A cook with ‘burning in the thigh’ and a ‘hotspot’ in the groin!
Autor: | Wai Lun Moy |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Groin business.industry Physical examination Magnetic resonance imaging Case Report Thigh medicine.disease Microbiology omcrep/2100 Infectious Diseases medicine.anatomical_structure omcrep/1300 medicine Nerve conduction study Parasitology Medical history Radiology Abnormal sensations business AcademicSubjects/MED00010 Meralgia paresthetica |
Zdroj: | Oxford Medical Case Reports |
ISSN: | 2053-8855 |
Popis: | Meralgia paresthetica (MP) is a condition characterised by abnormal sensations on the anterolateral aspect of the thigh due to the dysfunction of the lateral femoral cutaneous nerve. Here, I present a case of a 64-year-old female cook who attended the General Medicine clinic with 2 months of persistent numbness and ‘burning’ sensation over the right anterolateral thigh. Subsequent physical examination revealed the diagnosis of meralgia paresthetica. The significance of good history taking and thorough physical examination in reaching the diagnosis of meralgia paresthetica cannot be overemphasized. In most typical presentations, advanced imaging and neurodiagnostic testing do not add value to confirm the diagnosis. If the clinical diagnosis is doubtful, nerve conduction study and magnetic resonance imaging may still be performed to exclude other mimicking pathologies. Increasing awareness of MP among doctors unfamiliar with this condition will prevent the ordering of excessive investigations. |
Databáze: | OpenAIRE |
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