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It is reported by podiatrists and orthopedic surgeons treating claw toe deformity of the hallux, hallux rigidus with IP joint involvement, and neuromuscular foot deformities such as those seen in Charcot-Marie-Tooth disease

In these patients, ICP is increased with normal cerebrospinal fluid (CSF) content, normal neuroimaging and absence of other neurological signs

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Nevertheless, concerning case reports and retrospective studies have emerged in 2023 of undigested gastric contents in sedated/anaesthetised patients undergoing elective endoscopy with unprotected airways: Klein and Hobai (2023) published a case report of a patient taking semaglutide for weight loss who experienced pulmonary aspiration from undigested food content identified during routine gastroscopy, despite fasting 18hr prior to the procedure