RESUMEN
Carbon monoxide (CO) is a non-irritating, colorless and odorless gas produced by the incomplete burning of carbon-containing fossil fuels. CO poisoning remains a leading cause of unintentional poisoning worldwide. During winters, accidental CO poisoning has been reported mostly due to incomplete burning of coal. Here, we report the case of a young female patient who presented with hypoxic brain injury due to CO poisoning while using gas geyser in bathroom. The diagnosis of CO poisoning was made on the basis of history, vital signs, blood gas, and MRI scan. The patient recovered well after high-flow normobaric oxygen therapy and showed significant resolution on follow up MRI. A high index of suspicion, early recognition of symptoms by emergency physicians followed by careful history taking can help in making a clinical diagnosis of CO toxicity.
RESUMEN
Patellar tumors are rare and are usually benign as opposed to malignant tumours. The most frequent benign lesions of patella are giant cell tumor (common in adults), chondroblastoma and osteoid osteoma. A solitary exostosis is the most common benign bone tumor which occurs around the growth plate of long bones. The treatment of choice is extra periosteal resection of exostosis and ensuring complete removal of cartilaginous cap. Indications of surgery are when the exostosis is interfering or disturbing the growth of extremity, malignant transformation, presence of bone erosion, neurovascular compression, interference with joint motion, bursitis, fracture through the stalk and cosmesis. We report a rare case in an adult patient with an extra-articular skeletal osteochondroma of the patella located antero - superiorly which presented as an enlarged bursa and a bony swelling over knee joint.
RESUMEN
Ulnar nerve injury in closed fracture of forearm in children is uncommon.Commonly, neurapraxia is the reason for this palsy but other severe injuries or nerve entrapment has been reported in some cases. The importance of diagnosis concerning the types of the nerve injury lies in the fact that they have totally different management.We present a case of ulnar nerve deficit in a child following a closed fracture of the forearm bones. It is imperative to diagnose exact cause of palsy as it forms the basis for treatment. MRI scan can help diagnosis and accordingly guide the management. Simple nerve contusion should be treated conservatively, and exploration with fixation of the fracture should be done in lacerations and entrapments of the nerve. Surgery is not the treatment of choice in cases that could be managed conservatively.