BACKGROUND Persistent unexplained pain around the knee can be a perplexing problem. Reports of complex regional pain syndrome involving primarily knee have been published, yet complex regional pain syndrome of the knee is infrequently included in differential diagnosis of pain out of proportion. CASE PRESENTATION A 54 year old female presented to the physiotherapy outpatient department with c...

even though intervertebral disc degeneration can be found in the natural course of alkaptonuria, detection of the disease by black disc color change in a patient without any other presentation of alkaptonuria is an exceptionally rare condition. we have reported a very rare case of alkaptonuria presented with low back pain and steppage gait in a 51-year-old male with a complaint of chronic low-b...

the differential diagnosis of acute abdominal pain in pregnancy is broad and can be complicated by atypical manifestations that are due to the anatomic distortions and physiologic changes of pregnancy. due to the lack of clinical understanding, angular pregnancy does not appear to be recognized as a clinical entity and many cases are likely to go undiagnosed . this is a case report of a 34-year...

abstract autoimmune pancreatitis (aip) is a rare disorder that may be present as common bile duct stricture. the patient was a seventy-year-old man with presentations as recurrent abdominal pain and jaundice, elevated billirobin (bil) and elevated alkaline phosphatase (alkp) in association with the presence of hetrogenesity of the pancreatic head and dilated intra and extra hepatic bile ducts i...

Pain in the right in iliac fossa can be a related to organ localized within this quadrant. The most appropriate clinical diagnosis for tenderness in Mc Burney’s point is acute appendicitis. An uncommon cause for pain in the right iliac fossa is endometriosis of appendix. We document a case of 45-year-old lady who presented with pain in the right iliac fossa pain and tenderness in Mc Burney’s po...

Diagnosis and treatment of complex regional pain syndrome in children is one of the most challenging clinical pain problems encountered in the chronic pain setting. Despite the intense and debilitating nature of the pain, referral to appropriate specialists often comes too late, thereby prolonging an already arduous (and controversial) course of treatment and risking long-term disability. On th...

OBJECTIVE Delay in diagnosis of slipped capital femoral epiphysis (SCFE) has important implications in terms of slip severity and long-term hip outcome. The purpose of this study was to identify predictors of delay in the diagnosis of SCFE. METHODS A review of 196 patients with SCFE was performed. The primary outcome measure was delay from onset of symptoms to diagnosis. Covariates included a...

introduction: one instance of errors in diagnosis which cannot be considered medical malpractice pertain to rare cases of vasculitishenoch-schonlein. the aim of this study was to shed light on the legal aspects of vasculitishenoch-schonlein by illuminating this disease, providing a comprehensive definition of what constitutes medical malpractice, and pointing out cases of errors in diagnosis re...