Emergency Medicine: Open Access
Open Access
ISSN: 2165-7548
ISSN: 2165-7548
Medical Image - (2016) Volume 6, Issue 1
We are presenting a case of a 40-year-old lady who presented with sudden loss of consciousness. Computed Tomography scan of her brain revealed the presence of blood in her sub-arachnoid space on her right hemisphere, cerebral oedema, and cerebral venous sinus thrombosis later magnetic Resonance Imaging revealed extensive cerebral venous sinuses thrombosis formation associated with supra and infra-tentorial haemorrhages. Elevated levels of plasma homocysteine and deficient levels of protein S. Patient was anticoagulated with warfarin and INR was monitored. She recovered successfully with no complication of anticoagulation observed. The use of anticoagulation had a favourable outcome in our patient but the evidence of its use lacking to date.
Keywords: Plantar fasciitis; Physiotherapy
Patient ZMS, 70 years old, with class I obesity, walking practicing 3-5 times a week, with an average duration between 40-60 minutes to travel between 4-6 kilometers, presents with pain in left foot one year, even after treatment with anti-inflammatory, infiltration and physiotherapy (Figure 1).
Figure 1: Image of liver parenchyma with diffuse hyperechogenicity the signals associated with the deletion of important limits the walls of hepatic veins and diaphragmatic line.
Conducted examination
Magnetic resonance imaging of the left ankle in high-field systems (1.5T) with multiplanar sequences T1 and sensitive liquid before and after infusion of paramagnetic contrast.
Diagnosis
Plantar fasciitis - marked thickening and heterogeneity of the plantar fascia calcaneal fixation in the region, involving the central band, with partial rupture outbreaks associated with the presence of entesófito, osteitis reaction and edema in the adjacent soft tissues. Note the presence of degenerative changes in the mid-foot.