OBJECTIVE To develop a diagnostic rule for the identification of radiographic osteoarthritis (OA) of the first metatarsophalangeal joint (MTPJ) in people with first MTPJ pain. DESIGN Symptoms and clinical observations were documented in 181 people with first MTPJ pain, and the presence of OA was confirmed using plain film radiography. Diagnostic test statistics were calculated to assess the a...

OBJECTIVE To share our experience of treating patients with Fournier's Gangrene and their outcomes at POF Hospital, Wah Cantt. METHODS A descriptive study was conducted at the Urology Department, POF Hospital, Wah Cantt from October 2006 to March 2007. A total of 22 patients, all men with ages ranging from 30-75 years, were included in the study. The diagnosis was established on the basis of ...

OBJECTIVES To report a case of extensive subcutaneous emphysema introduced during vitrectomy while using an advanced feedback-controlled pressurized infusion system. METHODS Clinical case report of a 56-year-old woman undergoing pars plana vitrectomy for rhegmatogenous retinal detachment of the left eye. The clinical and radiologic findings of the patient's eyes were documented. The mechanism...

PURPOSE The objective of this case report was to describe the effects that massage therapy had on a woman with temporomandibular joint dysfunction. PARTICIPANT The 26-year-old woman's primary symptoms were pain, decreased range of motion, clicking, and crepitus. These symptoms were reportedly associated with emotional stress and bruxism. INTERVENTION Ten 45-minute massage therapy treatments...

BACKGROUND Spontaneous gas gangrene is necrosis of muscles in the absence of trauma, causing an acutely painful and potentially fatal condition. However, the occurrence of this condition in Crohn's disease has been very rarely documented. CASE REPORT In this extremely rare case we describe an occurrence of spontaneous gas gangrene, in a known case of Crohn's disease. The patient presented wit...

A seven-month-old cat was referred, after having been missing for one week, for evaluation and treatment of a right forelimb injury and facial fractures. On physical examination, a moderate partial weight-bearing lameness of the right forelimb was present, with palpable crepitus in the glenohumeral joint. Dental radiographs revealed a midline palatal fracture and rostral fractures of the left m...

Introduction. Pneumoscrotum is a rare clinical entity. It presents with swollen scrotal sac and sometimes with palpable crepitus. It has many etiologies. One of them is due to blunt trauma of the thoracic cage, causing pneumothorax and/or pneumomediastinum. Case Presentation. We report the case of an 82-year-old male who was transferred to the Emergency Department with signs of respiratory dist...

A 13-year-old boy with a history of tetrology of Fallot underwent a pulmonary value replacement procedure. Gas bubbles were observed in the bypass circuit during the procedure. Trendelenburg position, one of the older standard recommendations when arterial gas embolism (AGE) is suspected, was established during the remainder of the procedure [1]. The patient could not support respirations adequ...

BACKGROUND Although gunshot injuries are the most common penetrating anterior neck injuries in the developed world, this finding is not the case in the developing world, where knives, spears, arrows, and machetes are the preferred weapons, particularly in tribal societies. AIM To present the case report of a patient with arrow shot injury to the anterior neck. METHOD A 48 year old cattle re...

UNLABELLED Although sporadically reported after dental examination, subcutaneous emphysema may be erroneously confused with an allergic, or anaphylactic, reaction. We herein report a case of a 57-year-old Caucasian woman who came to our attention after restorative treatment for a carious mandibular right second primary molar. During dental examination, an air driven hand-piece was used to resto...