Ugeskrift for laeger
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Optic disc oedema describes the nonspecific, localized swelling of the optic nerve head regardless of aetiology. Therefore, differentiating among the various aetiologies depends on a thorough history and knowledge of the clinical characteristics of the underlying conditions. ⋯ It is usually a bilateral condition and visual function is preserved until late. Optic disc oedema caused by an anterior optic neuropathy is usually unilateral and accompanied by the loss of visual function.
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Ugeskrift for laeger · May 2014
Case Reports[Lumbar Morel-Lavallée lesion caused by a minor trauma.]
The Morel-Lavallée lesion (MLL) is a closed internal degloving lesion caused by a significant soft-tissue injury, which separates the skin and subcutaneous tissue from the underlying fascia. The separation creates a potential blood-filled cavity, which can become a source of chronic pain. Although the diagnosis of MLL in the greater trochanter and proximal thigh is well established, its occurrence in the lumbar area is unusual. This case report presents a 19-year-old very adipose woman with lower back pain due to a long-standing MLL, and our purpose is to increase the awareness of MLL in the lumbar area.
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Dyspnoea is a common complaint in patients with chronic liver disease. Hepatopulmonary syndrome (HPS) is an important cause to be aware of in the setting of liver disease, dyspnoea and hypoxaemia. ⋯ Contrast echocardiography, using micro-bubbles as the contrast, is required to establish the diagnosis. No medical therapy is available, only liver transplantation can cure the disease.
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Ugeskrift for laeger · Apr 2014
Case Reports[Pott's puffy tumour is a rare complication of sinusitis.]
Pott's puffy tumour is a well known but rare complication of frontal sinusitis or trauma. It was first described by Sir Percivall Pott in 1768. ⋯ This report presents a 43-year-old patient with schizophrenia who developed Pott's puffy tumour due to lack of sufficient treatment of sinusitis. Furthermore, the literature on the clinical manifestations, diagnosis, microbiology, treatment, and complications of Pott's puffy tumour is reviewed.