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Infectious Flexor Tenosynovitis of the Lower Extremity: A Case Report
DOI: https://doi.org/10.5070/M5.52282X-rays of the foot, ankle, and tibia-fibula were obtained which showed no acute fractures or dislocations. A CT of the right lower extremity with IV contrast demonstrated fluid along the flexor hallucis longus and flexor digitorum longus tendons with scattered foci of air, and the hypodensities on the plantar aspect of the foot (red highlight), were concerning for infectious tenosynovitis. The CT scan also showed diffuse soft tissue edema, the dark attenuation on imaging (blue highlighted), predominantly along the dorsal midfoot.
Visual Case Report of a Prosthetic Joint Infection and Chronic Dehiscence following a Total Knee Arthroplasty
DOI: https://doi.org/10.5070/M5.52251Radiographs demonstrated intact prosthetic components (blue) without acute fracture, tibial peri-stem lucency (green) concerning for loosening or infection, as well as joint effusion, and soft-tissue swelling.
Hematoma, Hemarthrosis, and Hemotympanum: A Case Report of Acquired Hemophilia A
DOI: https://doi.org/10.5070/M5.52344Non-contrast computed tomography (CT) scan of the left knee confirmed a small to moderate suprapatellar joint effusion with Hounsfield unit measurements suggestive of blood products (+47 Hounsfield units), consistent with acute hemarthrosis. The hemarthrosis appears as a gray, fluid-density collection slightly darker than the surrounding tissues that conforms to the suprapatellar space anterior to the femur, continuing distally between the femur and the patella.
A Case Report of Granulomatosis with Polyangiitis Presenting with Chronic Conjunctivitis
DOI: https://doi.org/10.5070/M5.52284Notable bilateral proptosis with conjunctival injection and limbic sparing (clear conjunctiva surrounding the margin of the cornea, shown by the arrow in the image of the eyes) was present.
A Case Report on an Open Fracture Dislocation Injury of the Proximal Phalanx of the Thumb Resulting from Playing Cricket
DOI: https://doi.org/10.5070/M5.52278There was an open injury to the volar aspect of the right thumb at the interphalangeal joint, with exposed bone. There was no active bleeding from the wound. He had intact sensation to the entire thumb and hand. His radial pulse was normal with normal capillary refill in all digits of his right hand. He had intact wrist flexion, extension, abduction, and adduction; however, he was unable to flex or extend his thumb secondary to the injury. He had no other injuries to the rest of his right upper extremity. An x-ray was obtained which showed a right thumb proximal phalanx intra-articular fracture (proximal fracture fragment outlined in yellow, distal fracture fragment outlined in pink) at the interphalangeal joint with dorsal dislocation of the distal phalanx (outlined in red). There were no radiopaque foreign bodies.
Woman with a Blackened Tongue: A Case Report
DOI: https://doi.org/10.5070/M5.52329The patient’s vital signs were blood pressure 109/72 mmHg, respiratory rate 18 breaths per minute, pulse 93 beats per minute, temperature 97°F. Physical examination revealed notable black discoloration of the tongue and gingiva, along with hyperpigmented skin exhibiting numerous diffuse nevi distributed across the face and upper extremities.
A Case Report of Corneoscleral Laceration with Open Globe Injury and Iris Prolapse
DOI: https://doi.org/10.5070/M5.52326Closer examination of the right eye revealed a 2 mm x 1 mm corneoscleral laceration to the 4-5 o'clock position at the border of zone I (yellow highlighting) and II (blue highlighting) with iris prolapse (yellow star) and plugging. Additionally, the affected eye revealed a peaked pupil (cyan highlighting) in the inferonasal direction with associated corectopia and a 2 mm Grade I hyphema (pink highlighting). Immediately inferior to the corneal laceration, 1 mm epithelial injury of the lower palpebra was present (green cross). Fluorescein exam demonstrated uptake at the 4-5 o'clock position (yellow arrow) but was negative for Seidel’s sign.
Diagnosis of Sinonasal Carcinoma in the Emergency Department: A Case Report Highlighting Red Flag Symptoms
DOI: https://doi.org/10.5070/M5.52257Physical exam revealed a gross deformity of the left side of the face with soft tissue swelling with no overlying skin changes. The left eye was proptotic and completely immobile, with cranial nerve (CN) 3, 4, and 6 palsies. Additionally, a large obstructive mass was noted in the left naris with resultant rightward displacement of the nasal septum. Intraocular pressures (IOPs) were measured to be 6 mmHg in the right eye and 11 mmHg in the left eye.
Imaging, including maxillofacial and neck soft tissue CTs revealed a large, destructive, soft tissue mass centered in the nasal cavity with significant osseous destruction of the midface and skull base (red highlighted area). There was mild intracranial extension with the mass abutting or infiltrating the inferior frontal lobes (green highlighted area). The nasal cavity and nasopharynx were obstructed (orange highlighted area). The mass invaded the left orbit with associated left-sided proptosis, left globe deformity, and compressed the left optic nerve and the left optic chiasm (blue arrows).