RESUMO
A 60-year-old man was referred to the outpatient clinic due to dyspnea of effort and productive coughing and rhinorrhea. Physical examination revealed swollen ankles and yellow, hyperkeratotic nails. HRCT showed bronchiectasis. This triad of symptoms indicates yellow nail syndrome. Vitamin E improved the yellow nails, while optimal expiration techniques alleviated respiratory symptoms.
Assuntos
Bronquiectasia , Síndrome das Unhas Amareladas , Masculino , Humanos , Pessoa de Meia-Idade , Síndrome das Unhas Amareladas/complicações , Síndrome das Unhas Amareladas/diagnóstico , Unhas , Instituições de Assistência Ambulatorial , DispneiaRESUMO
A 74-old man developed severe periorbital emphysema after a video-assisted thoracoscopy for lung malignancy. Because of severe symptoms of pain and visual impairment, subcutaneous emphysema was evacuated by bilateral punctures and manual mobilisation of air through the puncture holes.
Assuntos
Enfisema Pulmonar , Enfisema Subcutâneo , Masculino , Humanos , Toracoscopia/efeitos adversos , Enfisema Subcutâneo/diagnóstico , Enfisema Subcutâneo/etiologia , Face , PálpebrasRESUMO
PURPOSE: It is important for patients of working age to resume work after total hip or knee arthroplasty (THA/TKA). A higher preoperative level of physical activity is presumed to lead to a better or faster recovery. Aim is to examine the association between preoperative physical activity (PA) level (total and leisure-time) and time to return-to-work (RTW). METHODS: A prospective multicenter survey study. Time to RTW was defined as the length of time (days) from surgery to RTW. PA level was assessed with the SQUASH questionnaire. Questionnaires were filled in before surgery and 6 weeks and 3, 6 and 12 months post-surgery. Multiple regression analyses were conducted separately for THA and TKA patients. RESULTS: 243 patients were enrolled. Median age was 56 years; 58% had undergone a THA. Median time to RTW was 85 (THA) and 93 (TKA) days. In the multiple regression analysis, neither preoperative total PA level nor leisure-time PA level were significantly associated with time to RTW. CONCLUSIONS: Preoperative physical activity level is not associated with a shorter time to RTW in either THA or TKA patients. Neither preoperative total PA level nor leisure-time PA level showed an association with time to RTW, even after adjusting for covariates. TRIAL REGISTRY: Dutch Trial Register: NTR3497.
Assuntos
Artroplastia de Quadril , Artroplastia do Joelho , Exercício Físico , Retorno ao Trabalho , Adolescente , Adulto , Artroplastia de Quadril/reabilitação , Artroplastia do Joelho/reabilitação , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Países Baixos , Período Pré-Operatório , Estudos Prospectivos , Inquéritos e Questionários , Fatores de Tempo , Adulto JovemRESUMO
A 27-year old woman was admitted to the emergency room after her left ankle rolled inward during a volleyball game. On physical examination a bony prominence on the lateral side of the left foot was noticeable, without neurovascular injury. An X-ray (anterior-posterior view) showed a subtalar dislocation without associated fractures.
Assuntos
Traumatismos do Tornozelo/diagnóstico por imagem , Luxações Articulares/diagnóstico por imagem , Voleibol , Adulto , Articulação do Tornozelo/patologia , Serviço Hospitalar de Emergência , Feminino , Fraturas Ósseas/diagnóstico por imagem , Humanos , Exame Físico , Radiografia , Recreação , Ossos do Tarso/diagnóstico por imagemRESUMO
A 25-year-old female presented with locking of the left knee after an assertiveness training. The MRI scan showed a bucket-handle tear of the medial meniscus. The medial meniscus was dislocated into the intercondylar fossa, in which the image of a second posterior cruciate ligament (PCL) was simulated. This is also called a 'double PCL sign'.