29. A 46-year-old Diabetic Man with Acute-Onset Right Thigh Pain

2013 ◽  
pp. 212-214
Author(s):  
Armin Rashidi ◽  
Otarod Bahrani
Keyword(s):  
Acute Onset ◽  
Thigh Pain

scholarly journals Intramuscular tendon injury is not associated with an increased hamstring reinjury rate within 12 months after return to play

2018 ◽  
Vol 52 (19) ◽  
pp. 1261-1266 ◽  
Author(s):  
Anne D van der Made ◽  
Emad Almusa ◽  
Gustaaf Reurink ◽  
Rod Whiteley ◽  
Adam Weir ◽  
...  
Keyword(s):  
Hamstring Tendon ◽  
Tendon Injury ◽  
Acute Onset ◽  
Rehabilitation Programme ◽  
Thigh Pain ◽  
Return To Play ◽  
Hamstring Injury ◽  
Football Players ◽  
Significant Difference ◽  
Injury Treatment

BackgroundAcute hamstring injury that includes intramuscular tendon injury has been suggested to be associated with increased reinjury risk. These observations were based on a relatively small number of retrospectively analysed cases.ObjectiveTo determine whether intramuscular tendon injury is associated with higher reinjury rates in acute hamstring injury.MethodsMRIs of 165 athletes with an acute hamstring injury were obtained within 5 days of injury. Treatment consisted of a standardised criteria-based rehabilitation programme. Standardised MRI parameters and intramuscular tendon injury, the latter subdivided into tendon disruption and waviness, were scored. We prospectively recorded reinjuries, defined as acute onset of posterior thigh pain in the same leg within 12 months after return to play.ResultsParticipants were predominantly football players (72%). Sixty-four of 165 (39%) participants had an index injury with intramuscular hamstring tendon disruption, and waviness was present in 37 (22%). In total, there were 32 (19%) reinjuries. There was no significant difference (HR: 1.05, 95% CI 0.52 to 2.12, P=0.898) in reinjury rate between index injuries with intramuscular tendon disruption (n=13, 20%) and without tendon disruption (n=19, 20%). There was no significant difference in reinjury rate (X²(1)=0.031, P=0.861) between index injuries with presence of waviness (n=7, 19%) and without presence of waviness (n=25, 20%).ConclusionIn athletes with an acute hamstring injury, intramuscular tendon injury was not associated with an increased reinjury rate within 12 months after return to play.

LUMBAR DISC VACUUM PHENOMENON: ITS CLINICAL IMPLICATIONS AND SURGICAL TREATMENT

2006 ◽  
Vol 10 (04) ◽  
pp. 187-196
Author(s):  
Jinfu Lin ◽  
Myung-Sang Moon
Keyword(s):  
Surgical Treatment ◽  
Clinical Symptoms ◽  
Lumbar Disc ◽  
Acute Onset ◽  
Thigh Pain ◽  
Degenerative Scoliosis ◽  
Vacuum Phenomenon ◽  
Chemical Factors ◽  
Painful Spine ◽  
Clinical Pictures

In this paper, we describe the clinical symptoms, diagnosis, and surgical treatment of painful lumbar discs with the vacuum phenomenon (VP). The sole indication for anterior arthrodesis was painful discs with VP. Sixteen patients were included and retrospectively reviewed; of these, 10 patients had back and thigh claudication pain, and 5 patients had acute onset of excruciating back or thigh pain. Unilateral thigh pain tended to be on the concave side of lumbar scoliosis. Dynamic myelography and reformatted computed tomography (CT) were useful imaging tools to detect VP. Bone scan was useful in detecting painful discs in degenerative scoliosis, and selective nerve block was useful in differentiating compressive root pain. Mechanical and chemical factors were postulated for the pathogenesis of VP discs in patients with chronic and acute pain. Satisfactory outcomes were achieved in 94% (n = 15) of patients by anterior arthrodesis with cage. VP is a useful pain and fusion indicator in painful spine with or without deformities. The term "discogenic claudication" is proposed to describe clinical pictures of the vacuum sign.

Acute-onset thigh pain

Rheumatology ◽  
2004 ◽  
Vol 43 (4) ◽  
pp. 533-535 ◽  
Author(s):  
N. D. Mckay
Keyword(s):  
Acute Onset ◽  
Thigh Pain

Renal Infarction and Pulmonary Embolism in Patient with Myelodysplastic

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mounia Bendari ◽  
Nouama Bouanani ◽  
Mohamed Amine Khalfaoui ◽  
Maryam Ahnach ◽  
Aziza Laaraj ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Myeloproliferative Neoplasms ◽  
Bone Biopsy ◽  
Bone Marrow Aspiration ◽  
Myeloproliferative Disorders ◽  
Acute Onset ◽  
International Prognostic Scoring System ◽  
Renal Infarction ◽  
The Right ◽  
Enhanced Computed Tomography

The myelodysplastic syndrome-myeloproliferative neoplasms (MDS/MPNs) are defined by a group of heterogeneous hematological malignancies resulting from stem cell−driven clonal growth of pathological hematopoietic progenitors and ineffective hematopoiesis, they are characterized concomitant myelodysplastic and myeloproliferative signs. Myelodysplastic/myeloproliferative disorders have been considered to have a higher risk of thrombus formation.We report a rare case about a 64 years old Moroccan woman, experienced renal infarction (RI) associated with pulmonary embolism as a complication of a myelodysplastic/myeloproliferative disorder.The patient complained of acute-onset severe left flank pain, a contrast-enhanced computed tomography (CT) of the chest and abdomen revealed RI by a large wedge-shaped defect in the right kidney with pulmonary embolism.Biological exam showed deep anemia, the bone marrow aspiration found myelodysplasia.the bone biopsy showed signs of myeloproliferatif disease. The karyotype was normal, BCR-ABL, JAK2, CALR mutations were absents, and MPL mutation was positive. The International Prognostic Scoring System (IPSS-R) was 0, and the patient was included to the low risk group.Anticoagulation therapy was initiated with heparin to treat RI and pulmonary embolism. Three months later, pulmonary embolism had resolved without the appearance of additional peripheral infarction.This case emphasizes the need to consider myelodysplastic/myeloproliferative disorders as a cause of infraction renal and pulmonary embolism.

Omental Infarction: A Case Treated with Laparoscopic Surgery

2019 ◽  
pp. 1-3
Author(s):  
Bertrand Ng ◽  
Arafat Yasser
Keyword(s):  
Diabetes Mellitus ◽  
Laparoscopic Surgery ◽  
Hospital Stay ◽  
Acute Cholecystitis ◽  
Inflammatory Markers ◽  
Acute Onset ◽  
Laparoscopy Surgery ◽  
History Of ◽  
Background History ◽  
The Right

Omental infarct is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Here, we present a case of omental infarct in a 67-year-old gentleman with background history of diabetes mellitus who present unusually with a severe acute onset right hypochondrium pain. Examination revealed that he was tender to touch at the right and was having localized guarding. His inflammatory markers were normal. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day. Omental infarct cases with right hypochondrium pain can sometimes mimicked acute cholecystitis and management includes laparoscopic surgery which can hasten symptoms resolution and reduces hospital stay, however recommendation for surgery has to be balanced with anesthetics risk and complication of the surgery itself.

Cerebellar Infarction with Acute Onset of Vertigo and Cochlear Symptoms; A Case Report.

1993 ◽  
Vol 52 (3) ◽  
pp. 401-410
Author(s):  
Tsutomu Yamazaki ◽  
Chihiro Harada ◽  
Munetaka Yamakawa ◽  
Tsutomu Sohma
Keyword(s):  
Case Report ◽  
Acute Onset ◽  
Cerebellar Infarction

Hypoglycemic Hemiparesis Masquerading As Ischemic Stroke: When Guideline Fails

2020 ◽  
Vol 15 (4) ◽  
pp. 420-422
Author(s):  
Dhruvkumar M. Patel ◽  
Mukundkumar V. Patel ◽  
Jayanti K. Gurumukhani ◽  
Maitri M. Patel ◽  
Himal J. Mahadevia ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Thrombolytic Therapy ◽  
Neurological Deficit ◽  
Clinical Case ◽  
Complete Recovery ◽  
Acute Onset ◽  
Diabetic Patients ◽  
Focal Neurological Deficit ◽  
Random Blood Sugar ◽  
Resident Doctor

Background: Hypoglycemia may rarely present as hemiparesis and sometimes it is difficult to differentiate from ischemic stroke. When random blood sugar (RBS) value is between 50 and 80 mg % in patients presenting with focal neurological deficit, no guideline exists to consider the possibility of hypoglycemia before initiating thrombolytic therapy. Clinical Case: A 58-year-old male, who was a known case of diabetes and hypertension, was brought to the emergency room with acute onset of right hemiparesis and dysarthria of 90 minutes duration. His NIHSS Score was 9, blood pressure was 150/90 mm of Hg and RBS was 79 mg% on admission. His CT scan brain was normal and was considered for thrombolysis. Resident doctor not aware of previous sugar repeated RBS before thrombolysis which was surprisingly 60 mg% 60 minutes after the first RBS. Even though he was a candidate for thrombolysis, intravenous 25 % dextrose was administered considering the possibility of hypoglycemia. He made a complete recovery within 20 minutes and thrombolytic therapy was withheld. : In Diabetic patients with focal neurological deficit and RBS less than 80 mg% on admission, RBS should be rechecked and in appropriate cases should be challenged with IV dextrose considering the possibility of hypoglycemia before commencing thrombolytic therapy.

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