Publications by authors named "M Fenech"

This study aimed to describe a case series of patients diagnosed with orbital reactive lymphoid hyperplasia (RLH) at a single tertiary care centre. A retrospective review was conducted by searching electronic medical records at Liverpool University NHS Foundation Trust (LUHFT) from 1 December 2021 - 1 December 2023, to identify all patients with a histological diagnosis. Ten patients with an orbital histological diagnosis of RLH were identified.

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Introduction: Iatrogenic and traumatic injuries to the femoral and saphenous nerves, and their branches are uncommon but can be a cause of clinically pertinent lower limb dysfunction and neuralgia. Despite this, direct sonographic imaging of these nerves is not commonly requested or performed.

Methods: A review of the literature regarding the detailed relative anatomy, sonographic technique to image these nerves and their branches and their normal and abnormal appearances was conducted.

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Introduction: Sonography students require a deep understanding of structural anatomy, including where structures sit relative to one another. Additionally, they need to learn the complex task of identifying structures on medical images including X-rays, computed tomography, magnetic resonance imaging and ultrasound imaging. Anatomy can be taught online, but learning can be challenging for students.

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Article Synopsis
  • The genicular nerves are sensory nerves around the knee that can be visualized using advanced ultrasound techniques.
  • These nerves are often missed in imaging but can significantly impact chronic knee pain treatment through targeted procedures like nerve blocks and radiofrequency ablations.
  • Understanding the anatomy and imaging techniques related to the genicular nerves is crucial for improving diagnosis and treatment outcomes for knee pain.
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The axillary lymph node (LN) burden of breast cancer patients guides multidisciplinary management and treatment regimes. Sonographic imaging is used to identify the presence, number and location of axillary LNs suspicious of malignancy and used to guide nodal fine needle aspirations and biopsies. Axillary LNs suspicious of harbouring breast cancer metastasis can be localised to three surgical axillary levels, numbered according to their location relative to the pectoralis minor muscle and lymph flow.

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