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Femoral Neuropathy and Retroperitoneal Hemorrhage
Gordon J. Gilbert, MD
St. Petersburg, Fla
JAMA. 1970;211(3):501.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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To the Editor:—
The article by Cianci and Piscatelli (210:1100, 1969) depicts the clinical manifestations of a femoral neurpathy secondary to retroperitoneal hemorrhage. Dr. Roger Laughlin and I reported a similar case (Southern Med J 60: 176, 1967), in which the retroperitoneal hemorrhage was secondary to use of warfarin sodium. It was diagnostically helpful in our case that there was an exquisite sensitivity to palpation over the right femoral nerve at the inguinal ligament. The region just lateral to the femoral artery at the inguinal ligament was a "Tinel's point," and pressure over the femoral nerve reproduced and exacerbated the patient's pain pattern. It is important to palpate the femoral nerve at the inguinal ligament in any patient with femoral neuropathy of sudden onset.
Therapeutically, we found that the application of hot packs to the inguinal region provided dramatic relief of the pain.
It appears that the prognosis in hemorrhagic
. . . [Full Text PDF of this Article]
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