A&A practice
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Chronic penile pain causes significant suffering in men, yet the management of chronic penile pain is not described in current literature. A patient presented with penile pain for 3 months following a tick bite. ⋯ The patient underwent dorsal nerve block (DNB), which provided immediate pain relief and continued to provide significant relief for several months. This is the first case of chronic penile pain that was successfully managed with DNB.
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Focused Assessment with Sonography in Trauma (FAST) examinations have been performed for decades by surgeons during initial patient presentation for emergency care and surgical planning, as well as for guiding resuscitation. This case highlights how use of intraoperative FAST examinations performed by anesthesiologists can dramatically change patient management. Use by anesthesiologists perioperatively is an important skill, although it is not widely practiced.
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We report a case of a woman who experienced unexplained recurrent rashes of varying severity after multiple exposures to anesthesia, and then 2 successful surgeries under general anesthesia with no resultant rashes after removing propofol from her anesthetic plans. We infer her previous postanesthetic rashes were likely associated with drug-induced subacute cutaneous lupus erythematosus (DI-SCLE) triggered by propofol.