Evaluating the Usage of Musculoskeletal Spinal Drop-In Services in East Lancashire: A Retrospective Audit of Performance Standards.

Lower back pain (LBP) is a prevalent musculoskeletal disorder (MSD) that places a significant burden on patients as well as healthcare and economic systems. Musculoskeletal (MSK) spinal drop-in clinics in the North West of the United Kingdom (UK) have been introduced to provide more targeted therapies for those suffering from LBP. A retrospective audit was conducted from January to February 2017 to evaluate the utilization of the spinal clinic in relation to individual patient Keele STarT Back prognostication scores and to compare these with national guidelines.

A Rare Case of a Fractured Exeter V40 Stem in Revision Hip Arthroplasty.

Introduction: The Exeter stem by Stryker is a polished, double wedge, tapered,and stainless steel cemented implant that is known to have high mechanical strength, and therefore can carry a significant load.

Case Report: Due to the rare nature of fractures of this type of implant, its success and effectiveness within hip arthroplasty, the Exeter stem has become one of the most commonly used surgical treatment regimens for hip fractures. At present, there are only a handful of published papers detailing a fracture through an Exeter stem implant.

Unilateral Testicular Tuberculosis: An Extra-Pulmonary Manifestation.

The pathogenicity of causes it to most commonly manifest within the respiratory system (pulmonary tuberculosis); however, 15% of cases undergo extra-pulmonary spread to various organs. Genitourinary tuberculosis (GUTB) is a rare form of tuberculosis infection which has a propensity to affect the genitourinary tract, primarily affecting the kidneys, epididymis, seminal vesicles and prostate; however, 0.5% of cases result in infection of the testicles.

A Case of Embolic Spread of Fusobacterium necrophorum From Presumed Pharyngitis.

is the most common pathogen isolated in individuals diagnosed with the rare and life-threatening illness known as Lemierre's syndrome. Lemierre's syndrome commonly involves a triad of infection in the oropharyngeal region, thrombophlebitis of the internal jugular vein, and distant metastases of said infection. Our case involves an embolic spread of to the lungs, which was presumed to have originated in the pharynx, in the absence of internal jugular vein thrombosis.