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Tizanidine with tylenol (500 mg orally twice daily) and the combination of two for three days. days later, the patient reported a sudden onset of abdominal pain. On examination he had a mild right upper quadrant pain, tenderness and of the left upper quadrant and right abdominal pain. There was a subcutaneous abscess in the right upper quadrant. patient was transferred to a tertiary hospital where biopsy of the subcutaneous abscess confirmed it as a small ulcer with diameter of 0.3 cm (Table). The patient underwent surgical management. He was discharged and a follow up visit in three months was normal. Discussion The case described here is noteworthy for the large number of patients with a similar presentation that had ulcerated abscesses in their lower extremity. Of the 12 patients, five had a similar type of injury: the rectus femoris and quadriceps muscles were involved a large ulcer was found. It is notable that most of these patients had the same underlying anatomical and clinical features, such as trauma, trauma-induced arthritis, an acute inflammatory response and a history of prior injury. The pathogenesis injury and treatment of this type pain are the subject of current investigation. The main aim of present paper is to describe the clinical picture of this complex injury and to discuss the management of this particular type injury. Diagnosis A pathognomic diagnosis must be made in the presence of clinical features consistent with the diagnosis. A pathognomic diagnosis usually cannot be made in the absence of histopathological evidence. An acute clinical and radiological investigation is not required in the presence of a pathognomic diagnosis in all patients with severe acute order dutasteride online inflammation as demonstrated by histopathological changes, since most of these patients have the same basic anatomical and clinical features. It is also important to