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The following electronic only articles are published in conjunction with this issue of BJSM.
Upper airway obstruction masquerading as exercise induced bronchospasm in an elite road cyclist
K E Fallon
This case concerns an elite road cyclist who complained of occasional dyspnoea and inspiratory difficulty during intense exercise. Clinical examination was normal and the final diagnosis was vocal cord dysfunction, a paradoxical closure of the vocal cords during inspiration which is highly associated with inspiratory stridor at high rates of ventilation. Awareness by the sports physician of this not uncommon condition is important to avoid misdiagnosis.
Cardiovascular stress on an elite basketball referee during neonatal competition
A S Leicht
This case report examined the cardiovascular stress imposed on an experienced elite basketball referee during national competition. The average heart rate was similar for all matches, approximated 73% of maximum heart rate, and was experienced for most (>63%) of the match. Similar relative exercise intensity was demonstrated regardless of match play (men’s v women’s) and officiating type (two v three-referee). Further study is needed to document the physiological characteristics of elite basketball referees for greater performance.
An unusual presentation of immersion foot
D M Macgregor
We report a case of “green foot” in a child with a plaster cast applied for a fractured metatarsal who subsequently re-presented with circulatory compromise. The foot was green and smelly and profuse Pseudomonas aeruginosa was cultured. The infection cleared with simple exposure to air. Perhaps this diagnosis should be considered in patients presenting with circulatory compromise in a cast as severe infection can result in amputation.
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