Occult Femur Fracture

A 60-year-old woman with poliomyelitis presented with knee pain after falling in the street with her left knee flexed. On examination, the left knee was swollen, with passive motion causing severe pain. The lateral radiograph of the left knee revealed a linear interface between 2 soft tissue densities in the suprapatellar pouch with no evidence of fracture (Figure  1). Arthrocentesis revealed 45 mL of bloody joint effusion with fat globules (Figure 2). Based on the findings of the lateral radiograph and arthrocentesis, a diagnosis of lipohemarthrosis was made.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Medical image Source Type: research

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CONCLUSION: The group of non-Western immigrants with polio in Norway reported more health and social problems than the group of Western immigrants with polio or the native Norwegian group with polio, even though they were younger and more highly educated. Their complex psychological and social situation requires active intervention from the health system, and health professionals need extra skills to deal most effectively with their situation. PMID: 31690950 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - Category: Rehabilitation Tags: J Rehabil Med Source Type: research
Photo credit Sander Weeteling Dear Carol: My 84-year-old mother has been living in her own condominium but her problems with dementia are making this a scary situation. She forgets that she’s cooking and leaves the stove on and has left the water running for hours. She forgets what day it is and how to do basic self-care. Mom has physical problems, too, including damaged lungs and mobility and pain problems from post-polio syndrome. I talked her into in-home care twice in the past but when the caregivers came, she refused to let them in. I understand because I doubt that I’d like strangers coming in either, but...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Conclusion: The challenges of growing up with a disability following paralytic polio led to the development of various psychological strategies for managing daily life. By understanding these experiences and strategies, knowledge may be gained in assisting rehabilitation professionals to better support persons with late effects of polio in adapting to the new situation. Implications for rehabilitation At the onset of late effects of polio, strategies developed earlier in life, such as overachieving, disregarding pain, and weariness, may not function anymore. Understanding the experiences of growing up with poliomyelitis ca...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
Discussion Dengue is an important arboviral infection that affects about 40% of the world population. It is found mainly in topical and subtropical areas of the world mainly in developing countries but it range is spreading including the United States. A review of common arboviruses can be found here. It is a flaviavirus with 4 distinct serotypes named DENV-1 through DENV-4 and is spread by A. aegypti a day biting mosquito. Infection with one serotype confers immunity to that serotype but not the others. It does offer some protection for cross-infection but this only lasts a few months. Incubation period is 3-14 days with ...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Post-polio syndrome (PPS) is a neurological condition that affects polio survivors decades after their initial infection. Despite its high prevalence, the aetiology of PPS remains elusive, mechanisms of progression are poorly understood and the condition is notoriously under-researched. While motor dysfunction is a hallmark feature of the condition, generalised fatigue, sleep disturbance, decreased endurance, neuropsychological deficits, sensory symptoms and chronic pain are also often reported and have considerable quality of life implications in PPS. The non-motor aspects of PPS are particularly challenging to evaluate, ...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Discussion Facial nerve palsy has been known for centuries, but in 1821 unilateral facial nerve paralysis was described by Sir Charles Bell. Bell’s palsy (BP) is a unilateral, acute facial paralysis that is clinically diagnosed after other etiologies have been excluded by appropriate history, physical examination and/or laboratory testing or imaging. Symptoms include abnormal movement of facial nerve. It can be associated with changes in facial sensation, hearing, taste or excessive tearing. The right and left sides are equally affected but bilateral BP is rare (0.3%). Paralysis can be complete or incomplete at prese...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
CONCLUSIONS: Many respondents reported having difficulties with transport mobility, but a large proportion, 57%, were independent and active drivers. It is important to consider outdoor mobility when planning rehabilitation for patients with late effects of polio and foreign backgrounds. In addition to psychosocial factors, dependence on mobility-related activities can lead to dependency and isolation. Implications for rehabilitation Outdoor mobility and access to transport modes are important for independence and an active life and need to be included in the rehabilitation process. Both personal and environmental factors,...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
Dogs can’t get autism, and even if they could, vaccines couldn’t cause it. Period. But some anti-vaxxers are increasingly making the same unfounded claims about pets and vaccines they’ve been repeating about children and vaccines for the past 20 years: that vaccines are unnecessary, dangerous and that they can cause a form of (canine) autism, along with other diseases. Just as with kids, that may be driving down pet vaccination rates. And the movement, while niche, shows no sign of stopping; in some states in the U.S., anti-vax activists have recently agitated to make state laws about mandatory pet vaccin...
Source: TIME: Science - Category: Science Authors: Tags: Uncategorized onetime Pets Source Type: news
Conclusion: Our data indicate that individuals with a history of PM late in life experience a variety of symptoms that cannot be attributed to lesions of the anterior horn. Furthermore, late symptoms do not seem to be related to initial symptoms of the acute stage of PM but to reported PPS. The last finding supports the perception that the cause of PPS is not just normal ageing.Eur Neurol 2018;80:295 –303
Source: European Neurology - Category: Neurology Source Type: research
​Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed.Conjunctivitis is either infectious (viral or bacterial) or noninfectious (allergic or nonallergic). Viral infections are more common in adults, bacterial ones in children, usually caused by Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Adults tend to have more S. aureus infections, while the other pathogens are more common in children. An adenovirus is typically responsible for viral-associated infections in conjunct...
Source: M2E Too! Mellick's Multimedia EduBlog - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
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