Subcutaneous emphysema is a known complication of carbon dioxide insufflation, an essential component of laparoscopy. The literature contains reports of hypercarbia, pneumothorax, or pneumomediastinum. However, isolated lower extremity subcutaneous emphysema remains a seldom-reported complication. We report a case of unilateral lower extremity subcutaneous emphysema following robotic-assisted h...

We investigated 2-month-old infants' perception of a subset of highly confusable English fricatives. In Experiment 1, infants discriminated modified natural tokens of the voiceless fricative pair [fa]/[oa] but only when the syllables included their frication noises. They also discriminated the voiced pair [va]/[oa] both with and without fricative noises. These results parallel those found with ...

Patellofemoral crepitus and clunk syndrome are infrequent, yet troublesome complications of total knee arthroplasty with a reported incidence of 0%-18%. They are primarily associated with implantation of posterior cruciate substituting designs. These entities are the result of peripatellar fibrosynovial hyperplasia at the junction of the superior pole of the patella and the distal quadriceps te...

This study evaluated the efficacy of green lipped mussel (GLM), added to a complete dry diet, for alleviating clinical signs of arthritis in dogs. A double-blind longitudinal study design was used with 31 mixed-breed dogs exhibiting varying degrees of arthritis. Each dog was evaluated by a veterinarian and joints were individually scored for degree of pain, swelling, crepitus, and reduction in ...

OBJECTIVE Clinical examination of the knee is subject to measurement error. The aim of this analysis was to determine interobserver and intraobserver reliability of commonly used clinical tests in patients with knee osteoarthritis (OA). METHODS We studied subjects with symptomatic knee OA who were participants in an open-label clinical trial of intraarticular steroid therapy. Following standa...

the examination of a patient. A very few minutes will enable the experienced to decide whether a candidate knows his clinical work or not. This book, which is on much the same lines as Legars' more ambitious work, is an epitome of a course of demonstrations on physical signs delivered to students, and it should not only be helpful to them but to junior teachers also. Some general physical signs...

A 42-year-old woman underwent endoscopic retrograde cholangiopancreatography (ERCP) for cholangitis due to choledocholithiasis and biliary sphincterotomy with double pigtail biliary stent placement was performed. Four-six hours after the procedure, she developed subcutaneous swelling over the neck with crepitus over it. In the next

Introduction Detection of early arthropathy is crucial for the management haemophilia, but data on moderate haemophilia are limited. Therefore, we evaluated joint health and treatment modalities in Nordic patients with A (MHA) B (MHB). Aim To explore compare Haemophilia Early Arthropathy Ultrasound (HEAD-US) Joint Health Score (HJHS) to detect haemophilia. Methods cross-sectional, multicentre s...