The Journal of foot surgery
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Spinal anesthesia is a frequently used technique for surgery of the lower extremities. A complication of this form of regional anesthesia is post-lumbar puncture headache. Rapid diagnosis and treatment are essential in preventing prolonged disability and neurologic sequelae. Two case reports are presented, followed by a review of the literature concerning etiology, diagnosis, and treatment of post-lumbar puncture headache.
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Gunshot wounds to the lower extremity consist of three types: 1) low velocity, 2) high velocity, and 3) shotgun wounds. High velocity wounds are generally seen in military practice, whereas low velocity wounds are of concern in civilian practice. Adequate management of the gunshot wound necessitates a rigid protocol consisting of history and detailed physical examination. It is the purpose of this article to describe in detail the proper protocol for gunshot wound evaluation.