Scaffolds Covered in Stem Cells and Silver Ions to Prevent Osteomyelitis
Bone infections are often very difficult to treat, and with the rise of MRSA this issue has become only more challenging. A team of researchers from University of Missouri, University of North Carolina at Chapel Hill and North Carolina State University, and Silpakorn University in Thailand has developed a way of making tissue scaffolds that ward off MRSA while promoting natural healing at the site of their implantation. This microscopic image shows silver-coated, stem cell-seeded scaffolds after MRSA bacteria were introduced. These medical devices can help health care providers fight MRSA while growing lost bone tissue....
Source: Medgadget - February 24, 2017 Category: Medical Equipment Authors: Editors Tags: ENT Neurosurgery Orthopedic Surgery Source Type: blogs

Madura Foot: MRI
Case Report - A 45 year non-diabetic male pt. presents with pain& swelling in right foot  of about 2-3 months duration for MRI foot with clinical suspicion of actinomycetoma.Radiological Findings1.   4THMetatarsal shows cortical thickening and sclerosis in shaft& mild expansile lytic lesions in the base with ill defined T2 hypointense soft tissue around the base. Multiple lytic lesions also seen in talus (neck and anterior body), anterior calcaneum, inferior cuboid, intermediate& lateral cuneiforms.2.   Ill defined T2 hypointense soft tissue seen in the subcutan...
Source: Sumer's Radiology Site - January 12, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs

Pediatric Nail Bed Laceration Basics – Part 5
​When and where should you use prolene? What about nylon suture threads? We will end with the latest on antibiotic use in hand injuries.Pediatric nail bed laceration and finger laceration. Tissue adhesives can be used in place of absorbable sutures for minor injuries to the nail bed.Nylon vs. ProleneHow do we decide on which to use and where to use it? Prolene is a synthetic, monofilament, non-absorbable polypropylene thread. This material can be difficult to handle, and many practitioners avoid using it. Its fishing thread-like structure makes it stiff, and its knots tend to be loose, especially for larger threads.Nylon...
Source: The Procedural Pause - January 3, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Sclerosing Osteomyelitis of Garre
* Excess periosteal reaction by an extremely sensitive periosteum in response to a low grade anaerobe. & nbsp;* Manifests as long standing chronic Osteomyelitis without any abscess or sequesterum formation. & nbsp;* XRay - Expanded bone with generalised sclerosis & nbsp;* ESR - Usually elevated & nbsp;* Culture - Usually Negative & nbsp;* Antibiotics and fenesteration of the sclerotic bone is usually helpful & nbsp;Case Submitted by & nbsp;Dr Tushar Mehta & nbsp;MBBS , DNB , MS (USAIM) , MNAMSOrthopaedic SurgeonFamous Radiology Blog TeleRad Providers at Mail us at...
Source: Sumer's Radiology Site - July 30, 2016 Category: Radiology Authors: Sumer Sethi Source Type: blogs

Funtabulously Frivolous Friday Five 149
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 149 Question 1 What would a Hollywood star with dewlap do? + Reveal the Funtabulous Answer expand(document.getElementById('ddet487549270'));expand(document.getElementById('ddetlink487549270')) Have plastic surgery. These are lose folds of skin around the neck and jaw. [Reference] Question 2 Which subgroup of the working populous is affected by foam mattress-back syndrome? + Reveal the Funtabulous Answer expand(docu...
Source: Life in the Fast Lane - June 10, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Adam and Eve dewlap foam mattress back syndrome forgotten disease Lemierre's syndrome potts puffy tumour repopulate earth Source Type: blogs

Research and Reviews in the Fastlane 113
Welcome to the 113th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check ou...
Source: Life in the Fast Lane - December 16, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Neurology Orthopedics Pediatrics Pre-hospital / Retrieval Resuscitation Cardiology Emergency Medicine Gastroenterology Infectious Disease Intensive Care critical care Education literature recommendations R&R in the FASTLANE R Source Type: blogs

What happens when the best medicine has to offer can’t be offered to everyone?
“We have an admission.” The dreaded four words for most interns on a day you are swamped with discharges while trying to get your post rounds orders in. “Hypertensive emergency and possible osteomyelitis of the foot,” my senior informed me with a few other details as we made our way to the emergency department. Mr. Rodriguez was a very pleasant middle-aged gentleman, with graying hair and a goatee.  I introduced myself, explained my role in the healthcare team, and informed him why he was being admitted to hospital. Mr. Rodriguez nodded his head every few seconds, but his blank stare betrayed the fact that he did ...
Source: Kevin, M.D. - Medical Weblog - August 10, 2015 Category: Journals (General) Authors: Tags: Physician Hospital Source Type: blogs

My diagnosis project week 2
Of course, my project is biased and not very scientific, but here is my observation from the second attending rotation. We had 9 new patients and 7 had diagnostic questions as a key portion of their admission. We could discount two of the patients because they had clear lower extremity infections. But they had the question of whether the reason was microvascular or macrovascular and whether they had osteomyelitis. A few of the diagnoses were fairly straight forward – dyspnea in a patient with COPD and systolic dysfunction – which was causing the symptoms. My impression from inpatient medicine is that most adm...
Source: DB's Medical Rants - January 23, 2015 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

Procalcitonin as a marker for septic arthritis and osteomyelitis
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 7, 2014 Category: Internists and Doctors of Medicine Tags: infectious disease Source Type: blogs

2-Can Device from Flow-FX for Biologics Delivery During Fracture Repair Procedures
Flow-FX, a new company based outside of Chicago, is set to release a new device for delivering biologics to fractured or diseased bone tissue. The 2-CAN is a multichanneled cannula for over the guide-wire delivery of orthobiologics. Here’s more about the device, according to the still stealthy company: The patent pending 2-CAN enables over the guide-wire bone void filler delivery in situations where an implant may not be indicated or a Flow-FX implant is unavailable. “The very near future will require the precision delivery of biologics to injured or pathologic bone. Osteoporosis, osteomyelitis, non-unions, segme...
Source: Medgadget - March 6, 2014 Category: Technology Consultants Authors: Editors Tags: Orthopedic Surgery Source Type: blogs

Malignant Otitis Externa-MRI
Toulmouche was probably the first physician to report a case of malignant external otitis (MEO), in 1838. Meltzer reported a case of pseudomonal osteomyelitis of the temporal bone. In 1968, Chandler discussed the clinical characteristics of malignant external otitis (MEO) and defined it as a distinct clinical disease. Malignant external otitis (MEO) is an infection that affects the external auditory canal and temporal bone. The causative organism is usually Pseudomonas aeruginosa, and the disease commonly manifests in elderly patients with diabetes. From Sumer's Radiology Site http://www.sumerdoc.blogsp...
Source: Sumer's Radiology Site - February 22, 2014 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Subacute Osteomyelitis-MRI
Penumbra of subacute osteomyelitis:Green arrow: Hypodensity = core of abscessYellow arrow: Iso or relatively hyperdense area = granulation tissueRed arrow: Hypodensity = sclerosis of bone to limit the infectionBlue arrow: Outer hypodensity = edema aroundThe sensitivity of the penumbra sign for osteomyelitis is 73.3%, with a specificity of 99.1%, Case and description by Dr. Wael Nemattalla,  Egypt. From Sumer's Radiology Site -The Top Radiology Magazine. Teleradiology Providers at Mail us at (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 19, 2014 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Poison dew drops
Last night I dreamed of airplanes. Again. Every night I dream of airplanes. Every night for the last seven nights, anyway. Big ones. Little ones. New ones. Old ones. But my dream planes aren’t soaring high and wild in blue skies like they were built to do. There’s always something wrong with them. They’re broken down. Out of fuel. Victims of weather. My dream planes are trapped, barred from their natural environment. In my dreams, they are prisoners of the ground. This morning as the fog of dreams lifted, I put it all together. My subconscious is processing the fact that I, too, am a prisoner.Oh, Lord, where to even ...
Source: LifeAfterDx--The Guardian Chronicles - January 5, 2014 Category: Diabetes Authors: Wil Source Type: blogs

Feel the Felon
Last time we discussed some ways to approach and manage the acute paronychia, but yet another unfortunate criminal robs our nail of its fine fettle: the nefarious felon. The felon’s early signs and symptoms may be subtle so don’t be fooled. This tender, fingerpad infection is not to be ignored. The enclosed fascial spaces of the fingertip pulp will be tender, and appear red and hot, which should mimic your aggressiveness and approach to stop it in its tracks. Figure out that felon, be tender, and forge ahead!   Some thoughts before proceeding. Your fingertip has thousands of nerves, and is very sensitive. Consider all...
Source: The Procedural Pause - May 29, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs