Cervical emphysema and pneumomediastinum are rare conditions, especially outside the setting of blunt trauma. Here we describe a case of a 31-year-old male with a history of cocaine use presenting with cough, odynophagia, neck pain, and neck swelling after forcefully blowing his nose to relieve cocaine-associated congestion and obstruction. Physical exam demonstrates crepitus along the neck and...

Necrotizing fasciitis is an aggressive, invasive soft tissue infection. Because it can rapidly progress to patient instability, prompt diagnosis followed by urgent debridement is critical to decreasing mortality. Despite the importance of early diagnosis, necrotizing fasciitis remains a clinical diagnosis, with little evidence in the literature regarding the effectiveness of diagnostic tools or...

objectives: patients suffering from mild to moderate knee osteoarthritis may be treated with unloader knee orthoses or laterally wedged insoles. the aim of this study was to identify and compare the effects of two orthoses in these patients. methods: 56 patients with medial compartment knee oa were evaluated when wearing an unloader knee orthosis and insoles with a 6° lateral wedge which were r...

tuberculosis (tb), once a disease confined to undeveloped or developing nations is currently in resurgence, which is attributable to pandemic human immunodeficiency virus (hiv) infection and immigration from endemic areas. tuberculous arthritis is difficult to diagnose early because of its atypical insidious clinical manifestations and nonspecific imaging findings. tb is also known as the ‘grea...

background : biomechanical factors are known to be important in knee osteoarthritis (oa) development and progression. this study was designed to determine changes of hamstrings muscle activation, knee adduction moment and ankle rotation angle in two knee osteoarthritis (mild and moderate) and a healthy control group.   methods: 16 females (10 with mild and 6 with moderate medial knee osteoarthr...

Three experiments investigated the conditions under which fricative perception is influenced by following vocalic context. In Experiment 1, a reaction-time task, listeners showed no such influences , suggesting that they reached decisions about the fricative category before processing the vocalic context. In Experiment 2, a fixed-standard AX discrimination task employing synthetic fricative noi...

Purpose: To investigate the relation between temporomandibular joint (TMJ), pain and anterior open bite versus TMJ structional changes Materials and Methods: Sixty-four patients, 18 men and 46 female, with TMJ involvement of rheumatoid arthritis (RA) were included. 20 healthy patients were included as controls. A clinical examination performed regarding TMJ pain, tenderness to palpation and the...

BACKGROUND Available information suggests a mismatch between radiographic and orthopedic examination findings in cats with DJD. However, the extent of the discrepancy between clinical and radiographic signs of OA in companion animals has not been described in detail. This study aimed to evaluate the relationship between orthopedic examination findings, joint goniometry, and radiographic signs o...

Twin B, weighing 1200 g, was born at 30 weeks gestation to a 17-year-old gravida 2, para 0 mother. Apgar scores were 7 at 1 min and 8 at 5 min. Apnea and bradycardia were treated by endotracheal intubation. Hyaline membrane disease was present clinically and radiographically. Right pneumothorax present on day 1 and left pneumothorax on day 2 were treated by bilateral chest tube placement. A nec...

INTRODUCTION Temporomandibular joint osteoarthritis (TMJ OA) is a degenerative disease characterized by deterioration of articular tissue with concomitant osseous changes in the condyle and/or articular eminence, joint positive for TMJ noise with jaw movement or function, crepitus detected on palpation on opening, closing, right/left lateral, or protrusive movement. Hyaluronic acid (HA) is a po...