Paradoxical digital ischaemia

Digital ischaemia in the digital age

After the accidental injection of epinephrine into a digit, various techniques to try and reverse the ensuing ischaemia were unsuccessful. To identify a further treatment strategy and as members of the admitting team were unfamiliar with digital injection of epinephrine a Google search was performed. Previous cases were described and separate sources indicated appropriate management protocols u...

Ovarian Mass Causing Paradoxical MI and Leg Ischaemia

Paradoxical embolus through a patent foramen ovale is a well-reported phenomenon. Clinical consequences include stroke, intestinal infarction, lower limb ischaemia, and even acute myocardial infarction (MI), via embolisation to the coronary arteries. We present a case of acute MI, cardiogenic shock, and cardiac arrest caused not by this mechanism, but by embolisation of thrombotic material to t...

Electrically heated gloves for intermittent digital ischaemia.

et al.4 Moreover, because of its slow elimination amiodarone would inhibit uptake of radioactive iodine for months. Although amiodarone has been reported to cause thyrotoxicosis, this appears to be rare,3 probably occurring only in subjects with associated iodine deficiency (Jod-Basedow effect). Thus amiodarone controls thyrotoxicosis clinically and biochemically but has no advantages over equi...

Association between digital ischaemia and malignant disease.

Digital ischaemia in a renal transplant patient.

A renal transplant patient presented with a sudden onset of painful left index finger (Figure 1). He had a palpable left radial pulse with an absent ulnar pulse. The left index finger was cold and dusky with reduced capillary refill and sensation. There were multiple splinter haemorrhages visible in the left hand only (Figure 2). He had a non-functional arteriovenous fistula (AVF) at the left w...