis of @entity3 is to be considered as a differential, especially in an aging population. CLINICAL FEATURES: A 69-year-old @entity1 experienced @entity615 after a twisting movement while working. He presented for chiropractic care 2 weeks later. He had a 10-year history of @entity1643 and a 2-month history of weakness at the knee. Plain film radiography was assessed as negative for pathology by a medical radiologist and a chiropractic radiologist. INTERVENTIONS AND OUTCOMES: After 6 visits of care using atlas orthogonal adjusting, the outcome assessment revealed improvement in the @entity158 but a regression in strength of the right quadriceps and peroneus muscles. The @entity1 was referred for a magnetic resonance imaging study, which revealed a mass on the kidney and a large erosive @entity79 of the L4 vertebrae. The diagnosis of @entity1358 was later confirmed. CONCLUSION: Progressive @entity425 is one of the "red flag" signs in a @entity615 case. @entity1442 is necessary to detect occult diseases processes such as @entity1358 . The chiropractor's role as primary care clinician includes the process of clinical reasoning and appropriate referral when the clinical picture becomes unclear and/or "red flag" signs appear.
