General Medicine
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/30438
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Browsing General Medicine by Author "Hall, Marshall"
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Item Dermatitis in Stringed Instrumentalists(2021) Lim, Henry; Hall, Marshall; Surve, SajidPurpose: Up to 25% of stringed instrumentalists suffer from dermatological issues. Although occupational contact dermatitis alone has been estimated to cost the United States a billion dollars in economic burdens there has yet to be a focused review of dermatologic diseases in stringed instrumentalists. The objective of this systematic literature review is to identify dermatologic diseases of stringed musicians and summarize the available treatment options. Methods: A literature search of PubMed, Scopus, and Medline were conducted for articles relevant to skin diseases in musicians. Two investigators independently reviewed and narrowed the search to 32 articles based on the inclusion criteria of stringed instruments. Data was then abstracted with a focus on violin, viola, cello, bass, guitar, and harp. Results: Stringed instrumentalists commonly had the highest practice frequencies (p=0.0.31). This was associated with instrument-related skin disorders (p=0.022) such as callosities. Fiddler's Neck was the most commonly reported finding in violinists and violists. the most common cause of allergic contact dermatitis were nickel and colophony. Mastitis was reported in guitarists and finger trauma in harpists. Beginner status made individuals more susceptible to dermatologic issues. Data on cello and bass players is lacking. Non-pharmacological treatments included cessation of playing, proper posture, modified instrument set-ups, and physical barriers between the instrument and skin. Conclusions: Stringed instrumentalists have a unique set of dermatological conditions. Further research is needed to investigate the local musician populations, promote proper body mechanics, and develop instrument set-ups that do not cause dermatological conditions.Item Treatment Resistant Cellulitis Complicated by COVID-19: A Case Study(2021) Hall, Marshall; Lim, Henry; Surve, SajidCellulitis is a common dermatological condition that affects nearly 1 in every 20 individuals. This disease places a significant burden on both patients and the healthcare system. In this case report, we present a 70-year-old male who had a chief complaint of arm pain following a fall from ground level. The patient was diagnosed with cellulitis and placed on multiple empiric antibiotic treatments for several weeks without success in reducing symptoms. In conjunction with the patient's treatments, during the patient's stay, the patient developed acute dyspnea and tested positive for COVID-19 pneumonia. The patient was successfully treated for COVID-19 pneumonia and cellulitis through a combined effort of surgical and medical interventions. Recognizing treatment-resistant cellulitis and how COVID-19 may affect patient outcomes with dermatological conditions may help patients in the future when encountered with similar medical conditions.Item Ultrasound and Computerized Tomography in Managing Cellulitis: A Case Study(2021) Hall, Marshall; Hurley, Kara; Lim, Henry; Hatch, Jonathan; Surve, SajidCellulitis is a common cutaneous tissue infection that affects approximately 14.5 million people in the United States each year. This skin disease is usually a clinical diagnosis. With the development of technology, especially bedside ultrasound, imaging techniques have become integrated into the physical exam, diagnosis, and treatment of disease. Ultrasound and computerized tomography (CT) have become part of the management of cutaneous infections such as cellulitis, abscess, and necrotizing fasciitis. However, it is still not clear what role these imaging techniques hold. In this case report, we present a patient with cellulitis refractory to standard antibiotic regimens. Ultrasound and CT scan were performed which showed soft-tissue edema, phlegmon without drainable abscess. Without improvement, the patient underwent incision and drainage for possible abscess. Following the surgical procedures, the patient's symptoms resolved, and the patient was discharged. This case raises to the surface limitations that may still exist in imaging studies in the treatment of soft tissue infections. Further research, training, and perhaps technological development are necessary to assist in using imaging studies in the diagnosis of soft tissue infection.