A 73-year-old female was referred to the department of geriatric medicine with malaise, lethargy, and swollen feet secondary to chronic renal failure (creatinine 700 umol/l). She had no bothersome urinary symptoms. However, on pelvic examination, stage III uterine prolapse (procidentia) was noted. She admitted having had it for many years. It was not noted on earlier clinical assessments. Bilat...

Figure 1. Sacral wound after debridement and prior to flap coverage, 15 × 12 cm 2 in size that tunneled superiorly. Potential right and left rotational flaps were designed on the basis of the gluteal arteries that were identified by Doppler ultrasonography. The dotted line marks the scar from the original MMC repair used for exploration of the pseu-domeningocele. MMC indicates myelomeningocele.

Background: Lumbar puncture (LP) is a worth procedure in diagnosis of oncological diseases and intrathecal administration of antineoplastic drugs. The effort should be to minimize pain of LP in children with cancers. This clinical trial was done to compare success rates in performing LP and reducing anxiety and pain of LP in sitting and lateral decubitus positions in 1 to 5-year-old children. ...

Decubitus ulcers are frequently encountered in the elderly and in bedridden or wheelchair-bound patients. Successful treatment is often difficult and expensive. Pressure, time, and friction are the major factors involved in the development of skin ulcers with such risk factors as age, female sex, and nutritional status predisposing to their development. Complications can be life threatening. A ...

BACKGROUND Post-dural puncture headache (PDPH) is a relatively common complication of lumbar punctures for spinal anesthesia or neurologic diagnosis. For many years, a high number of drugs has been evaluated to treat PDPH, yet there is a minority to prevent this complication. The lateral decubitus position instead of sitting position during lumbar puncture has become an interesting approach bec...

Abstract The ageing processes, primarily after the age of 60, bring about a number important changes that affect skin’s protective function. These directly and indirectly increase its vulnerability impair ability to heal. Hence, incidence chronic wounds increases in elderly population. Dry skin, often accompanied by itching consequent scratching, can lead development wounds. regenerate itself i...

To cite: Alansari M. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2012008459 DESCRIPTION A 55-year-old woman presented to the emergency department with acute upper abdomen pain and vomiting for 2 days. She had no history of duodenal ulcer. On examination she appeared unwell and hypotensive. Abdominal examination revealed mild guarding with no rebound. Plain abd...

The right lateral decubitus position is a risk factor for postoperative pulmonary embolism. We examined postural changes of femoral vein velocity in order to elucidate the mechanism. Thirty patients scheduled for general thoracic surgery were enrolled in this study. The common femoral veins on both sides were examined by color-duplex ultrasound for venous caliber and velocity when the patients ...