Exertional and CrossFit-Induced Rhabdomyolysis.

Few publications of exercise-induced rhabomyolysis currently exist in the medical literature besides case reports. However, this condition can be severe, resulting in hospitalization and IV fluid administration to prevent serious sequelae. This report describes a case of exercise-induced rhabdomyolysis caused by a CrossFit workout.

Exertional and CrossFit-Induced Rhabdomyolysis.

Few publications of exercise-induced rhabomyolysis currently exist in the medical literature besides case reports. However, this condition can be severe, resulting in hospitalization and IV fluid administration to prevent serious sequelae. This report describes a case of exercise-induced rhabdomyolysis caused by a CrossFit workout.

An ultrasound study of the phrenic nerve in the posterior cervical triangle: implications for the interscalene brachial plexus block.

Background And Objectives: Concomitant phrenic nerve block frequently occurs after brachial plexus block procedures in the neck and can result in substantial morbidity. In this study we sought to establish the anatomic basis using ultrasound imaging.

Methods: We scanned the neck region of 23 volunteers with high resolution ultrasonography and identified the phrenic nerve in 93.

Sonographic imaging of the obturator nerve for regional block.

Background And Objectives: Today, there is a growing appreciation of the importance of the obturator nerve in clinical anesthesia. The aim of this study is to describe the ultrasound appearance of the obturator nerve for potential utility in guiding these nerve blocks.

Methods: We scanned left and right inguinal regions of 20 volunteers lateral and distal to the pubic tubercle (PT) and assessed visibility, size and shape, and depth from the skin of common obturator nerves and their associated divisions.

The musculocutaneous nerve: ultrasound appearance for peripheral nerve block.

Background And Objectives: To gain complete anesthesia of the forearm, block of the musculocutaneous nerve is necessary. Variations in its course and position make localization of the musculocutaneous nerve problematic. The aim of the study is to describe the ultrasound appearance of the musculocutaneous nerve in the axilla and to suggest potential areas to target neural block.

Ultrasound visibility of needles used for regional nerve block: an in vitro study.

Background And Objectives: Ultrasound visibility of regional block needles is a critical component for safety and success of regional anesthetic procedures. The aim of the study was to formally assess factors that influence ultrasound visibility of needles used in regional anesthesia.

Methods: Regional block needles between 17- and 22-G diameter were inserted in a tissue equivalent phantom at angles from 0 degrees to 65 degrees relative to the phantom surface.

Preservation of base-line hemodynamic function and loss of inducible cardioprotection in adult mice lacking protein kinase C epsilon.

Signaling pathways involving protein kinase C isozymes are modulators of cardiovascular development and response to injury. Protein kinase C epsilon activation in cardiac myocytes reduces necrosis caused by coronary artery disease. However, it is unclear whether protein kinase C epsilon function is required for normal cardiac development or inducible protection against oxidative stress.

Sciatic nerve block in a child: a sonographic approach.

Unlabelled: Ultrasound technology can facilitate peripheral nerve blocks in clinical practice. In this case report, ultrasound imaging was used to identify the sciatic nerve and guide local anesthetic injection in the subgluteal region of a child undergoing Achilles tendon lengthening. Sonographic guidance may be especially useful for peripheral nerve blocks in children because the neural imaging is often excellent and reference landmarks are variable.

Ultrasound guidance for ulnar nerve block in the forearm.

Objective: The objective of this study was to establish the feasibility of ulnar nerve block under direct imaging.

Case Reports: Two patients undergoing surgery on the fifth digit or medial hand received ulnar nerve blocks in the mid-forearm (approximately 15 cm proximal to the styloid process of the ulna). Ultrasound imaging was used to identify the ulnar nerve in the forearm and guide local anesthetic infiltration.

Hormonal therapy in chronic radiation colitis.

Severe gastrointestinal bleeding is a rare complication of radiation therapy that requires frequent transfusions. This case report describes a patient with severe bleeding from radiation colitis after treatment of bladder cancer. During 5 months of therapy with multiple drugs, the patient needed 26 units of packed red cells.

Intracoronary Stent Used in a Transplanted Heart.

The development of occlusive cardiac allograft vasculopathy is different from coronary artery disease in native vessels and treatment is still an unsettled problem. We describe a case of a 53-year-old male who underwent heart transplantation because of severe dilated cardiomyopathy. Based on myocardial ischemia, coronary angiography was performed six years later.

Magnetic resonance imaging and spectroscopy of progressive cerebral involvement in Kearns Sayre Syndrome.

Kearns Sayre Syndrome (KSS) belongs to the group of so called 'mitochondrial encephalopathies'. Magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS) may have the potential to noninvasively detect and monitor disease specific cerebral involvement, as we wish to demonstrate in a patient whom we have followed for 3.5 years.

Giant cyst of the liver with complete resolution following blunt trauma to the abdomen.

Here we report on a 78-year old female who was admitted to a local hospital with unspecific abdominal complaints. Sonography showed a solitary liver cyst 30 cm in diameter confirmed by computed tomography. At that time the patient refused any intervention.