ABSTRACT
Here's how to navigate the interplay between cognitive giftedness and emotional/social challenges.
Subject(s)
Intellectual Disability/diagnosis , Intelligence , Diagnosis, Differential , Humans , Male , Primary Health Care , Young AdultABSTRACT
Our patient had visited the emergency department for painful blisters on her fingertips and toes. A follow-up visit to our clinic unearthed the cause.
Subject(s)
Blister/drug therapy , Blister/physiopathology , Fingers/physiopathology , Skin Diseases, Vesiculobullous/drug therapy , Thromboangiitis Obliterans/drug therapy , Tobacco Smoking/adverse effects , Toes/physiopathology , Amlodipine/therapeutic use , Blister/diagnosis , Blister/etiology , Exanthema/diagnosis , Exanthema/drug therapy , Exanthema/physiopathology , Female , Humans , Middle Aged , Prednisolone/therapeutic use , Skin Diseases, Vesiculobullous/diagnosis , Skin Diseases, Vesiculobullous/physiopathology , Thromboangiitis Obliterans/diagnosis , Thromboangiitis Obliterans/etiology , Treatment OutcomeABSTRACT
Bursitis is a relatively common occurrence that may be caused by traumatic, inflammatory, or infectious processes. Septic bursitis most commonly affects the olecranon and prepatellar bursae. Staphylococcus aureus accounts for 80% of all septic bursitis, and most cases affect men and are associated with preceding trauma. We present a case of an 86-year-old female with an atypical septic bursitis involving the infrapatellar bursa. Not only are there very few reported cases of septic infrapatellar bursitis, but also this patient's case is particularly unusual in that she is a female with no preceding trauma who had Pseudomonas aeruginosa on aspirate. The case also highlights the diagnostic workup of septic bursitis through imaging modalities and aspiration. This patient had full resolution of her septic bursitis with appropriate IV antibiotics.
ABSTRACT
Posttraumatic soft tissue swelling is a relatively common presenting complaint among athletes. Due to its broad differential diagnosis, a comprehensive evaluation beginning with history and physical examination are recommended. Imaging including radiography, ultrasound, and magnetic resonance imaging (MRI) are preferred modalities. Aspiration of a fluid collection, preferably under ultrasound guidance, may help with the diagnosis and management of some of these conditions. Morel-Lavallée lesion (MLL) is an uncommon condition consisting of a closed degloving injury caused by forces that create pressure and shear stress between the subcutaneous tissue and the superficial fascia or bone. Most commonly, MLL is found over the greater trochanter and sacrum, but in rare cases can be found in other regions of the body. In most cases, concurrent severe injury mechanisms are present. Sports-related MLL are rare and underreported. Depending on the stage and type of MLL, therapeutic strategies may vary from compression wraps and aspiration to surgical evacuation.
