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Pain Ultrasonography

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https://www.readbyqxmd.com/read/28081335/comparison-of-wire-guided-localization-and-radio-guided-occult-lesionlocalization-in-preoperative-localization-of-nonpalpable-breast-lesions
#1
Nazım Barış Kanat, Murat Tuncel, Tamer Aksoy, Ayşegül Fırat, Figen Demirkazık, Demirali Onat, Meltem Çağlar Tuncalı, Biray Emine Caner
BACKGROUND/AIM: Breast lesions that are not palpable on physical examination but considered suspicious for malignancy on mammography or ultrasonography should be marked before surgery. Wire-guided localization (WGL) is the most frequently used method for preoperative marking of nonpalpable breast lesions (NPBLs). An alternative is marking by a radioactive agent (radio-guided occult lesion localization; ROLL). The present study aimed to compare WGL and ROLL for preoperative marking. MATERIALS AND METHODS: The study included 25 patients marked by ROLL and 11 patients marked by WGL...
December 20, 2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/28075196/typhlitis-neutropenic-enterocolitis-in-patients-with-acute-leukemia-a-review
#2
Rodrigo Portugal, Marcio Nucci
Typhlitis is an abdominal complication of cancer chemotherapy, affecting mostly patients receiving intensive chemotherapeutic regimens with high potential to induce mucosal damage, such as patients with acute leukemia. Despite being relatively frequent, there are no randomized trials or high-quality cohort studies addressing important aspects of the diagnosis and management of the disease. Areas covered: In this review we discuss the gaps in the literature, acknowledging that the evidences for recommendations regarding the management of typhlitis are mostly expert opinion...
January 11, 2017: Expert Review of Hematology
https://www.readbyqxmd.com/read/28075092/diabetes-mellitus-management-of-gastrointestinal-complications
#3
Beth Careyva, Brian Stello
Gastrointestinal disorders are common complications of diabetes mellitus and include gastroparesis, nonalcoholic fatty liver disease, gastroesophageal reflux disease, and chronic diarrhea. Symptoms of gastroparesis include early satiety, postprandial fullness, nausea, vomiting of undigested food, bloating, and abdominal pain. Gastroparesis is diagnosed based on clinical symptoms and a delay in gastric emptying in the absence of mechanical obstruction. Gastric emptying scintigraphy is the preferred diagnostic test...
December 15, 2016: American Family Physician
https://www.readbyqxmd.com/read/28075090/carpal-tunnel-syndrome-diagnosis-and-management
#4
Jennifer Wipperman, Kyle Goerl
Carpal tunnel syndrome, the most common entrapment neuropathy of the upper extremity, is caused by compression of the median nerve as it travels through the carpal tunnel. Classically, patients with the condition experience pain and paresthesias in the distribution of the median nerve, which includes the palmar aspect of the thumb, index and middle fingers, and radial half of the ring finger. Additional clues include positive physical examination findings, such as the flick sign, Phalen maneuver, and median nerve compression test...
December 15, 2016: American Family Physician
https://www.readbyqxmd.com/read/28074426/use-of-colour-doppler-and-m-mode-ultrasonography-to-confirm-the-location-of-an-epidural-catheter-a-retrospective-case-series
#5
Hesham Elsharkawy, Abraham Sonny, Srinivasa Raghavan Govindarajan, Vincent Chan
PURPOSE: Epidural anesthesia and analgesia has a reported failure rate ranging from 13% to 32%. We describe a technique using colour Doppler and M-mode ultrasonography to determine the position of the epidural catheter after placement in adults. METHODS: This retrospective review included 37 adult patients who received postoperative epidural analgesia and underwent technically difficult epidural catheter placement. The demographic characteristics, type of surgery, use of ultrasonography, method of insertion, intervertebral level, and success of epidural localization using colour Doppler were noted for each patient...
January 10, 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/28065811/huge-prostatic-utricle-with-transitional-cell-carcinoma-in-an-adult
#6
Anil Kumar N, Sreeranga Y L, Tyagi A, Vijayalakshmi Devi B
A 21-year-old man with pain lower abdomen and hematuria of 10 days duration was evaluated and found to have large cystic lesion behind the urinary bladder and was confirmed to be a large prostatic utricle with solid component on contrast enhanced computed tomography (CECT), magnetic resonance imaging (MRI) and on Transrectal ultrasonography (TRUS). Post operative histopathology revealed transitional cell carcinoma.
January 5, 2017: Urology
https://www.readbyqxmd.com/read/28060696/acute-pancreatitis-and-posterior-reversible-encephalopathy-syndrome-a-case-report
#7
Vítor Magno Pereira, Luís Marote Correia, Tiago Rodrigues, Gorete Serrão Faria
The posterior reversible encephalopathy syndrome is a neurological syndrome characterized by headache, confusion, visual disturbances and seizures associated with identifiable areas of cerebral edema on imaging studies. The authors report the case of a man, 33 years-old, leukodermic with a history of chronic alcohol and tobacco consumption, who is admitted to the emergency department for epigastric pain radiating to the back and vomiting with about six hours of evolution and an intense holocranial headache for two hours...
September 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28042977/full-can-test-mechanisms-of-a-positive-test-in-patients-with-shoulder-pain
#8
Mark K Timmons, Sevgi S Yesilyaprak, Jeff Ericksen, Lori A Michener
BACKGROUND: The full can test is theorized to produce compressive loads on the supraspinatus tendon within the subacromial space. Characterizing the width of the subacromial outlet, scapular orientation, and shoulder pain during the full can test will improve the mechanistic understanding of the positive full can test. METHODS: Cross-sectional repeated measures design. Participants with subacromial pain syndrome (n=30) were compared to a matched control group (n=30) during 2 conditions: passive support, and the full can test...
December 24, 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/28038992/functional-and-ultrasonographic-outcomes-after-surgical-fibular-tendon-stabilisation-by-isolated-re-tensioning-of-the-superior-fibular-retinaculum
#9
C Choufani, R Rousseau, A Massein, H Pascal-Mousselard, F Khiami
BACKGROUND: Fibular tendon dislocation is a rare and usually sports-related injury. We report the functional and ultrasonographic outcomes of a simple technique for re-tensioning the superior fibular retinaculum. HYPOTHESIS: Our retinaculum re-tensioning technique is not followed by recurrent fibular tendon dislocation, as demonstrated by ultrasonography. MATERIAL AND METHOD: This single-centre single-surgeon retrospective study included 17 patients who underwent surgery to treat fibular tendon dislocation between January 2008 and December 2013...
December 27, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28035446/chronic-expanding-hematoma-following-abdominoplasty
#10
Sayo Tatsuta, Daichi Morioka, Naoki Murakami, Fumio Ohkubo
Chronic expanding hematoma (CEH) is a relatively rare complication of trauma or surgery. We report a patient with CEH as a late complication of abdominoplasty. A 58-year-old woman underwent conventional abdominoplasty and thereafter refused to use a compression binder, citing discomfort. One month postoperatively, she presented with a gradually enlarging, painful abdominal mass. The results of ultrasonography and computed tomography were highly suspicious for CEH. The lesion was completely removed, together with surrounding fibrous tissue...
December 29, 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28034721/relationship-between-subacromial-bursitis-on-ultrasonography-and-efficacy-of-subacromial-corticosteroid-injection-in-rotator-cuff-disease-a-prospective-comparison-study
#11
Doo-Hyung Lee, Ji Yeon Hong, Michael Young Lee, Kyu-Sung Kwack, Seung-Hyun Yoon
OBJECTIVE: To evaluate the correlations between subacromial bursitis (bursal thickening and effusion) on ultrasonography and its response to subacromial corticosteroid injection in rotator cuff disease patients. DESIGN: Prospective, longitudinal comparison study. SETTING: University-affiliated tertiary care hospital. PARTICIPANTS: Patients with rotator cuff disease (N=69) were classified into three groups based on ultrasonographic findings; (1) normal bursa group (group 1, n=23): bursa and effusion thickness <1 mm, (2) bursa thickening group (group 2, n=22): bursa thickness >2 mm and effusion thickness <1 mm, (3) bursa effusion group (group 3, n=24): bursa thickness <1 mm and effusion thickness >2 mm...
December 26, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28018077/hip-adductor-pyomyositis-from-streptococcus-mitis-in-a-four-year-old-child
#12
Metin Tolga Buldu, Raghu Raman
: The unique aspect of this case study is the unusual history, presentation, ultrasonography, MRI and blood culture results, which lead to the diagnosis and treatment of adductor pyomyositis with a rare organism in a temperate country. The patient presented with a one-day history of malaise, fever, left groin pain and inability to weight bear on the left leg. There was no history of any trauma, predisposing infections or recent travel. Plain radiograph and ultrasound of the hip was normal with no effusion...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28010937/clinical-relevance-of-the-nonvisualized-appendix-on-ultrasonography-of-the-abdomen-in-children
#13
Shireen Anne Nah, Sophie Sihui Ong, Wei Xiang Lim, Sanjena Kumar Amuddhu, Phua Hwee Tang, Yee Low
OBJECTIVES: To evaluate the clinical relevance of the nonvisualized appendix on ultrasound imaging in children with right lower quadrant pain. STUDY DESIGN: We reviewed 1359 children admitted for abdominal pain between January and December 2013 who had abdominal ultrasound imaging for right lower quadrant pain. Patients who had scans for genitourinary symptoms or intussusception were excluded from the study. When the appendix was not visualized, secondary signs indicating right lower quadrant inflammatory pathology were noted...
December 21, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/28003680/pseudoaneurysm-of-the-perforating-branch-of-the-deep-femoral-artery-following-anterior-cruciate-ligament-reconstruction
#14
Masataka Fujii, Takayuki Furumatsu, Yasutaka Kadota, Yoshinobu Shimamura, Shigeyuki Tsuchimochi, Toshifumi Ozaki
The present report describes the first known, case of a pseudoaneurysm of the perforating branch of the deep femoral artery following anterior cruciate ligament (ACL) reconstruction. A 19-year-old man underwent ACL reconstruction using the outside-in femoral tunnel-creation method. Seven days after the surgery, he complained of abnormal thigh pain and had swelling with local heat on the distal lateral thigh. Magnetic resonance imaging, computed tomography, and color Doppler ultrasonography showed the pseudoaneurysm in the thigh...
December 2016: Acta Medica Okayama
https://www.readbyqxmd.com/read/27998315/acute-abdominal-pain-caused-by-hematometra-in-an-adolescent-female-a-case-report
#15
Benjamin Chou, Jacqueline Ann Bohn, Robert Mairs
BACKGROUND: Hematometra is a pathologic collection of blood in the uterus. It is a rare condition that is most commonly associated with congenital anomalies or prior surgical procedures causing an obstruction of the genitourinary outflow tract. We present an unusual case of hematometra in a healthy and active adolescent female with no prior risk factors. This is a rare and important case report due to the complexity of diagnosis when a young female presents with an acute abdomen. In addition, for a patient who presents with no prior risk factors for hematometra, such as in our patient, the diagnosis and workup may become overly complicated, adding strain to patient care and health care cost...
December 20, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27998309/a-subserosal-pedunculated-multilocular-uterine-leiomyoma-with-ovarian-tumor-like-morphology-and-histological-architecture-of-adenomatoid-tumors-a-case-report-and-review-of-the-literature
#16
Kenji Yorita, Yu Tanaka, Koki Hirano, Yuka Kai, Kaoru Arii, Kimiko Nakatani, Satoshi Ito, Toshiya Imai, Masaharu Fukunaga, Naoto Kuroda
BACKGROUND: Uterine leiomyomas are common uterine tumors, and typical cases of leiomyoma are easily diagnosed by imaging study. However, uterine leiomyomas are often altered by degenerative changes, which can cause difficulty and confusion in their clinical diagnosis. We describe the 17th reported case of a uterine leiomyoma clinically diagnosed as an ovarian tumor; however, the present case shows the most detailed radiological evaluation, including contrast-enhanced magnetic resonance imaging...
December 20, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27990394/great-saphenous-vein-dilatation-with-reflux-at-the-saphenofemoral-junction-a-rare-underlying-association-of-eccrine-angiomatous-hamartoma
#17
Sanjiv Choudhary, Quazi Sabiha, Adarsh Lata Singh
Eccrine angiomatous hamartoma (EAH) is an exceedingly rare benign tumor-like lesion prevalent in childhood, which can produce pain and marked sweating. Histological features include proliferation of eccrine sweat glands and angiomatous capillary channels. It may be rarely associated with underlying pathological conditions. A 15-year-old female patient presented with multiple tender reddish papules and nodules coalescing to form plaques of 10 × 8 cm over the anterior aspect of the right lower thigh since birth...
November 2016: Indian Dermatology Online Journal
https://www.readbyqxmd.com/read/27981817/intracardiac-thrombus-in-beh%C3%A3-et-s-disease
#18
I Ben Ghorbel, N Belfeki, M H Houman
Behçet's disease (BD) is a multisystem inflammatory disorder. Intracardiac thrombus (ICT) formation is an uncommon but important complication of BD. Of the cases of Behçet's disease, we selected those with ICT. All patients fulfilled the diagnostic criteria of the International Study Group of Behçet's disease. The ICT in each case was confirmed by ultrasonography, computed tomography and MRI. Clinical features and laboratory parameters were determined. Among our 518 patients with BD, 8 were diagnosed as having intracardiac thrombus (ICT)...
December 16, 2016: Reumatismo
https://www.readbyqxmd.com/read/27980012/baseline-shoulder-ultrasonography-is-not-a-predictive-marker-of-response-to-glucocorticoids-in-patients-with-polymyalgia-rheumatica-a-12-month-followup-study
#19
Maria Concetta Miceli, Angelo Zoli, Giusy Peluso, Silvia Bosello, Elisa Gremese, Gianfranco Ferraccioli
OBJECTIVE: In this study, we evaluated whether ultrasound (US) subdeltoid bursitis (SB) and/or biceps tenosynovitis (BT) presence at baseline could represent a predictive marker of response to standard therapy after 12 months of followup, and whether a positive US examination could highlight the need of higher maintenance dosage of glucocorticoids (GC) at 6 and 12 months in patients with polymyalgia rheumatica (PMR). METHODS: Sixty-six consecutive patients with PMR underwent bilateral shoulder US evaluations before starting therapy and after 12 months of followup...
December 15, 2016: Journal of Rheumatology
https://www.readbyqxmd.com/read/27974894/pulmonary-artery-dissection-a-fatal-complication-of-pulmonary-hypertension
#20
Chuanchen Zhang, Xiaoyong Huang, Shuhua Li, Hengchen Yao, Bin Zhang
Pulmonary artery dissection is extremely rare but it is a really life-threatening condition when it happens. Most patients die suddenly from major bleeding or tamponade caused by direct rupture into mediastinum or retrograde into the pericardial sac. What we are reporting is a rare case of a 46-year-old female patient whose pulmonary artery dissection involves both the pulmonary valve and right pulmonary artery. The patient had acute chest pain and severe dyspnea, and the diagnosis of pulmonary artery dissection was confirmed by ultrasonography and CT angiography...
2016: Case Reports in Medicine
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