Stringent criteria have traditionally guided cervical clearance in trauma patients, particularly those who exhibit mid -line cervical pain or cannot undergo a reliable examination. This can sometimes result in extended periods of cervical immobilisation or necessitate the use of further imaging scans. In the absence of fractures, dislocation, or pathological subluxation on cervical computed tomography (CT) scan, cervical collar can be safely removed. We report a polytrauma case with altered consciousness, where bilateral facet fracture dislocation at the C5/C6 level was initially overlooked. CT scan of the spine revealed traumatic brain injury and lumbar vertebral fracture, and the collar was removed and proceeded with surgical stabilisation. The progress was complicated a pulmonary embolism and CT scan also identified the overlooked cervical injuries. A retrospective review of the initial scan revealed the presence of subtle signs of a small unilateral facet avulsion fragment. Our patient succumbed to his injuries. This discovery underscores the potential for pathologies to be missed with dire consequences. Our case illustrates the severe outcomes that can arise from overlooking a cervical spine injury, underscoring the importance of keeping cervical collars in place for high-risk patients until comprehensive imaging can be performed.

Objectives: Post-coronavirus disease 2019 (COVID-19) symptoms were widely reported.However, data on post-COVID-19 conditions following infection with the Omicron variant remained scarce. This prospective study was conducted to understand the prevalence, patterns, and duration of symptoms in patients who had recovered from COVID-19. Methods: A prospective study was conducted across 11 districts of Delhi, India, among individuals who had recovered from COVID-19. Study participants were enrolled, and then returned for post-recovery follow-up at 3 months and 6 months interval. Results The mean age of study participants was 42.07 years, with a standard deviation of 14.89 years. The majority of the participants (79.7%) reported experiencing post-COVID-19 symptoms. The most common symptoms included joint pain (36.0%), persistent dry cough (35.7%), anxiety (28.4%), and shortness of breath (27.1%). Other symptoms were persistent fatigue (21.6%), persistent headache (20.0%), forgetfulness (19.7%), and limb weakness (18.6%). The longest duration of symptom was observed to be anxiety (138.75±54.14 days), followed by fatigue (137.57±48.33 days), shortness of breath (131.89±60.21 days), and joint pain/swelling (131.59±58.76 days). At the first follow-up visit, 2.2% of participants presented with abnormal electrocardiogram readings, but no abnormalities were noticed during the second follow-up. Additionally, 4.06% of participants exhibited abnormal chest X-ray findings at the first follow-up, which decreased to 2.16% by the second visit. Conclusion: The most frequently reported post-COVID-19 symptoms were joint pain, dry cough, anxiety and shortness of breath. These clinical symptoms persisted for up to 6 months, with evidence of multi-system involvement. Consequently, findings highlighted the need for long-term follow-up during the post-COVID-19 period.

Diabetic foot requires careful attention and coordinated management by a dedicated team. Screening, prevention, adequate assessment, and appropriate referral are crucial to prevent complications. Multimodal treatment and rehabilitation are recommended to ensure a better quality of life and reduction of amputation rate in people with diabetic foot.

Cutaneous lymphoid hyperplasia (CLH) is a cutaneous pseudolymphoma with a worldwide distribution, equally affecting all races and ethnic groups. Due to its vast array of characteristics, it is most often missed in the differential diagnosis of firm to soft lumps on the head and neck. A systematic approach to the workup and diagnosis along with treatment of such lesions is discussed in this article. A 20-year-old Asian Indian female presented to our Oral and Maxillofacial unit with a lump on the left side of her forehead for 1 month. Local examination revealed a 2.5×3.0 cm², well circumscribed swelling over the left para median region that was firm to doughy and non-tender. There was no other significant finding on general examination. Excisional biopsy of the lesion was performed, followed by histopathologic processing. The general etiology, pathogenesis, clinical presentation, differential diagnosis, clinical course, prognosis, treatment, and prevention have been discussed in line with the recent modalities of diagnosis and treatment of CLH. Due to the overlapping clinical and histological characteristics of CLH with many other lesions, it is important to consider this lesion in the differential diagnosis of cutaneous lesions.
Asian Continental Ancestry Group ; Biopsy ; Continental Population Groups ; Diagnosis ; Diagnosis, Differential ; Ethnic Groups ; Female ; Forehead ; Head ; Humans ; Hyperplasia ; Neck ; Oral and Maxillofacial Surgeons* ; Prognosis ; Pseudolymphoma* ; Young Adult