An unusual cause of sore throat and neck swelling
From the question on page 625 Clinical introduction A 61-year-old man presented with swelling of the neck. He had experienced coughing, fever and sore throat for the previous few days and had been started on antibiotic treatment by his general practitioner. He presented to the emergency department because the symptoms failed to subside and he developed swelling of his neck. On examination, he was afebrile, and a hard, 9x4 cm in size, mobile mass with no redness was observed on the right side of his neck (figure 1). Question What is your diagnosis?Pneumonia Tuberculosis Q fever Lemierre's syndrome Mononucleosis For the answer see page 646 Answer: D Lemierre's syndrome (LS). LS is also known as anaerobic postanginal septicaemia. The primary site of infection is the palatine tonsils and peritonsillar tissue. Other, rarer, locations of infection are the...
Do you folks have any ideas for my next PIP? I did the back pain one a few years ago and it wasn't too bad. Can I do same one (from AAPMR) again? The other projects don't really pertain to my practice. Any other recommendations?
Authors: López Castro J PMID: 32446683 [PubMed - as supplied by publisher]
CONCLUSIONS: The average patient is middle aged (often male) with a history of subacute back pain, sometimes presenting fever and/or neurological damage on diagnosis. Acute phase reactants are frequently raised. Diabetes mellitus, endocarditis and immunosuppressed patients may have the worst chance of a good outcome, therefore these patients should be more carefully managed (always try to obtain an imaging-guided biopsy, correct antibiotic treatment, and a functional and clinical follow-up). PMID: 32446680 [PubMed - as supplied by publisher]
Publication date: Available online 25 May 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Paul Ryan, Mark Sheehy
Publication date: Available online 24 May 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Mariana Y Puerta, Ricardo Galhardoni, Manoel Jacobsen Teixeira, Jose Tadeu Tesseroli de Siqueira, Silvia Regina Dowgan Tesseroli de Siqueira
Cordero, a 41-year-old Tony nominee, was initially hospitalized March 30 after developing pneumonia and later tested positive for the coronavirus.
The reason health care systems are taking out massive bank-credit lines is they just suffered through their industry ’s worst financial month ever — and their executives don’t know when the pain will end.
CONCLUSIONS: The findings indicate that the Polish adaptation of the SBQ-R by Osman et al. has good psychometric characteristics and can be considered in both research and clinical practice. PMID: 32447359 [PubMed - as supplied by publisher]
Do you notice that your child or teen is feeling more frustrated and hopeless as the shelter-in-place directive continues? I’m hearing from so many families that things seem to be getting increasingly worse. With thousands of schools switching their grading systems to Pass/Fail, many kids are doing the minimal amount of homework to get by. Some may not be keeping up with hygienic routines. Others have reverted to less mature coping skills, erupting and arguing more than they typically do. What can you do to combat their numbness, hopelessness or regressive behaviors? The first step is acknowledging their very real lo...