Decades-Old Discovery: Misplaced CuT Uncovered During Hysterectomy | Chapter 1 | Medicine and Medical Research: New Perspectives Vol. 4

 

Introduction: Intrauterine contraceptive devices are vital for long-term contraception, but their potential complications, such as migration and embedment, can present diagnostic challenges.

 

Case Presentation: We present a case study of a 51-year-old woman with symptoms of excessive menstrual bleeding and recurrent abdominal pain. Despite initial ultrasound indications of an IUCD, further evaluations suggested a potential endometrial mass. Hindered by obesity-related imaging limitations, comprehensive clinical assessments guided management decisions.

 

Conclusion: The patient opted for laparoscopic hysterectomy, revealing a surprising finding: a misplaced copper intrauterine device embedded within the uterine fundus. This case emphasizes the complexities in diagnosing intrauterine abnormalities and underscores the importance of thorough evaluation and patient-centered care in treatment planning.

 

Author (s) Details

Anjani Dixit
Pristyn Care, Bengaluru, India.

 

Mitesh Mohan Hood
AGM-Medical Excellence, Pristyn Care, Gurgaon, Haryana, India.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v4/1766

Clinical Evaluation Methods for Flat Foot | Chapter 5 | Achievements and Challenges of Medicine and Medical Science Vol. 9

Flatfoot, also known as pes planus, is a condition marked by the lack or reduction of the medial longitudinal arch of the foot, which can lead to Osseo-ligamentous misalignment. This condition can be divided into two categories: flexible and rigid. The more prevalent form, flexible flatfoot, occurs when there is a normal arch in a non-weight-bearing position, but it flattens underweight, such as during standing or walking. While this condition may frequently show no symptoms, when they do arise, they may present as pain in the midfoot, heel, lower leg, knee, hip, or lower back. Individuals with flexible flatfoot tend to overpronate, which means their feet excessively roll inward, potentially leading to gait abnormalities and a higher susceptibility to injuries like ankle sprains.  On the other hand, rigid flatfoot features a fixed and significantly lowered arch that stays flattened irrespective of weight-bearing, often accompanied by limited mobility in the foot. This type of flatfoot is more prone to causing ongoing discomfort and may be linked to underlying medical issues such as rheumatoid arthritis, neuropathy, or seronegative spondyloarthropathies. Various factors can lead to the onset of flatfoot, including genetic factors, past injuries to the foot or ankle, and certain health conditions such as obesity, diabetes, hypertension, or sensory neuropathies. Furthermore, individuals with a family history of flatfoot may have an increased likelihood of developing the condition. It is estimated that around 20% to 37% of the global population is affected by flat feet. Diagnostic methods like the plantar arch index, navicular drop test, Chippaux smirk index, and Staheli’s plantar arch index are convenient for identifying flat feet on a large scale.

 

Author (s) Details

Neha Mukkamala
College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, India.

 

Aishwarya Jain
College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, India.

 

Purvi Patel
College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, India.

 

G P Kumar
College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/acmms/v9/3660