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Hydrotherapy to Hospice: The Hidden Perils of Necrotizing Fasciitis Mimicry in Elderly Patients.
Cureus
November 2024
Trauma and Orthopaedics, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hospital, Aylesbury, GBR.
This case report presents a 77-year-old female with dementia and hypertension who experienced reduced consciousness during hydrotherapy. She was found to have hypotension, a low Glasgow Coma Scale score, and right thigh pain. Blood work showed acute kidney injury and elevated inflammatory markers, while imaging revealed surgical emphysema in the right thigh and pelvis without trauma.
View Article and Find Full Text PDFPerils in the Pelvis: Laparoscopic Management of Bilateral Pouch of Douglas Hernial Defects.
Am Surg
November 2016
Department of Surgery, Bronx-Lebanon Hospital Center, Albert Einstein College, of Medicine, Bronx, New York, USA.
Perils of the new labor management guidelines.
Am J Obstet Gynecol
April 2015
Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, MA.
Recent guidelines issued jointly by the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine for assessing labor progress differ substantially from those described initially by Friedman, which have guided clinical practice for decades. The guidelines are based on results obtained from new and untested methods of analyzing patterns of cervical dilatation and fetal descent. Before these new guidelines are adopted into clinical practice, the results obtained by these unconventional analytic approaches should be validated and shown to be superior, or at least equivalent, to currently accepted standards.
View Article and Find Full Text PDFA review of thromboembolic complications in pregnancy.
Minerva Ginecol
April 2010
Department of Obstetrics and Gynecology, Pennsylvania State University College of Medicine, Hershey, PA 17033, USA.
Combined with the enlarging uterus compressing the venous system of the pelvis and the vessel trauma incurred in delivery, an increase in clotting factor production in pregnancy predisposes the gravid patient to the peril of thromboembolism. When a patient has an inherited thrombophilia and becomes pregnant, this combination of risk factors in the presence of pregnancy may be the tipping point, pushing the coagulation cascade into an activated state. All thrombophilias, deep vein thrombosis, and pulmonary embolism are factors associated with complications in pregnancy that may lead to catastrophic consequences.
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