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11

A 77 year old man with asthma and renal impairment

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.  
feeds.bmj.com
over 6 years ago
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13

A 77 year old man with asthma and renal impairment

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.  
feeds.bmj.com
over 6 years ago
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0
11

A 77 year old man with asthma and renal impairment

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.  
feeds.bmj.com
over 6 years ago
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17

Effective ankle taping: Mechanisms, myths and more….(Part 1)

Stream Effective ankle taping: Mechanisms, myths and more….(Part 1) by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 6 years ago
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10

Fracture Fridays: Three Planes (re-post)

A 15 year old skateboarder totally screws up a rail grind. After posting his wipeout to YouTube his friends call his mom, who notices that he has been unable to walk on his ankle – probably because of how ridiculously swollen it is.  
pemcincinnati.com
over 6 years ago
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8

Podcast#3: To X-ray or not to X-ray (Ottawa Ankle Rules)

8 year old girl brought into ED by mother after twisting her ankle on a trampoline. She was able to walk on it but has become very swollen. The mother wants to know if she should get an xray to see if her daughter broke the ankle.  
thesgem.com
over 6 years ago
Www.bmj
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Orthopaedic surgeon who botched four operations while working as a locum is struck off

A surgeon whose attempt to repair a fractured ankle was called “a spectacular failure” by one consultant and “a frightening example of orthopaedic surgery” by another has been struck off the UK medical register.  
feeds.bmj.com
over 6 years ago
Www.bmj
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18

Orthopaedic surgeon who botched four operations while working as a locum is struck off

A surgeon whose attempt to repair a fractured ankle was called “a spectacular failure” by one consultant and “a frightening example of orthopaedic surgery” by another has been struck off the UK medical register.  
feeds.bmj.com
over 6 years ago
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8

Imaging Case of the Week 150 Answer

The left ankle x-rays, at the outset, look like a simple medial malleolar fracture with significant soft tissue swelling around the ankle. However, upon close inspection of the fracture, there is a serious injury pattern that necessitates an urgent orthopaedic referral from the ED.  
emergucate.com
over 6 years ago
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10

Imaging Case of the Week 150

The following left ankle x-rays are from a 52 year old who has experienced a twisting injury to her left ankle and is unable to weight-bear. What can be seen?  
emergucate.com
over 6 years ago
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62

The foot and ankle in rheumatology | Arthritis Research UK

Philip Helliwell, Heidi Siddle, Anthony Redmond Foot and Ankle Studies in Rheumatology Group, Section of Musculoskeletal Disease, Leeds Institute of Molecular Medicine, University of Leeds  
arthritisresearchuk.org
over 6 years ago
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15

Topical non-steroidal anti-inflammatory drugs for acute musculoskeletal pain in adults | Cochrane

Acute musculoskeletal pain describes conditions like a sprained ankle or a muscle pull. These usually get better over two or three weeks without treatment, but can be very painful while they last.  
cochrane.org
over 6 years ago
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9

Negative pressure wound therapy for treating leg ulcers | Cochrane

Leg ulcers are wounds that occur between the ankle and the knee as a result of poor blood flow in the legs. These wounds are relatively common often affecting older people. There are several different treatments for these ulcers and the underlying problems that cause them. Negative pressure wound therapy (NPWT) is a treatment currently beng used for wounds including leg ulcers. NPWT involves the application to the wound of a dressing to which a machine is attached. The machine then applies a carefully controlled negative pressure (or vacuum), and sucks any wound and tissue fluid away from the treated area into a canister.  
cochrane.org
over 6 years ago
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CRYO Immediately Heals Sprained Ankle

When Coach Mike injured himself spraining his ankle before the Nike "Run a mile" event, he turned to a mix of localized CRYO sessions and NormaTec compression/decompression sessions to speed his recovery. We got him back on his feet with full force just in time for his marathon. Glad you feel better coach!  
Max Anderson
over 6 years ago