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Debridement for venous leg ulcers | Cochrane

Venous leg ulcers are a common type of leg wound. They can cause pain, stress, social isolation and depression. These ulcers take approximately 12 weeks to heal and the best and first treatment to try is compression bandages. In an attempt to improve the healing process it is thought that removing dead or dying tissue (debridement) from the surface of the wound can speed up healing. Six different methods can be used to achieve debridement: use of an instrument such as a scalpel (with or without anaesthesia - surgical debridement and sharp debridement, respectively); washing solutions and dressings (mechanical debridement); enzymes that break down the affected tissue (enzymatic debridement); moist dressings or natural agents, or both, to promote the wound's own healing processes (autolytic debridement); or maggots (biosurgical debridement).  
cochrane.org
over 6 years ago
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Rutosides for prevention of post-thrombotic syndrome | Cochrane

Blood clots in the veins of the leg are a common problem and are termed deep vein thrombosis (DVT). One in three patients with a DVT develops a complication known as post-thrombotic syndrome (PTS). This syndrome involves ongoing swelling of the affected leg, pain, and also skin changes. At the current time the main way of preventing PTS is to wear compression stockings. However, it is known that patients frequently find the stocking uncomfortable and would prefer to take an oral medication to prevent the problem.  
cochrane.org
over 6 years ago
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Left leg syndactyly

Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...  
youtube.com
over 6 years ago
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Boy With Abdominal Pain, Rash, Proteinuria and Microhematuria: Diagnosis?

A boy has cramp-like abdominal pain and a rash on the back of his legs, buttocks, as well as on the extensor surfaces of his forearms. Laboratory analysis reveals proteinuria and microhematuria. What is his likely diagnosis?  
medscape.com
over 6 years ago
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Rare but Serious Injuries With Epinephrine Autoinjectors

Seventeen children in whom an EpiPen epinephrine autoinjector was used in response to an allergic reaction experienced preventible leg lacerations, and four needles were lodged in children's limbs.  
medscape.com
over 6 years ago
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4

Interventions for varicose veins and leg oedema in pregnancy | Cochrane

Varicose veins, sometimes called varicosity, occur when a valve in the blood vessel walls weakens and the blood stagnates. This in turn leads to problems with the circulation in the veins and to oedema or swelling. The vein then becomes distended, its walls stretch and sag, allowing the vein to swell into a tiny balloon near the surface of the skin. The veins in the legs are most commonly affected as they are working against gravity, but the vulva (vaginal opening) or rectum, resulting in haemorrhoids (piles), can be affected too. Pregnancy seems to increase the risk of varicose veins and they cause considerable pain, night cramps, numbness, tingling, the legs may feel heavy, achy, and they are rather ugly. Treatments for varicose veins are usually divided into three main groups: pharmacological treatments, non-pharmacological and surgery. The review identified seven trials involving 326 women. Although there was a moderate quality evidence to suggest that the drug rutoside seemed to be effective in reducing symptoms, the study was too small to be able to say this with real confidence. Similarly, with reflexology and water immersion, there were insufficient data to be able to assess benefits and harms, but they looked promising. Compression stockings do not appear to have any advantages. More research is needed.  
cochrane.org
about 6 years ago
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Complex Regional Pain Syndrome - Causes, Treatment & Therapies - Gold Canyon AZ

The Complex regional pain syndrome (CRPS) is an unceasing pain condition that often affects one of the limbs (that can be arms, legs, hands, or feet), generally after an injury or trauma to that particular limb. Complex regional pain syndrome is believed to be caused due to damage, or malfunctioning of the peripheral and central nervous systems. The central nervous system encompasses the brain and spinal cord; whereas the peripheral nervous system includes the nerve signaling from the brain and the spinal cord to the other parts of the body. The Complex Regional Pain Syndrome is exemplified by prolonged or a chronic pain and mild or dramatic changes in the color of the skin, temperature or even swelling in the affecting area.  
calmareaz.com
about 6 years ago