Connecticut medicine
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Connecticut medicine · Oct 2015
Case ReportsCaseous Calcification of Mitral Annulus: A Rare Monster Leading to Cerebrovascular Accident.
Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annular calcification that maybe easily misdiagnosed or confused with an abscess, a tumor, or infective vegetation. The main pathophysiological mechanism leading to CCMA involves degeneration and calcium deposition on the mitral valve. We present a case of CCMA to help understand this clinical entity.
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Connecticut medicine · Oct 2015
Case ReportsUse of a Tourniquet by LIFE STAR Air Medical Crew: A Case Report.
For many years tourniquets were perceived as dangerous due to the belief that they led to loss of limb because of ischemia. Their use in civilian and military environments was discouraged. Emergency medical responders were not taught about tourniquets and commercial tourniquets were not available. ⋯ As a consequence, they have been widely deployed in combat situations and there are now calls for the use of tourniquets in the civilian prehospital setting. This article presents a report of the successful application of a tourniquet by the LIFE STAR crew to control bleeding that local emergency medical services (EMS) personnel could not control with direct pressure. Tourniquets should be readily available in public places and carried by all EMS.
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Connecticut medicine · Sep 2015
Case ReportsMorel-Lavallée Lesion: A Case of an American Football Injury.
Morel-Lavallée Lesion (MLL) is a posttraumatic, closed degloving injury where the skin and superficial fascia get separated from deep fascia (fascialata) in the trochanteric region and upper thigh, hence creating a potential space. Similar lesions at other locations (e.g., abdominal wall and lumbar regions) have been described as Morel-Lavallée effusion, hematoma, or extravasation. ⋯ MLL usually presents as painful fluctuant swelling in the anterolateral portion o fthe upper thigh. Many of these maybe missed at initial evaluation and present weeks to months after the initial trauma.