The American journal of case reports
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The glenohumeral joint is the most mobile joint in the human body due to the shallowness of the glenoid socket. This unique anatomy also makes it the most dislocated joint in humans. All the techniques described so far for relocation require operator control and prescription drugs. We describe a technique that is unique, easy, and patient-controlled. ⋯ A new patient-controlled technique for reduction of the glenohumeral joint following dislocation is described. It is simple, safe, and effective to perform in Emergency Departments.
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Case Reports
Severe hypercalcemia complicating recovery of acute kidney injury due to rhabdomyolysis.
Rhabdomyolysis is frequently complicated by multiple electrolyte abnormalities, including hyperkalemia, hyperphosphatemia, and hypo/hypercalcemia. Hypercalcemia can be severe and life-threatening. ⋯ Hypercalcemia is not uncommon during the recovery phase of ATN. Unattended, it can cause severe morbidity and even mortality. Fluid administration, pamidronate, and calcium-free dialysis are some methods used to correct severe hypercalcemia. Over time, hypercalcemia improves in almost all cases.
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Male, 23. ⋯ Early diagnosis and treatment are essential in ensuring a good outcome for patients with this rare combination of medical problems.
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Female, 62 FINAL DIAGNOSIS: Tricuspid regurgitation Symptoms: Dyspnea exertional • fatigue • leg edema ⋯ This was a case with right heart failure symptoms in which invasive hemodynamic findings were consistent with constrictive pericarditis and the noninvasive imaging modalities were not. This case illustrates that severe TR can mimic some hemodynamic findings of constrictive pericarditis, due to restraining effect of the enlarged right heart on intact pericardium and on the left ventricle. Lack of significant respiratory changes in hemodynamic parameters that can safely be demonstrated by echocardiography and cardiac MRI suggest a normal pericardium.
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Male, 67 FINAL DIAGNOSIS: Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome Symptoms: Bilateral wrist swelling Medication: - Clinical Procedure: - Specialty: Rheumatology. ⋯ To the best of our knowledge, this is the first case report of RS3PE associated with insulin therapy. Physicians should look at the introduction of drugs as possible triggers for the development of RS3PE.