RESUMEN
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.
Asunto(s)
Bronquiectasia , Síndrome de la Uña Amarilla , Masculino , Humanos , Persona de Mediana Edad , Síndrome de la Uña Amarilla/complicaciones , Síndrome de la Uña Amarilla/diagnóstico , Uñas , Instituciones de Atención Ambulatoria , DisneaRESUMEN
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.
Asunto(s)
Enfisema Pulmonar , Enfisema Subcutáneo , Masculino , Humanos , Toracoscopía/efectos adversos , Enfisema Subcutáneo/diagnóstico , Enfisema Subcutáneo/etiología , Cara , PárpadosRESUMEN
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.
Asunto(s)
Artroplastia de Reemplazo de Cadera , Artroplastia de Reemplazo de Rodilla , Ejercicio Físico , Reinserción al Trabajo , Adolescente , Adulto , Artroplastia de Reemplazo de Cadera/rehabilitación , Artroplastia de Reemplazo de Rodilla/rehabilitación , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Países Bajos , Periodo Preoperatorio , Estudios Prospectivos , Encuestas y Cuestionarios , Factores de Tiempo , Adulto JovenRESUMEN
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.
Asunto(s)
Traumatismos del Tobillo/diagnóstico por imagen , Luxaciones Articulares/diagnóstico por imagen , Voleibol , Adulto , Articulación del Tobillo/patología , Servicio de Urgencia en Hospital , Femenino , Fracturas Óseas/diagnóstico por imagen , Humanos , Examen Físico , Radiografía , Recreación , Huesos Tarsianos/diagnóstico por imagenRESUMEN
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'.