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Pain Medicine Ultrasonography

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https://www.readbyqxmd.com/read/27904260/sonographic-identification-of-peripheral-nerves-in-the-forearm
#1
Saundra A Jackson, Charlotte Derr, Anthony De Lucia, Marvin Harris, Zuheily Closser, Branko Miladinovic, Rahul Mhaskar, Theresa Jorgensen, Lori Green
BACKGROUND: With the growing utilization of ultrasonography in emergency medicine combined with the concern over adequate pain management in the emergency department (ED), ultrasound guidance for peripheral nerve blockade in ED is an area of increasing interest. The medical literature has multiple reports supporting the use of ultrasound guidance in peripheral nerve blocks. However, to perform a peripheral nerve block, one must first be able to reliably identify the specific nerve before the procedure...
October 2016: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/27891152/venipuncture-induced-complex-regional-pain-syndrome-presenting-as-inflammatory-arthritis
#2
Punit Pruthi, Pramod Arora, Manoj Mittal, Anugrah Nair, Waqia Sultana
Venipuncture is one of the most commonly done medical procedures. We report a unique case of a 23-year-old young male who presented with features suggestive of inflammatory arthritis. The symptoms, which initially started on the right side, also involved the other side after a few weeks. Although the patient's symptoms and signs were simulating inflammatory arthritis, he had atypical features like poor response to anti-inflammatory medicines and normal laboratory parameters. His musculoskeletal ultrasonography was also not suggestive of arthritis...
2016: Case Reports in Medicine
https://www.readbyqxmd.com/read/27878404/inter-rater-agreement-between-trained-emergency-medicine-residents-and-radiologists-in-the-examination-of-gallbladder-and-common-bile-duct-by-ultrasonography
#3
Javad Seyedhosseini, Azade Nasrelari, Narges Mohammadrezaei, Ehsan Karimialavijeh
STUDY OBJECTIVES: Bedside emergency ultrasonograAmerican Society of Emergency Radiologyphy is a rapid diagnostic tool in the emergency department (ED). Nevertheless, the learning curve for ultrasound (US) training in various indications has to date not been clearly defined. The aim of the present study was to assess how much a short specialized training program in hepatobiliary US might impact the skills of novice emergency medicine residents. METHODS: This was a prospective observational study conducted at a university-affiliated ED from May 2014 to January 2015...
November 22, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27630969/ultrasound-a-revenant-therapeutic-modality-in-dentistry
#4
REVIEW
Sunil Kumar Karumuri, Trisha Rastogi, Kartheeki Beeraka, Mohan Raju Penumatcha, Sanjeeva Rao Olepu
An ultrasound (US) gives a visible image of the organs that are present inside the body. In medicine it serves for diagnosing and also its therapeutic benefits are well established for bone healing, osteointegration and soft tissue healing. In dentistry it is widely used for diagnostic purposes. When it was discovered it was introduced for therapeutic purposes, but due to lack of clinical studies its use as therapy was remittent in dentistry. The aim of the present paper was to establish the efficiency of therapeutic US in maxillofacial region for alleviating the pain and to see the other applications...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27620544/physician-training-ultrasound-and-accuracy-of-diagnosis-in-rotator-cuff-tears
#5
Michael Day, M Phil, Richard A McCormack, Samir Nayyar, Laith Jazrawi
INTRODUCTION: Ultrasonography offers a fast and inexpensive method to evaluate the rotator cuff in the office setting. However, the accuracy of ultrasound is highly user dependent. The purpose of this study is to investigate the learning curve of an orthopaedic surgeon in using ultrasound to diagnose rotator cuff tears. METHODS: A sports medicine fellowship trained orthopaedic surgeon was taught how to perform and interpret an ultrasound examination of the shoulder by a musculoskeletal radiologist...
September 2016: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/27172530/primary-hyperparathyroidism-through-an-ectopic-parathyroid-adenoma
#6
Constantin Grozavu, Daniel Pantile
INTRODUCTION: Parathyroid glands, usually four, are localized at the anterior cervical level, in several positions, on the posterior side of the thyroid gland. Parathyroid glands participate to calcium level regulations by producing the parathormone as a response to hypocalcemia. Hyperparathyroidism is defined as the excess secretion of the parathormone. MATERIAL AND METHOD: We present the case of 48 year-old women, admitted with intense bone pain, headache and dizziness...
March 2016: Chirurgia
https://www.readbyqxmd.com/read/27148460/a-case-of-isolated-celiac-artery-dissection-accompanied-by-splenic-infarction-detected-by-ultrasonography-in-the-emergency-department
#7
Kazumasa Emori, Nobuhiro Takeuchi, Junichi Soneda
A 46-year-old male with a history of hypertension visited the emergency department (ED) by ambulance complaining of sudden pain in the left side of his back. Ultrasonography (USG) performed at ED revealed splenic infarction along with occlusion and dissection of the celiac and splenic arteries without abdominal artery dissection. Contrast enhanced computed tomography (CT) revealed the same result. Consequently, spontaneous isolated celiac artery dissection (SICAD) was diagnosed. Because his blood pressure was high (159/70 mmHg), antihypertensive medicine was administered (nicardipine and carvedilol)...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27133063/amelioratory-effect-of-flavonoids-rich-pergularia-daemia-extract-against-cfa-induced-arthritic-rats
#8
Devanesan Arul Ananth, Angappan Rameshkumar, Ramachandran Jeyadevi, G Smilin Bell Aseervatham, Jaganathan Sripriya, Prabaharan Chandra Bose, Thilagar Sivasudha
PURPOSE: Pergularia daemia Forsk. (Asclepiadaceae) is a traditionally reported medicinal herb used to treat joint pain and arthritis. However, there are no scientific reports about anti-arthritic activity of P. daemia methanolic extract on rats as animal model. This study identifies bioactive compounds present in the P. daemia methanolic extract and evaluates its anti-arthritic potential in CFA induced arthritic rats. METHODS AND RESULTS: Phytoconstituents of P...
May 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/27039995/-evaluation-of-the-diagnostic-value-of-bedside-ultrasonography-in-the-emergency-care
#9
András Mesterházi, Miklós Barta, László Zubek
INTRODUCTION: Rapid differential diagnosis of circulatory failure (shock) with unknown etiology is a daily challenge in the field of emergency medicine. The Rapid Ultrasound in Shock (RUSH) protocol is well known since 2010. With the use of targeted steps, the 4 forms of shock (cardiogen, distributive, obstructive, hypovolemic) can be separated in a few minutes. AIM: The aim of the authors was to evaluate the usefulness of the Rapid Ultrasound in Shock protocol for the diagnosis of different forms of shock...
April 10, 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27029928/a-case-of-acalculous-cholecystitis-in-the-course-of-dengue-fever-in-a-traveller-returned-from-brazil
#10
Anna Kuna, Agnieszka Wroczyńska, Michał Gajewski, Iwona Felczak-Korzybska, Wacław L Nahorski
BACKGROUND: Dengue is the second cause of fever after malaria in travellers returning from the tropics. The infection may be asymptomatic or it may manifest itself with fever only, some patients, however, may develop haemorrhagic symptoms and shock. MATERIALS AND METHODS: A 58-year-old woman came to the University Centre of Tropical Medicine in Gdynia after returning from a tourist journey to Brazil because of fever up to 39°C and malaise. She had lived in South America many years and then moved to Europe 3 years before hospitalisation...
2016: International Maritime Health
https://www.readbyqxmd.com/read/26650175/images-in-clinical-medicine-cullen-s-and-grey-turner-s-signs-in-acute-pancreatitis
#11
Xavier Valette, Damien du Cheyron
A 63-year-old man with no history of alcohol abuse presented with sudden, severe epigastric pain. The serum lipase level was elevated (1380 U per liter; normal range, 22 to 51 U per liter), a finding consistent with acute pancreatitis. Abdominal ultrasonography revealed cholelithiasis without..
December 10, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/26641250/pain-in-the-early-phase-of-pediatric-pancreatitis-pineapple-trial-pre-study-protocol-of-a-multinational-prospective-clinical-trial
#12
MULTICENTER STUDY
Fanni Zsoldos, Andrea Párniczky, Dóra Mosztbacher, Anna Tóth, Natália Lásztity, Peter Hegyi
BACKGROUND: There are unexpectedly large differences between the incidences of acute pancreatitis (AP) as indicated by different hospitals. Retrospective studies suggest that the reason behind this is the large differences that exist between the local managements of abdominal pain at emergency units. Unfortunately, no evidence-based medicine (EBM) guidelines are available to give proper instruction concerning the necessity of serum pancreatic enzyme measurement during abdominal pain. SUMMARY: Pain in Early Phase of Pediatric Pancreatitis (PINEAPPLE) is an observational, multinational observational clinical trial to explore the route from the first sign of abdominal pain to the diagnosis of pancreatitis (PINEAPPLE trial)...
2016: Digestion
https://www.readbyqxmd.com/read/26551354/update-on-medical-practices-that-should-be-questioned-in-2015
#13
REVIEW
Daniel J Morgan, Sanket S Dhruva, Scott M Wright, Deborah Korenstein
IMPORTANCE: Overuse of medical care, consisting primarily of overdiagnosis and overtreatment, is a common clinical problem. OBJECTIVES: To identify and highlight articles published in 2014 that are most likely to influence medical overuse, organized into the categories of overdiagnosis, overtreatment, and methods to avoid overuse, and to review these articles and interpret them for their importance to clinical medicine. EVIDENCE REVIEW: A structured review of English-language articles in PubMed published in 2014 and a review of tables of contents of relevant journals to identify potential articles that related to medical overuse in adults...
December 2015: JAMA Internal Medicine
https://www.readbyqxmd.com/read/26530696/-diagnosis-and-treatment-of-nephrolithiasis-what-is-established
#14
REVIEW
A Pfau, K-U Eckardt, F Knauf
BACKGROUND: Kidney stones are a common and increasing problem worldwide. Nephrolithiasis is frequently a chronic disease given the risk of recurrence following passage of a first stone. OBJECTIVES: In the present article, an update on the diagnosis and treatment of kidney stones relevant for internal medicine physicians is provided. METHODS: This review is based on a selective literature search and our own work. RESULTS AND CONCLUSION: The diagnosis of kidney stones is based on the clinical history and physical examination...
December 2015: Der Internist
https://www.readbyqxmd.com/read/26511325/secondary-angle-closure-glaucoma-by-lupus-choroidopathy-as-an-initial-presentation-of-systemic-lupus-erythematosus-a-case-report
#15
Young Soo Han, Chan min Yang, Sang-Hoon Lee, Jae Ho Shin, Sang Woong Moon, Ja Heon Kang
BACKGROUND: We present a rare case of secondary angle closure glaucoma due to systemic lupus erythematosus choroidopathy as initial presentation of systemic lupus erythematosus, accompanied by central nervous system vasculitis and uncontrolled nephropathy. CASE PRESENTATION: A 31-year-old woman presented with decreased visual acuity, nausea, vomiting, fever, and bilateral angioedema-like eyelid swelling. She had persistent dry cough while taking medication for 3 months, and had usual posterior neck pain, which was treated with analgesic medication and Asian medicines...
2015: BMC Ophthalmology
https://www.readbyqxmd.com/read/26417568/partial-rotator-cuff-injury-in-athletes-bursal-or-articular
#16
Cassiano Diniz Carvalho, Carina Cohen, Paulo Santoro Belangero, Eduardo Antônio Figueiredo, Gustavo Cará Monteiro, Alberto de Castro Pochini, Carlos Vicente Andreoli, Benno Ejnisman
UNLABELLED: A painful shoulder is a very common complaint among athletes, especially in the case of those in sports involving throwing. Partial lesions of the rotator cuff may be very painful and cause significant functional limitation to athletes' sports practice. The incidence of partial lesions of the cuff is variable (13-37%). It is difficult to make the clinical and radiological diagnosis, and this condition should be borne in mind in the cases of all athletes who present symptoms of rotator cuff syndrome, including in patients who are diagnosed only with tendinopathy...
July 2015: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/26334607/guidelines-for-the-management-of-a-pregnant-trauma-patient
#17
Venu Jain, Radha Chari, Sharon Maslovitz, Dan Farine, Emmanuel Bujold, Robert Gagnon, Melanie Basso, Hayley Bos, Richard Brown, Stephanie Cooper, Katy Gouin, N Lynne McLeod, Savas Menticoglou, William Mundle, Christy Pylypjuk, Anne Roggensack, Frank Sanderson
OBJECTIVE: Physical trauma affects 1 in 12 pregnant women and has a major impact on maternal mortality and morbidity and on pregnancy outcome. A multidisciplinary approach is warranted to optimize outcome for both the mother and her fetus. The aim of this document is to provide the obstetric care provider with an evidence-based systematic approach to the pregnant trauma patient. OUTCOMES: Significant health and economic outcomes considered in comparing alternative practices...
June 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26141710/reducing-low-value-care-in-endometriosis-between-limited-evidence-and-unresolved-issues-a-proposal
#18
REVIEW
Paolo Vercellini, Linda C Giudice, Johannes L H Evers, Mauricio S Abrao
Quantification of benefits and harms of medical interventions should be based on high-quality evidence, which is not always the case in the endometriosis field. In many clinical circumstances, healthcare decisions in women with endometriosis are taken based on suboptimal evidence or on evidence of coexistence of benefits and harms that must be balanced. In these conditions, it is important to avoid or reduce the use of low-value care, i.e. interventions with defined harms and uncertain benefits, or whose effectiveness is comparable with less expensive alternatives...
September 2015: Human Reproduction
https://www.readbyqxmd.com/read/26009737/radiology-report-an-imaging-guide-to-abdominal-pain
#19
Richard E Gray, Heidi L Gaddey
When patients present with acute nontraumatic abdominal pain, knowing what disorders and which imaging modalities to consider is essential. Let this article and handy table be your guide.
May 2015: Journal of Family Practice
https://www.readbyqxmd.com/read/25963680/the-impact-of-goal-directed-transvaginal-ultrasonography-on-clinical-decision-making-for-emergency-physicians
#20
Neslihan Sayrac, Firat Bektas, Secgin Soyuncu, Vefa Sayrac
The aim of study was to determine the impact of "goal-directed transvaginal ultrasonography" (TVUSG) on real-time clinical decision making of attending emergency physicians evaluating their level of certainty for preliminary diagnosis, admission, surgery, treatment, additional laboratory, and discharge in patients presenting with acute pelvic pain to the emergency department (ED). This prospective cross-sectional clinical study was conducted on sexually active female patients older than 18 years who presented with acute pelvic pain in the ED...
July 2015: American Journal of Emergency Medicine
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