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https://www.readbyqxmd.com/read/29664539/-atypical-subacute-thyroiditis-in-combination-with-grave-s-disease-diagnostic-difficulties-in-a-case-report
#1
Emmanouela Koutouridou, Tereza Planck, Erik Uddman, Mikael Lantz
Subacute thyroiditis is a common inflammatory disorder of the thyroid gland, possibly of viral etiology, that typically presents with neck pain, fever and tenderness on palpation of the thyroid gland. Graves' disease is an autoimmune thyroid disorder caused by stimulation of the thyroid gland by thyrotropin receptor antibodies (TRAb). The development of Graves´ disease and subacute thyroiditis simultaneously is an uncommon condition and only a few cases have been reported. In this article we present a case of a 46-year old woman diagnosed with Graves´ disease who was started on thiamazole and weeks later developed high fever...
April 13, 2018: Läkartidningen
https://www.readbyqxmd.com/read/29618171/percutaneous-vertebroplasty-for-osteoporotic-vertebral-compression-fracture
#2
REVIEW
Rachelle Buchbinder, Renea V Johnston, Kobi J Rischin, Joanne Homik, C Allyson Jones, Kamran Golmohammadi, David F Kallmes
BACKGROUND: Percutaneous vertebroplasty remains widely used to treat osteoporotic vertebral fractures although our 2015 Cochrane review did not support its role in routine practice. OBJECTIVES: To update the available evidence of the benefits and harms of vertebroplasty for treatment of osteoporotic vertebral fractures. SEARCH METHODS: We updated the search of CENTRAL, MEDLINE and Embase and trial registries to 15 November 2017. SELECTION CRITERIA: We included randomised and quasi-randomised controlled trials (RCTs) of adults with painful osteoporotic vertebral fractures, comparing vertebroplasty with placebo (sham), usual care, or another intervention...
April 5, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29615102/a-case-report-of-nifedipine-induced-hepatitis-with-jaundice
#3
Dimas Yusuf, Joanna Christy, David Owen, Meghan Ho, David Li, Martin J Fishman
BACKGROUND: Nifedipine is a generic, well-known and commonly-prescribed dihydropyridine calcium channel blocker used in the treatment of hypertension and Prinzmetal's angina. A known but very rare and serious adverse effect of nifedipine is clinically-apparent hepatitis which can take months to resolve. CASE PRESENTATION: Here we present a case of nifedipine-induced hepatitis in a 78-year-old Caucasian female with no prior history of liver or autoimmune disease...
April 3, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29613899/traumatic-spinal-cord-injury
#4
Alejandro A Rabinstein
PURPOSE OF REVIEW: This article provides an update on the acute and subacute management and prognostication of patients with traumatic spinal cord injury. RECENT FINDINGS: Immobilization of the spine and spine clearance should be individualized depending on the ability to perform a reliable neurologic examination, the presence of neck pain, and the imaging findings. Early surgery (within 24 hours) to achieve definitive cord decompression and spine stabilization may be beneficial...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29593924/subacute-urinary-retention-due-to-a-subpubic-cartilaginous-cyst-treated-with-surgical-resection-and-internal-fixation-a-case-report-and-review-of-the-literature
#5
Yu Taniguchi, Hiroshi Kamada, Hisashi Sugaya, Tomofumi Nishino, Hajime Mishima, Naoyuki Ochiai, Masashi Yamazaki
A subpubic cartilaginous cyst is a rare mass lesion derived from the pubic symphysis, which can cause acute or subacute urinary retention. We report a case of a subpubic cartilaginous cyst in a 62-year-old woman that caused lower abdominal pain and subacute urinary retention, requiring surgical resection. On physical examination, a hard, flexible, nontender mass, 4 cm in diameter, was palpable along the lower border of the pubic bone, extending to the perineum. Magnetic resonance imaging revealed a clearly distinct (3...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29578102/secondary-prevention-of-chronic-musculoskeletal-pain-a-systematic-review-of-clinical-trials
#6
REVIEW
Caroline Meyer, Camille M Denis, Anne D Berquin
BACKGROUND: Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain. METHODS: We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain...
March 22, 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29565944/neuropathic-pain-in-acute-and-subacute-neuropathies-a-systematic-review
#7
Artemios Kin Artemiadis, Panagiotis Zis
BACKGROUND: Neuropathic pain (NP) is a common symptom caused by lesions or diseases of the somatosensory nervous system. Acute/subacute peripheral neuropathies (APN) are rare, however can be particularly painful. OBJECTIVES: The aim of this systematic review was to estimate the incidence of NP in APN and overview the various etiologies of such neuropathies. STUDY DESIGN: Systematic review. SETTING: Medline search. METHODS: We hand-searched Medline for observational studies published between 1995 and 2017...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29557350/acute-presentation-of-koch-s-abdomen-in-children-our-experience
#8
Basant Kumar, Vijai Dutta Upadhyaya, Sandeep Kumar Rahul, Laxmi Kant Bharti, Ram Nawal Rao, Sheo Kumar
Background: To analyse our experience with acute presentations of abdominal tuberculosis (TB) in children for early diagnosis and management. Materials and Methods: From December 2010 to April 2016, available electronic and operation theatre (OT) records of 17 patients with confirmed diagnosis of abdominal TB were analysed retrospectively. Parameters reviewed were age, sex, presentations, diagnostic investigations, surgery/intervention performed, final outcome and follow-up...
July 2017: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/29554017/early-workplace-dialogue-in-physiotherapy-practice-improved-work-ability-at-one-year-follow-up-workup-a-randomised-controlled-trial-in-primary-care
#9
Charlotte Post Sennehed, Sara Holmberg, Iben Axén, Kjerstin Stigmar, Malin Forsbrand, Ingemar F Petersson, Birgitta Grahn
Workplace involvement in rehabilitation for patients with musculoskeletal pain may improve work ability. Convergence Dialogue Meeting (CDM) is a model aimed at helping the patient, the care giver and the employer to support work ability and return to work. Our aim was to study the effect on work ability when adding a workplace dialogue according to CDM in physiotherapy practice for pain patients in ordinary primary care. We conducted a prospective pair wise cluster randomised controlled trial (ClinicalTrials...
March 15, 2018: Pain
https://www.readbyqxmd.com/read/29532777/effect-of-adequate-anticoagulantion-therapy-on-the-outcome-of-spontaneous-isolated-dissection-of-superior-mesenteric-artery
#10
Qi Liu, Tian-Jia Li, Rong Zeng, Yue-Xin Chen, Wei Ye, Bao Liu, Chang-Wei Liu
Objective To investigate the optimal treatment strategy of spontaneous isolated dissection of superior mesenteric artery (SIDSMA) and the effect of anticoagulation therapy on the prognosis of SIDSMA. Methods The clinical data of 29 patients presented with acute or subacute mesenteric ischemia (a history of less than 14 days) due to SIDSMA admitted to the Department of Vascular Surgery of Peking Union Medical College Hospital from January 1st 2003 to December 31th 2016 were retrospectively analyzed. Results In this study,28 cases were male and the remaining one was female,with an average age of (49...
February 28, 2018: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/29531924/the-effect-of-pregabalin-and-metformin-on-subacute-and-chronic-radiculopathy
#11
Behnaz Ansari, Majid Ghasemi, Mana Ahmadian, Fariborz Khorvash
Background: Radicular pain is one of the most common forms of chronic pain in the world, which has challenges about effective medical therapy. The aim of this study was to evaluate the effect of pregabalin (PGB) and metformin (Met) on subacute and chronic radiculopathy. Materials and Methods: This double-blind prospective clinical trial was performed on 71 patients with subacute and chronic cervical and lumbosacral radiculopathy. Group A was treated with PGB 75 mg daily while Group B was treated with PGB 75 mg daily and Met 500 mg daily for 3 months...
2018: Advanced Biomedical Research
https://www.readbyqxmd.com/read/29523994/prevalence-of-chronic-postsurgical-pain-after-thoracotomy-and-total-knee-arthroplasty-a-retrospective-multicenter-study-in-japan-japanese-study-group-of-subacute-postoperative-pain
#12
Yoko Sugiyama, Hiroki Iida, Fumimasa Amaya, Kanako Matsuo, Yutaka Matsuoka, Keiko Kojima, Fumitaka Matsuno, Takayuki Hamaguchi, Masako Iseki, Keisuke Yamaguchi, Yoshika Takahashi, Atsuko Hara, Yusuke Sugasawa, Mikito Kawamata, Satoshi Tanaka, Yoshimi Inagaki, Akihiro Otsuki, Mitsuaki Yamazaki, Hisakatsu Ito
We performed a multicenter observational study to assess the prevalence and risk factors of persistent pain after lung cancer surgery and total knee arthroplasty (TKA) in the Japanese population. After receiving Ethics Committee approval, a retrospective chart review was performed for patients who underwent surgery at seven university hospitals in Japan in 2013. A total of 511 patients who underwent lung cancer surgery and 298 patients who underwent TKA were included. The prevalence of chronic postsurgical pain (CPSP) at 3 and 6 months was 18 and 12% after lung surgery and 49 and 33% after TKA, respectively...
March 9, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29480628/chikungunya-fever-general-and-oral-healthcare-implications
#13
J C Leao, Cdl Marques, Albp Duarte, O P de Almeida, S Porter, L A Gueiros
Chikungunya virus (CHIKV) was first isolated in humans in 1952, following an epidemic in Tanzania. The origin of the name means "to bend forward or become contorted," in reference to the posture adopted by patients due to the joint pain that occurs during the infection. Epidemiology data suggest that by the end of 2015, about 1.6 million people had been infected with CHIKV. The acute period of the disease is characterized by high fever, myalgia, joint pain, and severe and disabling polyarthritis, sometimes accompanied by headache, backache, and maculopapular rash, predominantly on the thorax...
March 2018: Oral Diseases
https://www.readbyqxmd.com/read/29476270/cognitive-behavioral-therapy-cbt-for-subacute-low-back-pain-a-systematic-review
#14
REVIEW
Timothy Y Mariano, Richard D Urman, Catherine A Hutchison, Robert N Jamison, Robert R Edwards
PURPOSE OF REVIEW: Chronic low back pain (CLBP) is a major source of physical and psychiatric morbidity and mortality, and the current overreliance on opioid analgesics has contributed to a burgeoning epidemic in the USA. Cognitive behavioral therapy (CBT) is an empirically supported treatment for CLBP, but little information exists regarding its potential efficacy for CLBP's precursor condition, subacute low back pain (sALBP), defined here as having a 7-12-week duration. Earlier intervention with CBT at the sALBP stage could produce larger clinical benefits...
February 23, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29454129/delayed-post-traumatic-subacute-lumbar-subarachnoid-hematoma-case-report-and-review-of-the-literature
#15
Thiébaud Picart, Timothée Jacquesson, Emmanuel Jouanneau, Moncef Berhouma
BACKGROUND: Traumatic spinal subarachnoid hematoma, associated or not to a concurrent subdural hematoma has rarely been described. The evolution of such hematomas is heterogeneous. This study aims at defining the most accurate management which is currently not standardized. CASE DESCRIPTION: A 20-year-old man, victim of a high kinetic road accident five days before, suffering from several non-neurologic non-surgical vertebral fractures, complained of a sudden dorso-lumbar pain irradiating to his lower limbs...
February 14, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29411402/safety-tolerability-and-efficacy-evaluation-of-the-slimme-device-for-circumference-reduction
#16
Giovanni Ferrando
OBJECTIVE: To assess the short- and long-term thermal impact of subclinical and clinical regimens of a single, non-invasive uniform ultrasound treatment session on subcutaneous adipose tissue (SAT). STUDY DESIGN: Prospective, open-label, single-arm, split-side study. METHODS: Patients (n = 17) were subjected to uniform ultrasound treatment, delivered in a single session with the SlimME device. The device was set to one of four treatment regimens, which differed in their durations and energy fluences during the raise and maintenance phases...
February 7, 2018: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/29405668/treatment-of-recent-onset-low-back-pain-with-periradicular-injections-of-meloxicam-a-randomized-double-blind-placebo-controlled-cross-over-study
#17
Battista Borghi, Lucia Aurini, Paul F White, Andrea Tognù, Barbara Rossi, Greta Fini, Paola Rucci, Tiziana Greggi, Raffaele Borghi
BACKGROUND: Low back pain (LBP) is a common and costly illness. This randomized, double-blind, placebo-controlled, cross-over study tested the hypothesis that periradicular injections of meloxicam would reduce LBP and improve physical activity compared to a saline injection at 3 months follow-up. METHODS: After IRB approval, 80 consenting patients suffering LBP of <6 months duration were randomly assigned to the Control (C-group, n=40, receiving 10ml of saline) or the Meloxicam (M- group, n=40, receiving 10 mg in 10 ml saline)...
February 5, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/29397636/use-of-pain-medication-before-and-after-lumbar-discectomy-longitudinal-analysis-of-a-nation-wide-cohort
#18
Mikhail Saltychev, Katri Laimi, Juho Rantakokko, Ryan Mattie, Zachary McCORMICK, Ville Aalto, Mika Kivimäki, Jussi Vahtera
BACKGROUND: Previous studies have suggested that variation in results of lumbar discectomy depends on careful selection of patients. Numerous factors have been suggested to explain this variation with no direct examinations on this issue. The objective was to examine the use of pain medication before and after lumbar discectomy in patients with back pain. METHODS: Prospective occupational cohort study (n=151 618) with linkage to national registers. Of the cohort members, 1 538 (age 44 years) underwent discectomy...
February 1, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29381043/foot-and-ankle-conditions-midfoot-and-forefoot-conditions
#19
Katherine M Edenfield, Charlie Michaudet, Guy W Nicolette, Peter J Carek
The midfoot and forefoot are the regions of the foot distal to the talus and calcaneus and are critical to weight bearing and movement. They help support the arch of the foot, provide shock absorption, and convert vertically oriented forces into horizontal forward and propulsive movement. A spectrum of acute, subacute, and chronic conditions in these regions can cause pain and decreased function. A thorough history and physical examination should include foot and leg biomechanics, alignment, and posture in addition to palpation of painful areas...
February 2018: FP Essentials
https://www.readbyqxmd.com/read/29380289/prevention-and-treatment-of-chronic-postsurgical-pain-a-narrative-review
#20
REVIEW
Arnaud Steyaert, Patricia Lavand'homme
Chronic postsurgical pain affects between 5 and 75% of patients, often with an adverse impact on quality of life. While the transition of acute to chronic pain is a complex process-involving multiple mechanisms at different levels-the current strategies for prevention have primarily been restricted to perioperative pharmacological interventions. In the present paper, we first present an up-to-date narrative literature review of these interventions. In the second section, we develop several ways by which we could overcome the limitations of the current approaches and enhance the outcome of our surgical patients, including the better identification of individual risk factors, tailoring treatment to individual patients, and improved acute and subacute pain evaluation and management...
January 29, 2018: Drugs
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