Publications by authors named "Nicholas Salerno"

Article Synopsis
  • - Herpetic whitlow is a viral infection of the fingers or toes caused by the herpes simplex virus, leading to symptoms like pain, swelling, and vesicle formation.
  • - Proper diagnosis is crucial as it can be confused with other conditions, like paronychia or bacterial cellulitis, which may result in unnecessary treatments.
  • - An atypical case of herpetic whitlow in the right hallux demonstrated a delayed diagnosis, where lesions were found to be positive for herpes simplex virus type 1, leading to the use of antiviral and antibiotic treatments post-discharge.
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Article Synopsis
  • - Peroneal subluxation, a condition causing debilitating ankle issues, can arise from either a tear in the superior peroneal retinaculum or laxity in the tendon sheath, affecting how the tendons behave during ankle movement.
  • - A surgical technique called peroneal stabilization was applied to five patients diagnosed with either condition, involving the detachment and reattachment of tendon sheaths using sutures to restore proper tension and prevent dislocation of the tendons.
  • - Post-surgery, all patients experienced improved weight-bearing ability and there were no cases of residual tendon dislocation, though some had minor complications like tendonitis or nerve irritation.
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The objective of this study is to evaluate peripheral perfusion in patients who developed plantar heel ulcerations status after transmetatarsal amputation and Achilles tendon lengthening. Peripheral perfusion was assessed via contrast angiography of the 3 crural vessels (anterior tibial, posterior tibial, and peroneal arteries), as well as intact heel blush and plantar arch. The secondary objective is to correlate the arterial flow to time to develop heel ulceration and incidence of minor and major lower-extremity amputation.

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The standard treatment of cutaneous abscesses in the emergency department is incision and drainage (I&D). The purpose of this investigation is to determine the feasibility of using a povodine-iodine topical antiseptic solution (PVP-I) as a clinical adjunct in the treatment of superficial skin abscesses after I&D, and the data is related to "Pilot Study to Evaluate the Adjunct Use of a Povidone-Iodine Topical Antiseptic in Patients with Soft Tissue Abscesses" [Olson et al., 2019].

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Background: Povidone-iodine (PVP-I) antiseptic solutions have been shown to be effective against methicillin-resistant Staphylococcal aureus, a common cause of superficial skin abscesses.

Objectives: Our objective was to study the feasibility of using PVP-I as a treatment adjunct in patients with superficial skin abscesses and determine if it confers any benefit over incision and drainage (I&D) alone.

Methods: This was a randomized controlled pilot study of adult patients with an uncomplicated skin abscess.

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Medical simulation competitions have become an increasingly popular method to provide a hands-on "gamified" approach to education and training in the health professions. The most well-known competition, SimWars, consists of well-coordinated teams that are tasked with completing a series of mind-bending clinical scenarios in front of a live audience through 'bracket-style' elimination rounds. Similarly, challenging hazards amidst observational simulation (CHAOS) in the emergency department (ED) is another novel approach to gamification in both its structure and feel.

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