OBJECTIVES/HYPOTHESIS Maxillofacial trauma frequently involves the bony orbit that surrounds the ocular globe. Concomitant globe injury is a concern whenever orbit trauma occurs and in severe cases can occasionally result in vision loss. The mechanism of injury, physical exam findings, and radiographic imaging can provide useful information concerning the severity of the injury and concerns for...

Field spinal immobilization using a backboard and cervical collar has been standard practice for patients with suspected spine injury since the 1960s. The backboard has been a component of field spinal immobilization despite lack of efficacy evidence. While the backboard is a useful spinal protection tool during extrication, use of backboards is not without risk, as they have been shown to caus...

pneumorrhachis (pr), which involves the entrapment of air or gas within the spinal canal, is a rare clinical entity. the pathogenesis and etiology of this uncommon entity vary and may present a diagnostic challenge. air in the spinal canal can be divided into primary and secondary pr, extra- or intradural pr and etiologically classified as iatrogenic, traumatic and non-traumatic. pr is typicall...

BACKGROUND Tubal patency tests are routinely performed in the diagnostic work-up of subfertile patients, but it is unknown whether these diagnostic tests add value beyond the information obtained by medical history taking and findings at physical examination. We used individual patient data meta-analysis to assess this question. METHODS We approached authors of primary studies for data sets c...

liposarcoma is a mesenchymal malignant tumor and is the second-most common soft tissue sarcoma in adults. primary peritoneal liposarcoma is very rare. we report a case of abdominal liposarcoma originating from peritoneum in 57-year old woman, presenting with hugeness of abdomen.   the symptoms had been begun from one month ago without any pain, discomfort or gastrointestinal symptoms. in physic...

BACKGROUND It is important to detect splenomegaly as it can have important diagnostic implications. Previous studies, however, have shown that the traditional physical examination is limited in its ability to rule in or rule out splenomegaly. OBJECTIVE To determine if performing point-of-care ultrasonography (POCUS) in addition to the traditional physical examination improves the sensitivity ...

Grave’s disease and chronic papilledema may have similar signs as orbital cavernous hemangioma. This report discusses the diagnosis and management of a patient who has all three conditions with the first two masking the latter. I. Case History  Patient demographics: 48 year old Caucasian female.  Chief complaint: Pt presented for routine eye exam without particular complaints. Upon questionin...

Background: Dog bite injuries to the upper extremity can result in traumatic neurovascular and musculotendinous damage. Currently, there are no clear guidelines dictating which patients may benefit from early operative exploration. The purpose of this study was to identify clinical variables that were predictive of abnormal intraoperative findings in patients who sustained an upper extremity do...

TOPIC: Education, Research, and Quality Improvement TYPE: Original Investigations PURPOSE: Point of care ultrasound (POCUS) is accepted as a safe, efficient, effective method assessing patients diagnosing variety clinical conditions. This diagnostic tool that allows for rapid bedside assessments often guides management. Additionally, proficiency in skill sought by many housestaff, it beneficial...