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Acute Dacrocystitis

Case: A young woman with chronic nasolacrimal duct obstruction presents with 5 days of right sided swelling around her right eye. She was prescribed oral antibiotics by her primary care doctor, but symptoms worsened despite taking them. She denies systemic malaise, fevers, chills, rigors. She can see normally out of both eyes. No pain withContinueContinue reading “Acute Dacrocystitis”

Pyogenic Flexor Tenosynovitis

Case: A middle-aged gentleman with a history of kidney transplant presented with a painful swollen right index finger. The pain and swelling started the day before. There was no preceding trauma to the finger. On exam, fusiform swelling of the digit, tenderness along the flexor tendon sheath, and extreme pain with passive extension of theContinueContinue reading “Pyogenic Flexor Tenosynovitis”