Case report: lower extremity deep vein thrombosis following an intense calf workout.

We report a case of a high-performance athlete with hemoglobin SC who presented with asymmetric calf soreness after an intense calf workout. By ultrasonography, he was diagnosed with a deep vein thrombosis (DVT) of his right calf. Subsequently he presented with a number of sequelae of sickle cell disease: acute chest syndrome, avascular necrosis of the hips, and chronic kidney disease.

Different genes influence toluene- and ethanol-induced locomotor impairment in C. elegans.

Background: The abused volatile solvent toluene shares many behavioral effects with classic central nervous system depressants such as ethanol. Similarities between toluene and ethanol have also been demonstrated using in vitro electrophysiology. Together, these studies suggest that toluene and ethanol may be acting, at least in part, via common mechanisms.

How sensitive is the synovial fluid white blood cell count in diagnosing septic arthritis?

Objective: This study was conducted to determine the sensitivity of the current standard for synovial fluid leukocytosis analysis in diagnosing infectious arthritis or a septic joint. How accurate is the standard synovial fluid white blood cell (WBC) cutoff of 50,000 WBC/mm3 to rule out septic arthritis?

Methods: We conducted a retrospective study at an urban tertiary care medical center with 50,000 adult emergency department visits per year. The study population consisted of patients with infectious arthritis confirmed by synovial fluid culture growth of a pathogenic organism.

Bilateral acetabular fractures associated with a seizure: a case report.

Seizures may produce significant muscular tension capable of fracturing bone. We present a patient who, after having a witnessed seizure, presented to the emergency department with bilateral hip pain and was diagnosed with bilateral acetabular fractures. A review of the literature revealed only 2 other cases of atraumatic bilateral acetabular fractures resulting from a seizure.