From 472a16ba150261cdba1ca068a678d8160c552954 Mon Sep 17 00:00:00 2001 From: muqiuhan Date: Tue, 23 Jan 2024 12:08:12 +0000 Subject: deploy: ca9922a6738c88ea2f4fbaa6832ef859f3e6838a --- .../Radiographic-Absence-of-the-Left-Humeral-Head/index.html | 10 +++++++++- 2023/11/16/Fever-of-Unknown-Origin/index.html | 3 ++- 2 files changed, 11 insertions(+), 2 deletions(-) (limited to '2023') diff --git a/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html index 06080fac..8df1890a 100644 --- a/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html +++ b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html @@ -160,7 +160,15 @@
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A 67-year-old man with thoracolumbar scoliosis, poor mobility, and history of frequent
falls presented to the emergency department with 2 months of left shoulder pain, stiff-
ness and reduced range of motion, and numbness and paresthesias in his left upper
extremity. Ten years prior to presentation, he underwent surgical decompression for
syringomyelia. A magnetic resonance imaging (MRI) scan of his cervical and thoracic
spine performed 2 years prior to presentation revealed a recurrent syrinx extending from
Cl C1 to T11, which was not resected because it did not cause symptoms at that time. On
physical examination, he had mild tenderness to palpation and reduced range of motion
of the left shoulder with abduction and flexion limited to 120° (normal range of motion,
180°). The left scapular muscles were atrophic, and pain and temperature sensation
were reduced in his proximal left arm, and dorsal aspect of his left shoulder. His complete
blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedi-
mentation rate were normal. Results of tests for rheumatoid factor and antinuclear anti-
body were negative. Left shoulder radiograph showed complete absence of the left
humeral head and a well-demarcated smooth osseous margin of the proximal humerus
with associated soft tissue swelling and periarticular calcification (Figure 1). A chest
radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hos-
pitalized for further evaluation and treatment.

+

A 67-year-old man with thoracolumbar scoliosis, poor mobility, and history of frequent falls presented to the emergency department with 2 months of left shoulder pain, stiffness and reduced range of motion, and numbness and paresthesias in his left upper extremity.

+

Ten years prior to presentation, he underwent surgical decompression for syringomyelia.

+

A magnetic resonance imaging (MRI) scan of his cervical and thoracic spine performed 2 years prior to presentation revealed a recurrent syrinx extending from Cl C1 to T11, which was not resected because it did not cause symptoms at that time.

+

On physical examination, he had mild tenderness to palpation and reduced range of motion of the left shoulder with abduction and flexion limited to 120° (normal range of motion, 180°).

+

The left scapular muscles were atrophic, and pain and temperature sensation were reduced in his proximal left arm, and dorsal aspect of his left shoulder.

+

His complete blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedimentation rate were normal.

+

Results of tests for rheumatoid factor and antinuclear antibody were negative.

+

Left shoulder radiograph showed complete absence of the left humeral head and a well-demarcated smooth osseous margin of the proximal humerus with associated soft tissue swelling and periarticular calcification.

+

A chest radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hospitalized for further evaluation and treatment.

diff --git a/2023/11/16/Fever-of-Unknown-Origin/index.html b/2023/11/16/Fever-of-Unknown-Origin/index.html index ffa86823..db4f03f9 100644 --- a/2023/11/16/Fever-of-Unknown-Origin/index.html +++ b/2023/11/16/Fever-of-Unknown-Origin/index.html @@ -160,7 +160,8 @@
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Fever of unknown origin (FUO) has been recognized as a disease state for over
100 years. The first commonly accepted definition of FUO was published in 1961
and included (1) fever greater than 101 F (38.3 C) on multiple occasions (2) at least
3 week duration of fever (3) without identifiable cause despite at least a 1 week inpa-
tient evaluation.1 Overtime, this definition was considered both too rigid and too ill
defined. Given the impracticality of prolonged hospitalizations and advancing technol-
ogy for diagnosis, the duration of work up was shortened to 3 days inpatient evaluation
and/or 3 outpatient clinic visits.2

+

Fever of unknown origin (FUO) has been recognized as a disease state for over100 years.
The first commonly accepted definition of FUO was published in 1961 and included fever greater than 101F (38.3C) on multiple occasions at least 3 week duration of fever without identifiable cause despite at least a 1 week inpatient evaluation.

+

Overtime, this definition was considered both too rigid and too ill defined.
Given the impracticality of prolonged hospitalizations and advancing technology for diagnosis, the duration of work up was shortened to 3 days inpatient evaluation and/or 3 outpatient clinic visits.

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