Epinephrine-Containing Digital Nerve Block: A Case of Digital Tip Necrosis Leading to Amputation in a Patient With No Known Vascular, Rheumatologic, or Smoking History.

The use of epinephrine-containing digital nerve blocks has been shown to be safe in recent literature, challenging the historical fear of complications arising from irreversible ischemia. We present a rare case of digital tip necrosis following the injection of lidocaine-containing epinephrine for the purpose of wart removal using cryotherapy, ultimately requiring amputation.

For current market concepts for advance refunding.

Borrowing has been inexpensive in recent years. (a) The historically long period of low interest rates has enabled many hospitals and health systems to execute advance refundings of existing bonds, either to obtain economic savings or to alter the organization's capital structure to better reflect a desired risk profile or a merged credit structure.

Acute appendicitis with unusual dual pathology.

Introduction: Meckel's diverticulum is a rare congenital abnormality arising due to the persistence of the vitelline duct in 1-3% of the population. Clinical presentation is varied and includes rectal bleeding, intestinal obstruction, diverticulitis and ulceration; therefore diagnosis can be difficult.

Presentation Of Case: We report a case of acute appendicitis complicated by persistent post operative small bowel obstruction.