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Location, location, location - INTENSIVE

A 25-year-old man was admitted to ICU post PEA arrest from haemorrhagic shock, following an assault and penetrating injuries to his right thigh and scrotum. In ICU he develops ischaemic hepatitis secondary to hypoxia, coagulopathy and acute kidney injury. He requires inotropic support, CVVHDF and repeat blood product transfusions.  
intensiveblog.com
about 4 years ago
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bmj.h5510-0

A 34 year old woman presented with an extensive cutaneous eruption on the lower limbs and buttocks. She had had atopic dermatitis with recurrent flares until age 22. She currently had idiopathic hirsutism and chronic foot onychodystrophy. Results of fungal culture of the nails three years earlier were negative. She had no personal or family history of psoriasis and no pets. When the lesions first appeared on her knees six months earlier she had consulted her general practitioner. A diagnosis of psoriasis was suspected and daily topical calcipotriol and betamethasone (strength III—potent topical steroid) were prescribed. The treatment was continued even though the lesions worsened and extended to her thighs and buttocks, with intense pruritus and burning. Finally she consulted our dermatological emergency unit.  
feeds.bmj.com
over 4 years ago
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Sleep positioning systems for children with cerebral palsy | Cochrane

Hip migration (where the top of the thigh bone gradually moves away from the pelvis) affects a substantial number of children with cerebral palsy and is often associated with pain. For some children with cerebral palsy, particularly those who are unable to walk, equipment is sometimes recommended to help children sleep in positions that reduce or prevent hip migration. This equipment is known as 'sleep positioning systems' and can be prescribed along with equipment designed to support posture while sitting or standing, or both, during the day. Together, these are referred to as 24-hour postural management programmes.  
cochrane.org
over 4 years ago
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Creeping lymphangitis

A 35 year old man presented with a two day history of a tender rash on the right thigh. Examination showed serpiginous erythema extending …  
feeds.bmj.com
over 4 years ago
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should limb sarcoma <5cm to got preoperative radiotherapy ?

Male patient ,50 years old coming with mass about 4 cm in the lateral aspect of the upper part of the thigh was diagnosed as sarcoma. The question is to what extent the benefits of preoperative radiotherapy?  
Gergis Rabea Farag
over 4 years ago
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Treatments for breaks in the lower part of the thigh bone in adults | Cochrane

Breaks (fractures) of the lower part of the thigh bone (distal femur) are debilitating and painful injuries. The reduced mobility after these injuries is also an important cause of ill-health. Sometimes these fractures happen in people who have previously had a knee replacement; this can make treatment of the fracture more complicated.  
cochrane.org
almost 5 years ago
Www.bmj
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A man with a mass in the thigh

A 54 year old man presented to his general practitioner because of a fullness in his left lateral thigh that he first noticed while playing golf, although it was not related to an identifiable injury. He had a history of hypertension and fibromyalgia and was taking atenolol, ramipril, pregabalin, and tramadol but was otherwise well. The GP thought that the swelling was caused by a muscular injury, but the patient re-presented four months later because the mass had grown from a small bump to a swelling of 8 cm in diameter. It was also beginning to cause some knee stiffness but no pain. On examination he had a large firm swelling in his lateral thigh. On this occasion his GP referred him on a two week wait to the regional plastic surgery department. An ultrasound scan showed a 6 × 8 cm intramuscular mass with cystic changes and patchy neovascularity, but no inguinal or pelvic lymphadenopathy. Ultrasonography was followed by magnetic resonance imaging, with and without gadolinium contrast (fig 1⇓).  
feeds.bmj.com
almost 5 years ago
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UOTW #42 – Ultrasound of the Week

52 y/o male presents stating that he has had an area of redness on his right thigh that has “fever” in it. No systemic fever/SOB/CP. On physical exam, vitals are normal and there is a 5 cm patch of erythema and induration on the patient’s right anterior thigh. No lower extremity edema, no fluctuance of the area. You recall an article that showed 40% of patients with clinically suspected cellulitis were diagnosed with abscess via ultrasound and required incision and drainage, so you obtain the following scan.  What’s the diagnosis?  
ultrasoundoftheweek.com
about 5 years ago
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New gene influences apple or pear shape, risk of future disease

Scientists have known for some time that people who carry a lot of weight around their bellies are more likely to develop diabetes and heart disease than those who have bigger hips and thighs.  
medicalnewstoday.com
about 5 years ago
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Liposculpture of the hips, flanks and thighs results in good cosmetic results and safety

Two decades of experience by senior plastic surgeons in different parts of the world show excellent cosmetic results and low complication rates with liposculpture of the hips, flanks, and...  
medicalnewstoday.com
about 5 years ago
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Complications after thigh lift surgery common, but usually minor, reports Plastic and Reconstructive Surgery

Performed as part of body contouring procedures in patients with massive weight loss, a procedure called medial thigh lift carries a substantial risk of complications, reports a study in the...  
medicalnewstoday.com
about 5 years ago
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Thigh Arteries - 3D Anatomy Tutorial

Thigh arteries anatomy tutorial. Check out the 3D app at http://AnatomyLearning.com. More tutorials available on http://AnatomyZone.com. Learn all about the ...  
youtube.com
about 5 years ago
Www.bmj
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A rash in a patient with neutropenia

A 72 year old man with relapsed acute myeloid leukaemia developed a rash seven days after starting a combined chemotherapy regimen (fludarabine, cytarabine, granulocyte colony stimulating factor, and idarubicin). He first noticed a painful lesion on his left forefoot, and over the next seven days he developed similar lesions on the left lower limb (fig 1⇓), right thigh, and face. He was referred for a dermatological opinion on day 14.  
feeds.bmj.com
about 5 years ago
Www.bmj
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“It’s just a muscle sprain”

A 10 year old boy presented to his general practitioner with a four week history of left mid-thigh pain with no associated history of systemic symptoms. He had no memory of a preceding trauma and no history of infection, locally or systemically. The pain was relapsing and remitting in its extent and frequency. It was also activity related, with occasional night waking and pain at rest. His GP took a full history, conducted a complete hip examination, and at initial presentation decided that the pain was caused by a muscle sprain.  
feeds.bmj.com
about 5 years ago
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Anatomy Atlases: Atlas of Human Anatomy in Cross Section: Section 6. Pelvis, Perineum, Hip, and Upper Thigh: Male

Ronald A. Bergman, Ph.D., Adel K. Afifi, M.D., Jean J. Jew, M.D., and Paul C. Reimann, B.S. Peer Review Status: Externally Peer Reviewed  
anatomyatlases.org
about 5 years ago
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Femoral Triangle - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing the Femoral Triangle of the Thigh. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https:/...  
YouTube
about 5 years ago
Www.bmj
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A rash in a patient with neutropenia

A 72 year old man with relapsed acute myeloid leukaemia developed a rash seven days after starting a combined chemotherapy regimen (fludarabine, cytarabine, granulocyte colony stimulating factor, and idarubicin). He first noticed a painful lesion on his left forefoot, and over the next seven days he developed similar lesions on the left lower limb (fig 1⇓), right thigh, and face. He was referred for a dermatological opinion on day 14.  
bmj.com
about 5 years ago
Www.bmj
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“It’s just a muscle sprain”

A 10 year old boy presented to his general practitioner with a four week history of left mid-thigh pain with no associated history of systemic symptoms. He had no memory of a preceding trauma and no history of infection, locally or systemically. The pain was relapsing and remitting in its extent and frequency. It was also activity related, with occasional night waking and pain at rest. His GP took a full history, conducted a complete hip examination, and at initial presentation decided that the pain was caused by a muscle sprain.  
bmj.com
about 5 years ago
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ANATOMY; MUSCLES OF THE PERINEUM & THIGH by Professor Fink

This is Part 4 of 5 Video Lectures on the Skeletal Muscle Groups of the Human Body by Professor Fink. In this Video Lecture, Professor Fink first describes t...  
YouTube
over 5 years ago
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Liposuction for bariatric patients?

I have recently seen a large number of patients who have been to big to breathe and have developed ulcers under skin folds of the thighs,buttocks,groin,belly and breast. Why do we not offer liposuction or tummy tucks for the extreme obese?  
jacob matthews
over 5 years ago