scholarly journals A New Clinical Test in Diagnosing Quadriceps Tendon Rupture

2007 ◽  
Vol 89 (3) ◽  
pp. 259-261 ◽  
Author(s):  
BM Jolles ◽  
R Garofalo ◽  
L Gillain ◽  
C Schizas
Keyword(s):  
Diagnostic Test ◽  
Tendon Rupture ◽  
Surgical Repair ◽  
Delayed Diagnosis ◽  
Quadriceps Tendon ◽  
Clinical Test ◽  
Quadriceps Tendon Rupture ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

INTRODUCTION Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS This paper describes a new simple clinical diagnostic test that directly evaluates the integrity of the distal 5 cm of the quadriceps tendon itself. It consists of inserting a needle in the tendon, proximal to the suspected rupture and mobilising the knee joint. RESULTS The suspected ruptured quadriceps tendons with a positive ‘needle’ diagnostic test were confirmed intra-operatively. CONCLUSIONS This minimally invasive and easily available technique should be considered in the diagnostic work-up and treatment planning of patients with suspected tears of the quadriceps tendon.

Rehabilitation Approach After Surgical Repair of Spontaneous Bilateral Quadriceps Tendon Rupture in a Healthy Mason

2019 ◽  
Vol 98 (5) ◽  
pp. e43-e46
Author(s):  
Diogo Manuel Portugal ◽  
João A. Capelo ◽  
Bárbara Dantas Martins ◽  
Inês M. Ribeiro ◽  
Sofia R. Ataíde ◽  
...  
Keyword(s):  
Tendon Rupture ◽  
Surgical Repair ◽  
Quadriceps Tendon ◽  
Quadriceps Tendon Rupture ◽  
Bilateral Quadriceps Tendon Rupture

Evaluation and Management of Adnexal Masses in Postmenopausal Women

2018 ◽  
Vol 15 (1) ◽  
pp. 41-45
Author(s):  
Deepika Nandamuru ◽  
Mary K. Collins ◽  
Christopher M. Tarney
Keyword(s):  
Postmenopausal Women ◽  
Laboratory Testing ◽  
Delayed Diagnosis ◽  
Adnexal Masses ◽  
Organ Systems ◽  
Low Threshold ◽  
Diagnostic Work ◽  
Gynecologic Neoplasms ◽  
Work Up ◽  
Diagnostic Work Up

In the postmenopausal women, adnexal masses can have numerous etiologies. They can range from benign to neoplastic, with origins from a variety of organ systems. The diagnostic work up includes a thorough history, physical exam, as well as potential imaging and laboratory testing. There should be a low threshold for consultations with oncologists when there are cancer concerns. Specifically for gynecologic neoplasms, a referral to a gynecologic oncologist should be strongly considered. In this paper, there is particular attention to ovarian cancer given the gravity of delayed diagnosis.

scholarly journals Better knee function after surgical repair of acute quadriceps tendon rupture in comparison to acute patellar tendon rupture

2019 ◽  
Vol 105 (1) ◽  
pp. 119-123 ◽  
Author(s):  
Michael E. Hantes ◽  
Rejith Mathews ◽  
Vasilios Raoulis ◽  
Sokratis Varitimidis ◽  
Theophilos Karachalios ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Surgical Repair ◽  
Quadriceps Tendon ◽  
Knee Function ◽  
Quadriceps Tendon Rupture ◽  
Patellar Tendon Rupture

scholarly journals Stroke masquerading as cardiac arrest: the artery of Percheron

2021 ◽  
Vol 14 (1) ◽  
pp. e238681
Author(s):  
Megan Quetsch ◽  
Sureshkumar Nagiah ◽  
Stephen Hedger
Keyword(s):  
Cardiac Arrest ◽  
Clinical Assessment ◽  
Altered Consciousness ◽  
Cognitive Changes ◽  
Consciousness Level ◽  
Artery Of Percheron ◽  
Conscious Level ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

The artery of Percheron (AOP) is a rare arterial variant of the thalamic blood supply. Due to the densely packed collection of nuclei it supplies, an infarction of the AOP can be devastating. Here we highlight a patient who had an AOP stroke in the community, which was initially managed as cardiac arrest. AOP strokes most often present with vague symptoms such as reduced conscious level, cognitive changes and confusion without obvious focal neurology, and therefore are often missed at the initial clinical assessment. This case highlights the importance of recognising an AOP stroke as a cause of otherwise unexplained altered consciousness level and the use of MRI early in the diagnostic work-up.

scholarly journals Death of unknown cause? Post-mortem diagnosis of fulminant course of an EBV-associated secondary hemophagocytic lymphohistiocytosis

2021 ◽  
Author(s):  
Josia Fauser ◽  
Stefan Köck ◽  
Eberhard Gunsilius ◽  
Andreas Chott ◽  
Andreas Peer ◽  
...  
Keyword(s):  
Immune Response ◽  
Case Report ◽  
Macrophage Activation ◽  
Post Mortem ◽  
Life Threatening ◽  
Appropriate Therapy ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up ◽  
Secondary Hemophagocytic Lymphohistiocytosis

SummaryHLH is a life-threatening disease, which is characterized by a dysregulated immune response with uncontrolled T cell and macrophage activation. The often fulminant course of the disease needs a fast diagnostic work-up to initiate as soon as possible the appropriate therapy. We present herein the case of a 71-year-old patient with rapidly progressive hyperinflammatory syndrome, which post mortem resulted in the diagnosis of EBV-associated HLH. With this case report, we intend to highlight the relevance of the HScore in the diagnosis of HLH, to create a greater awareness for EBV as a trigger of HLH, and to demonstrate the importance of treating EBV-associated HLH as early as possible.

scholarly journals COVID-19 lung injury as a primer for immune checkpoint inhibitors (ICIs)-related pneumonia in a patient affected by squamous head and neck carcinoma treated with PD-L1 blockade: a case report

2021 ◽  
Vol 9 (2) ◽  
pp. e001870
Author(s):  
Angelo Dipasquale ◽  
Pasquale Persico ◽  
Elena Lorenzi ◽  
Daoud Rahal ◽  
Armando Santoro ◽  
...  
Keyword(s):  
Lung Injury ◽  
Head And Neck ◽  
Checkpoint Inhibitors ◽  
Experimental Therapy ◽  
Common Mechanism ◽  
Nasopharyngeal Swab ◽  
Immune Mediated ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

By the beginning of the global pandemic, SARS-CoV-2 infection has dramatically impacted on oncology daily practice. In the current oncological landscape, where immunotherapy has revolutionized the treatment of several malignancies, distinguishing between COVID-19 and immune-mediated pneumonitis can be hard because of shared clinical, radiological and pathological features. Indeed, their common mechanism of aberrant inflammation could lead to a mutual and amplifying interaction.We describe the case of a 65–year-old patient affected by metastatic squamous head and neck cancer and candidate to an experimental therapy including an anti-PD-L1 agent. COVID-19 ground-glass opacities under resolution were an incidental finding during screening procedures and worsened after starting immunotherapy. The diagnostic work-up was consistent with ICIs-related pneumonia and it is conceivable that lung injury by SARS-CoV-2 has acted as an inflammatory primer for the development of the immune-related adverse event.Patients recovered from COVID-19 starting ICIs could be at greater risk of recall immune-mediated pneumonitis. Nasopharyngeal swab and chest CT scan are recommended before starting immunotherapy. The awareness of the phenomenon could allow an easier interpretation of radiological changes under treatment and a faster diagnostic work-up to resume ICIs. In the presence of clinical benefit, for asymptomatic ICIs-related pneumonia a watchful-waiting approach and immunotherapy prosecution are suggested.

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