Traumatic pseudo-aneurysm in a 5-year-old child, case report and literature review.

INTRODUCTION: Pseudo-aneurysm can be formed by iatrogenic factors, as well as non-iatrogenic factors. In the pediatric population, there have only been a few recorded incidences. The work has been reported in line with the SCARE criteria. CASE PRESENTATION: In our case, a five-year-old male who was medically free presented with a complaint of left foot swelling after a one-month history of glass trauma and two episodes of bleeding. Upon presentation to our facility, an examination of the left foot's dorsum revealed a 2.0 ∗ 2.0 cm pulsatile non-tender swelling with no symptoms of infection, and a healed scar. A lower limb arterial doppler ultrasonography was performed, and it revealed a 1 cm partially thrombosed pseudoaneurysm protruding from the Dorsalis Pedis Artery (DPA). CLINICAL DISCUSSION: Lower extremity peripheral aneurysms, whether true aneurysm or a pseudo-aneurysm, are uncommon in adults and usually occur in the popliteal artery (70 %), femoral artery (20 %), and only (10 %) of aneurysms present in other locations (Dahman et al., 2021). This Condition is even extremely unusual in pediatric population, where only a few cases have been reported. Doppler ultrasonography was used as a radiological examination and a diagnostic approach in the case of our patient. Due to the rarity of this illness, there are no clear guidelines for approaching patients with similar symptoms. CONCLUSION: A dorsalis pedis pseudoaneurysm should be considered in any traumatic injury that has resulted in a hematoma in the dorsum of the foot that is not healing. In our case, a primary aneurysm excision with DPA ligation appears to be a safe procedure with no effect on foot perfusion or function.

Medical students' awareness of Personal Digital Assistant Devices' impact on their health.

AIMS: 1. To evaluate medical students' awareness of personal digital assistant devices impacts on their overall health. 2. To estimate medical students' hours on digital devices. 3. To determine the most common effect of personal digital assistant devices on medical student health. SETTINGS AND METHOD: This descriptive cross-sectional study was conducted at the college of medicine of a in Riyadh, Saudi Arabia. The participants were medical students, and a questionnaire consists of 3 sections was used. A sample of 289 medical students participated in the study. Kruskal-Wallis test was used to analyze the relationship between the knowledge score and the year of study. STATISTICAL ANALYSIS USED AND RESULTS: The research included medical students whose ages ranged from 19 to 25 years with a median (IQR) of 22.00 (21.00-23.00). Approximately, 56% of the participants were males, and the majority of the students were from year 3. The average hours spent daily while using PDA for studying was 5 hours with SD 2.7. 167 (58%) of the students reported that studying using PDAs has affected their life. The most experienced effects reported was dry eyes and vision problems 53 (54%). CONCLUSIONS: The current study revealed that the majority of medical students have adequate knowledge of PDAs' effects on their health despite their continuous use. More attention should be paid to reduce the effects on their health by raising campaigns to increase the awareness of all the students and the community.