This study identifies a time-dependent association with unilateral LHA in the diagnosis of 'pathological' DDH after the age of 8 weeks. The presence of bilateral LHA in the young infant may be a normal variant and is an inaccurate clinical sign in the diagnosis of pathological DDH. LHA should be actively sought after 8 weeks of age and if present should be followed by a formal ultrasound or radiographic examination to confirm whether or not the hip is developing in a satisfactory manner.
Ingestion of a foreign body is a problem seen in nearly all otolaryngologic practices. Ingested foreign bodies which migrate extraluminally are rare occurrences. If untreated, they may result in life threatening complications. We are reporting a case of sharp metallic pin which migrated extraluminally in the hypopharynx and became lodged in the soft tissue. It was successfully removed by direct laryngoscopy.
Opioid addiction is on a rise globally. Such a patient presents to an anesthesiologist as well as to the surgeon with an array of challenges. We present the case of an opioid addict (pentazocine) who presented for debridement and grafting of eschars and old healed scars. Initially he was medically managed for opioid addiction followed by a planned anesthesia. We hereby discuss the challenges faced during perioperative period.
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