Pub Date : 2013-08-08DOI: 10.13172/2052-0077-2-7-725
P. Abhinitha, M. Rao, S. Nayak, S. Shetty, Naveen Kumar
Introduction: Variations in superficial veins of the lower limb are not uncommon. This report discusses a case of anomalous termination of a small saphenous vein associated with its abnormal course in the thigh. Case report: During a routine dissection of a cadaver, an abnormal small (short) saphenous vein was observed in the right lower limb of a 60-year-old male cadaver. The origin of the small saphenous vein and its course in the leg was normal. However, instead of draining into the popliteal vein, it continued onto the medial side of the thigh in the superficial fascia posterior to the great saphenous vein and finally it joined the great saphenous vein about a centimetre proximal to the saphenous opening. About 2 inches below its termination, this short saphenous vein was joined by a communicating vein which was connecting it with the great saphenous vein. Conclusion: Prior knowledge of such a variant pattern of superficial veins of the lower limb is useful for clinicians during coronary bypass procedures, as these vessels are commonly used in such surgeries.
{"title":"Anomalous termination of a small (short) saphenous vein associated with its abnormal course in the thigh: a case report","authors":"P. Abhinitha, M. Rao, S. Nayak, S. Shetty, Naveen Kumar","doi":"10.13172/2052-0077-2-7-725","DOIUrl":"https://doi.org/10.13172/2052-0077-2-7-725","url":null,"abstract":"Introduction: Variations in superficial veins of the lower limb are not uncommon. This report discusses a case of anomalous termination of a small saphenous vein associated with its abnormal course in the thigh. \u0000Case report: During a routine dissection of a cadaver, an abnormal small (short) saphenous vein was observed in the right lower limb of a 60-year-old male cadaver. The origin of the small saphenous vein and its course in the leg was \u0000normal. However, instead of draining into the popliteal vein, it continued onto the medial side of the thigh in the superficial fascia posterior to the great saphenous vein and finally it joined the great saphenous vein about a centimetre proximal to the saphenous opening. About 2 inches below its termination, this short saphenous vein was joined by a communicating vein which was connecting it with the great saphenous vein. \u0000Conclusion: Prior knowledge of such a variant pattern of superficial veins of the lower limb is useful for clinicians \u0000during coronary bypass procedures, as these vessels are commonly used in such surgeries.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"26 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72608856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-6-721
I. Wani, Sr Mir, A. Wani, P. Shah, H. Jawaid, Ah Peerzada, B. Malik
Introduction Carbuncle is a staphylococci infection. The back is the most common site for carbuncle. A case of carbuncle on the back which was not healing is reported. Case report A 60-year-old non-diabetic female presented with a non-healing ulcer on her back for 12 days. Electrical tape was used for holding the dressing. Conclusion The case reflects non-healing by use of the electrical tape and the need of more free health to the poor.
{"title":"Electrical tape used in wound dressing, a curse? Case report","authors":"I. Wani, Sr Mir, A. Wani, P. Shah, H. Jawaid, Ah Peerzada, B. Malik","doi":"10.13172/2052-0077-2-6-721","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-721","url":null,"abstract":"Introduction Carbuncle is a staphylococci infection. The back is the most common site for carbuncle. A case of carbuncle on the back which was not healing is reported. Case report A 60-year-old non-diabetic female presented with a non-healing ulcer on her back for 12 days. Electrical tape was used for holding the dressing. Conclusion The case reflects non-healing by use of the electrical tape and the need of more free health to the poor.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77852691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-7-728
P. Jyothsna, Nayak B Satheesha, R. Mohandas, N. Kumar, P. Abhinitha
It begins 1 cm distal to the elbow joint, at the level of neck of radius. It runs medial to the brachioradialis throughout its course in the forearm. Just above the wrist, it is palpable between the flexor carpi radialis medially and anterior border of radius laterally. It then turns posterolaterally round the wrist superficial to the lateral ligament of the wrist and deep to the abductor pollicis longus and extensor pollicis brevis muscles. It crosses the scaphoid and trapezium bones and just before it passes between the heads of the first dorsal interosseous it is crossed by the tendon of the extensor pollicis longus muscle. Between the extensor muscles of the thumb, it is crossed by the cephalic vein and digital branches of the radial nerve which supply the thumb and index finger. It passes between the two heads of the first dorsal interosseous muscle and enters the palm 1 . The common mode of termination of the RA is by forming the deep palmar arch. Although variations in the origin of the RA are common, with an incidence of 15% 2 , variations in the course are rare, with an incidence of only 0.52% 3 . For radiological, surgical and routine patient care purpose, precise knowledge of the course of the RA and its relation to adjacent structures in the distal part of the forearm and wrist is of great importance. We present a rare case of ‘very superficial course’ of the RA and discuss its clinical and surgical importance.
{"title":"High level branching and very superficial course of radial artery in the anatomical snuffbox: its clinical and surgical implications","authors":"P. Jyothsna, Nayak B Satheesha, R. Mohandas, N. Kumar, P. Abhinitha","doi":"10.13172/2052-0077-2-7-728","DOIUrl":"https://doi.org/10.13172/2052-0077-2-7-728","url":null,"abstract":"It begins 1 cm distal to the elbow joint, at the level of neck of radius. It runs medial to the brachioradialis throughout its course in the forearm. Just above the wrist, it is palpable between the flexor carpi radialis medially and anterior border of radius laterally. It then turns posterolaterally round the wrist superficial to the lateral ligament of the wrist and deep to the abductor pollicis longus and extensor pollicis brevis muscles. It crosses the scaphoid and trapezium bones and just before it passes between the heads of the first dorsal interosseous it is crossed by the tendon of the extensor pollicis longus muscle. Between the extensor muscles of the thumb, it is crossed by the cephalic vein and digital branches of the radial nerve which supply the thumb and index finger. It passes between the two heads of the first dorsal interosseous muscle and enters the palm 1 . The common mode of termination of the RA is by forming the deep palmar arch. Although variations in the origin of the RA are common, with an incidence of 15% 2 , variations in the course are rare, with an incidence of only 0.52% 3 . For radiological, surgical and routine patient care purpose, precise knowledge of the course of the RA and its relation to adjacent structures in the distal part of the forearm and wrist is of great importance. We present a rare case of ‘very superficial course’ of the RA and discuss its clinical and surgical importance.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90973571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-8-733
S. Bhaskar, M. Shevlin, A. Koumousidis, A. Hunter
Abstract Introduction Takotsubo cardiomyopathy, more commonly known as broken heart syndrome, is increasingly being recognized as a clinical phenomenon and reported in the medical literature. This report discusses a case of broken heart syndrome in a new mother with hypertension, elevated liver enzymes, low platelets (HELLP) syndrome. Case report A 26-year-old primigravida developed acute-onset severe chest and epigastric pain 2 h after normal vaginal delivery. Investigations revealed that she had developed severe preeclampsia with HELLP syndrome (hypertension, elevated liver enzymes, low platelets) and acute renal failure. A marked rise in serial troponins was noted, and ECHO (echocardiogram) revealed hypokinesis of the basal segments of the heart. Cardiac MR (magnetic resonance) was consistent with catecholamine-induced Takotsubo cardiomyopathy. A multidisciplinary team was involved in the management. She made a good recovery, and follow-up with ECHO at 4 months revealed normal cardiac function. Conclusion Takotsubo cardiomyopathy is a rare reversible cardiac condition that should be differentiated from ischemic and peripartum cardiomyopathy. In pregnancy, it has an excellent prognosis with prompt multidisciplinary management.
{"title":"Broken heart syndrome in a new mother with HELLP syndrome: a case report","authors":"S. Bhaskar, M. Shevlin, A. Koumousidis, A. Hunter","doi":"10.13172/2052-0077-2-8-733","DOIUrl":"https://doi.org/10.13172/2052-0077-2-8-733","url":null,"abstract":"Abstract Introduction Takotsubo cardiomyopathy, more commonly known as broken heart syndrome, is increasingly being recognized as a clinical phenomenon and reported in the medical literature. This report discusses a case of broken heart syndrome in a new mother with hypertension, elevated liver enzymes, low platelets (HELLP) syndrome. Case report A 26-year-old primigravida developed acute-onset severe chest and epigastric pain 2 h after normal vaginal delivery. Investigations revealed that she had developed severe preeclampsia with HELLP syndrome (hypertension, elevated liver enzymes, low platelets) and acute renal failure. A marked rise in serial troponins was noted, and ECHO (echocardiogram) revealed hypokinesis of the basal segments of the heart. Cardiac MR (magnetic resonance) was consistent with catecholamine-induced Takotsubo cardiomyopathy. A multidisciplinary team was involved in the management. She made a good recovery, and follow-up with ECHO at 4 months revealed normal cardiac function. Conclusion Takotsubo cardiomyopathy is a rare reversible cardiac condition that should be differentiated from ischemic and peripartum cardiomyopathy. In pregnancy, it has an excellent prognosis with prompt multidisciplinary management.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84041471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-6-722
I. Wani, Sr Mir, H. Jawaid, P. Shah, Ah Peerzada, S. Malik, M. Iqbal
{"title":"Fish bone impaction","authors":"I. Wani, Sr Mir, H. Jawaid, P. Shah, Ah Peerzada, S. Malik, M. Iqbal","doi":"10.13172/2052-0077-2-6-722","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-722","url":null,"abstract":"","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88999862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-8-738
G. Cozzi, H. Kurihara
At bedside ultrasound, the mass resulted to have fluid content, with an active flow, confirmed by colour Doppler. A contrast-enhanced computed tomography scan was performed, showing a large pelvic haematoma with the femorofemoral graft within. The patient was urgently brought to the operatory room. The hematoma was evacuated, and a new bypass graft was placed. Conclusion Bedside ultrasound made it possible to recognize the fluid nature of a large slowly growing abdominal mass that resulted to be the consequence of the detachment of the distal end of a Femorofemoral crossover bypass, and thus to address and speed up diagnostic workout and treatment.
{"title":"Use of bedside ultrasound in identification of a slowly enlarging abdominal mass as a consequence of late femorofemoral crossover bypass detachment","authors":"G. Cozzi, H. Kurihara","doi":"10.13172/2052-0077-2-8-738","DOIUrl":"https://doi.org/10.13172/2052-0077-2-8-738","url":null,"abstract":"At bedside ultrasound, the mass resulted to have fluid content, with an active flow, confirmed by colour Doppler. A contrast-enhanced computed tomography scan was performed, showing a large pelvic haematoma with the femorofemoral graft within. The patient was urgently brought to the operatory room. The hematoma was evacuated, and a new bypass graft was placed. Conclusion Bedside ultrasound made it possible to recognize the fluid nature of a large slowly growing abdominal mass that resulted to be the consequence of the detachment of the distal end of a Femorofemoral crossover bypass, and thus to address and speed up diagnostic workout and treatment.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86633140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-7-726
P. Shetty, Nayak B Satheesha, S. Sirasanagandla
Introduction: Though vascular variations of gallbladder and liver are well documented in the literature, the knowledge of incidence of rare vascular variations related to them is clinically important while planning the open and endovascular procedures involving these organs. This study reports a case of variant origin of a common trunk of the accessory hepatic artery and cystic artery from the superior mesenteric artery. Case report: During the cadaveric dissection, we came across a rare vascular variation in the supracolic compartment of the abdomen. A common trunk of accessory hepatic artery and cystic artery arose from the right margin of the superior mesenteric artery. It coursed upwards behind the head of the pancreas and first part of the duodenum and entered into the right free margin of the lesser omentum. It finally entered into the substance of the right lobe of the liver. Before entering into the liver, it gave a branch at the level of the Calot’s triangle, to supply the gallbladder. Conclusion: The variant origin of the common trunk of accessory hepatic artery and cystic artery, along with its unusual course in relation to the Calot’s triangle is clinically important during laparoscopic and open cholecystectomy procedures.
{"title":"Variant origin of a common trunk of the accessory hepatic artery and cystic artery from the superior mesenteric artery","authors":"P. Shetty, Nayak B Satheesha, S. Sirasanagandla","doi":"10.13172/2052-0077-2-7-726","DOIUrl":"https://doi.org/10.13172/2052-0077-2-7-726","url":null,"abstract":"Introduction: Though vascular variations of gallbladder and liver are well documented in the literature, the knowledge of incidence of rare vascular variations related to them is clinically important while planning the open and endovascular procedures involving these organs. This study reports a case of variant origin of a common trunk of the accessory hepatic artery and cystic artery from the superior mesenteric artery. \u0000Case report: During the cadaveric dissection, we came across a rare vascular variation in the supracolic compartment of the abdomen. A common trunk of accessory hepatic artery and cystic artery arose from the right margin of the superior mesenteric artery. It coursed upwards behind the head of the pancreas and first part of the duodenum and entered into the right free margin of the lesser omentum. It finally entered into the substance of the right lobe of the liver. Before entering into the liver, it gave a branch at the level of the Calot’s triangle, to supply the gallbladder. \u0000Conclusion: The variant origin of the common trunk of accessory hepatic artery and cystic artery, along with its unusual course in relation to the Calot’s triangle is clinically important during laparoscopic and open cholecystectomy procedures.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91300646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-8-739
S. Nayak, J. Patil, R. Thangarajan, Gayathri S Prabhu
Introduction:Coeliac trunk supplies the derivatives of the foregut. Knowledge of its variations is useful for surgeons, gastroenterologists and radiologists. We report a case of low origin, unusual length and branches of coeliac trunk. Case report The coeliac trunk had a low origin (at the level of L2 vertebra) and was 5 cm in length. It gave origin to the right and left inferior phrenic arteries and terminated by giving splenic, left gastric and common hepatic arteries.Conclusion Unusual length and branches of coeliac trunk might cause confusions in diagnostic and surgical procedures.
{"title":"Long Coeliac Trunk and its Low Origin and Unusual Branches: A Case Report","authors":"S. Nayak, J. Patil, R. Thangarajan, Gayathri S Prabhu","doi":"10.13172/2052-0077-2-8-739","DOIUrl":"https://doi.org/10.13172/2052-0077-2-8-739","url":null,"abstract":"Introduction:Coeliac trunk supplies the derivatives of the foregut. Knowledge of its variations is useful for surgeons, gastroenterologists and radiologists. We report a case of low origin, unusual length and branches of coeliac trunk. Case report The coeliac trunk had a low origin (at the level of L2 vertebra) and was 5 cm in length. It gave origin to the right and left inferior phrenic arteries and terminated by giving splenic, left gastric and common hepatic arteries.Conclusion Unusual length and branches of coeliac trunk might cause confusions in diagnostic and surgical procedures.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75172586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-8-737
S. Soni, M. Verma, Tuhin Ghulyani, A. Saxena
Introduction The lower end of the humerus has two large fossae, the olecrenon fossa and the coronoid fossa, sepa rated by a thin bony plate that rarely bears an opening known as supratrochlear foramen. Supra trochlear fracture of humerus is very common in the paediatric age group, and it can alter the line of fracture as well as management. Due to its clinical relevance, its presence cannot be ignored. This report discusses a case of a supra trochlear foramen. Case report During routine osteology demonstra tion, we encountered the humerus with supratrochlear foramen. Morpho metric analysis was done and compared with the previous litera tures.
{"title":"Supratrochlear foramen: an incidental finding in the foothills of Himalayas","authors":"S. Soni, M. Verma, Tuhin Ghulyani, A. Saxena","doi":"10.13172/2052-0077-2-8-737","DOIUrl":"https://doi.org/10.13172/2052-0077-2-8-737","url":null,"abstract":"Introduction The lower end of the humerus has two large fossae, the olecrenon fossa and the coronoid fossa, sepa rated by a thin bony plate that rarely bears an opening known as supratrochlear foramen. Supra trochlear fracture of humerus is very common in the paediatric age group, and it can alter the line of fracture as well as management. Due to its clinical relevance, its presence cannot be ignored. This report discusses a case of a supra trochlear foramen. Case report During routine osteology demonstra tion, we encountered the humerus with supratrochlear foramen. Morpho metric analysis was done and compared with the previous litera tures.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"480 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73468839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-08-01DOI: 10.13172/2052-0077-2-8-736
P. Garg, L. Kumar, Harpal Singh, R. Singh, A. Gupta, V. Bhandari
Introduction Although foreign body ingestion is relatively common, toothbrush swallowing is rare. Most ingested foreign bodies pass through the gas- trointestinal tract spontaneously without causing untoward effects. However, sometimes these foreign bodies cause obstruction or perfo- ration of the gastrointestinal tract necessitating surgical interven- tion. This report discusses a case of duodeno-hepatic penetration by a swallowed traditional wooden
{"title":"Duodeno-hepatic penetration by a swallowed traditional wooden toothbrush: a case report","authors":"P. Garg, L. Kumar, Harpal Singh, R. Singh, A. Gupta, V. Bhandari","doi":"10.13172/2052-0077-2-8-736","DOIUrl":"https://doi.org/10.13172/2052-0077-2-8-736","url":null,"abstract":"Introduction Although foreign body ingestion is relatively common, toothbrush swallowing is rare. Most ingested foreign bodies pass through the gas- trointestinal tract spontaneously without causing untoward effects. However, sometimes these foreign bodies cause obstruction or perfo- ration of the gastrointestinal tract necessitating surgical interven- tion. This report discusses a case of duodeno-hepatic penetration by a swallowed traditional wooden","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79017604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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