1/7. Necrotising fasciitis: a life-threatening complication of acupuncture in a patient with diabetes mellitus.acupuncture is used for some conditions as an alternative to medication or surgical intervention. Several complications had been reported, and they are generally due to physical injury by the needle or transmission of diseases. We report a case of life-threatening necrotising fasciitis that developed after acupuncture treatment for osteoarthritis of the knee in a 55-year-old diabetic woman. She presented with multiple discharging sinuses over the right knee. As the patient did not respond to intravenous antibiotics, extensive debridement was performed. She made a good recovery. Since many old diabetic patients with degenerative joint diseases may consider this mode of treatment, guidelines on cleanliness and sterility of this procedure should be developed and practiced.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/7. Healing an intractable wound using bio-electrical stimulation therapy.Clinicians involved in the conservative care of chronic wounds have many treatment interventions from which to choose, including debridement/irrigation, dressings, and pressure-relieving devices, to name a few. All are physical treatments that create an ideal wound healing environment. Unfortunately, many wounds heal very slowly, do not heal, or worsen. This situation relates to the woman in this case study who had a non-healing leg ulcer for 12 months. One of the interventions commonly used to treat chronic wounds is bio-electrical stimulation therapy (BEST) and the rationale for use of this method is based on the fact that the human body has an endogenous bioelectric system that enhances healing of bone fractures and soft-tissue wounds. When the body's endogenous bioelectric system fails and cannot contribute to wound repair processes, therapeutic levels of electrical current may be delivered into the wound tissue from an external source.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/7. Endobronchial drainage of undiagnosed lung abscess during chest physical therapy. A case report.Bronchial drainage, positive-pressure lung inflation, chest-wall percussion, and suctioning were performed in a patient with postoperative atelectasis, lung infection, and respiratory failure. A previously undiagnosed posterior lung abscess subsequently drained into the bronchial tree, causing dissemination of the infection and a severe deterioration of pulmonary function. Dissemination of pulmonary infection from a lung abscess is a possible complication that should be considered when prescribing and administering chest physical therapy.- - - - - - - - - - ranking = 5keywords = physical (Clic here for more details about this article) |
4/7. Painless endophthalmitis after cataract surgery.pain is one of the classically described symptoms of postoperative bacterial endophthalmitis, and has been thought to be a useful and early warning symptom. Three cases, however, of culture-proved endophthalmitis presented without pain. Detection of abnormal physical findings suggested the diagnosis in each case, and led to the appropriate microbiologic evaluation and therapy. Early and frequent postoperative ocular inspection is the responsibility of the ophthalmologist. Exclusive reliance on symptoms experienced by the patient in the postoperative period is insufficient if complications such as endophthalmitis are to be diagnosed and treated optimally.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/7. The association of septic thrombophlebitis with subperiosteal abscesses in children.An association of septic thrombophlebitis with acute osteomyelitis in four children is described. Each patient presented with physical findings consistent with thrombophlebitis. Venography, done in two, demonstrated significant acute thrombophlebitis, and another had an infected venous cutdown. A subperiosteal abscess was the predominant bony involvement found in all three patients who underwent surgical drainage. The initial radiographs were normal in each case. Bone scans showed diffuse increase in activity in the extremity, consistent with hyperemia, but no focal areas of increased uptake to suggest osteomyelitis. Computerized tomography, done in two patients, failed to reveal any bony abnormality, although subperiosteal abscesses were drained within 48 hours of each study. The existence of reverse collateral venous flow through the bone, associated with a rise in intramedullary pressure, may be responsible for these findings.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
6/7. Perforated appendicitis in a 4-month-old infant.A 4-month-old male infant was admitted to our hospital because of poor intake and mild abdominal distention for 1 day. fever and watery diarrhea had occurred 4 days prior to admission, but subsided 2 days later after taking oral medications. A physical examination showed an acute ill-looking baby with a soft and mildly distended abdomen. The bowel sound was hypoactive and no obvious abdominal tenderness was found. Normal leukocyte and differential counts were noted in initial laboratory examinations; however, the serum level of C reactive protein was extremely high (31.4 mg/dL). Progressive abdominal distention and bilious vomiting occurred. Serial plain films of abdomen showed ileus with a fixed gas pattern and an abdominal echo revealed intraperitoneal fluid accumulation. Under the impression of intestinal perforation, an emergency laparotomy was performed. A perforated appendicitis with turbid fluid in the peritoneal cavity was noted during surgery. A pus culture grew pseudomonas aeruginosa which was sensitive to ceftazidime only. Triple antibiotics consisting of Prostaphlin, metronidazole, and ceftazidime were administered for 2 weeks. The patient was discharged 3 weeks later without any complications. appendicitis in infancy is a rare condition and associated with a high frequency of perforation and peritonitis. diagnosis is often difficult because of variable and nonspecific clinical manifestations.- - - - - - - - - - ranking = 8.0033685610606keywords = physical examination, physical (Clic here for more details about this article) |
7/7. Acute respiratory failure due to gentamicin aerosolization.We report a paradoxical episode of near-fatal bronchoconstriction which occurred in an adult bronchiectatic subject, with chronic pseudomonas aeruginosa airways colonization, immediately after his first inhalation of a gentamicin solution. This adverse reaction may be due to the gentamicin itself, the physical properties of the solution, or preservatives in the (commercially available) gentamicin solution.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |