Estimation of frequency and pretest probability of CAD in patients presenting with recent onset chest pain by multi-detector CT angiography

Conclusion CAD was seen in 77.5% in those with recent onset chest pain. Higher incidence of significant CAD was seen in hypertensive and diabetic patients. Family history is still not a reliable factor in our society. Male patient <60years old has higher incidence of CAD than female in same age group. Pretest probability for CAD is a simple and important test as all patients in higher probability have CAD and most of them have significant disease so it is better to direct referral of them to conventional angiography to gain a benefit from direct intervention, radiation and cost benefit.
Source: The Egyptian Journal of Radiology and Nuclear Medicine - Category: Nuclear Medicine Source Type: research

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Mrs Havercampa presents to clinic at 4:00 pm today for an unscheduled appointment. She is a 67-year-old obese diabetic woman who is 10  days status post right common femoral endarterectomy with Dacron patch angioplasty and retrograde iliac stenting for rest pain. Today, she reports increasing pain and drainage from the groin wound. On examination, there is erythema and dehiscence of the skin edges. Cloudy fluid emanates from the w ound. I sigh. “Mrs Havercamp, when was the last time you had anything to eat or drink?”
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Invited commentary Source Type: research
Had a weird case a couple of weeks ago. My partner, who is an outstanding technical surgeon for implants (one of the best I have seen) had a stim follow up while he was on vacation. The wounds were dehiscing and the incisions looked odd (my partner has had only two infections over a 25 year career, so he is pretty damn good). I took her to the OR and removed the stim, packing the incisions open. Initial cultures were negative, but eventually grew candida. This patient was a diabetic with a... candida fungal infection with stimulator
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
If you have diabetes, you know you're more prone to injury than the average patient. Foot ulcers are especially common for those with diabetes – and can unfortunately lead to hospitalization or infection. In fact, 14 to 24 percent of patients with diabetes who develop a foot ulcer will need an amputation, according to American Podiatric Medical Association. The reason foot ulcers tend to prey on diabetic patients is because the condition causes reduced circulation in the extremities, often leading to neuropathy. This lack of feeling makes it difficult for diabetic patients to recognize the pain before the sore be...
Source: Advanced Tissue - Category: Dermatology Authors: Tags: diabetic wound care Source Type: news
Conclusions: Our results can help direct health care professionals advice for women who are planning pregnancy towards walking as it seems to be sustained during pregnancy.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
Most studies of diabetic polyneuropathy (DPN) and painful DPN are conducted in persons with longstanding diabetes. This cross-sectional study aimed to estimate the prevalence of DPN and painful DPN, important risk factors, and the association with mental health in recently diagnosed type 2 diabetes. A total of 5514 (82%) patients (median diabetes duration 4.6 years) enrolled in the Danish Centre for Strategic Research in Type 2 Diabetes cohort responded to a detailed questionnaire on neuropathy and pain. A score ≥4 on the MNSI questionnaire determined possible DPN, whereas pain presence in both feet together with a scor...
Source: Pain - Category: Anesthesiology Tags: Research Paper Source Type: research
Conditions:   Chronic Interstitial Cystitis;   Bladder Pain Syndrome;   Cystitis, Interstitial;   Painful Bladder Syndrome;   Cystitis, Chronic Interstitial;   Interstitial Cystitis;   Interstitial Cystitis, Chronic;   Interstitial Cystitis (Chronic) With Hematuria;   Interstitial Cys titis (Chronic) Without Hematuria;   Chronic Prostatitis;   Chronic Prostatitis With Chronic Pelvic Pain Syndrome Interventions:   Behavioral: Psychosocial Treatment; &n...
Source: - Category: Research Source Type: clinical trials
The objectives of this paper are to review current guidelines for the pharmacological management of DPN and to discuss research rel evant to the further development of pharmacological recommendations for the treatment of diabetic neuropathy.SummaryDiabetic neuropathy is a highly prevalent, disabling condition, the management of which is associated with significant costs. Evidence supports the use of specific anticonvulsants and antidepressants for pain management in patients with diabetic peripheral neuropathy. All current guidelines advise a personalised approach with a low ‐dose start that is tailored to the maximum re...
Source: Journal of Pharmacy and Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Review Source Type: research
Elias Estifan, Sushant M Nanavati, Vinod Kumar, Aarohi Vora, Moayyad Alziadat, Ahmed Sharaan, Mourad IsmailJournal of Global Infectious Diseases 2020 12(1):34-36 Clostridium difficile colitis has been the most recognized bacterial enterocolitis for years and other bacteria such as Staphylococcus colitis has been relegated. Staphylococcus enterocolitis following antibiotics had been one of the most frequent complications in surgical patients in the 1950s and 1960s and now reappear with more resistance such as methicillin-resistantStaphylococcus aureus(MRSA) colitis which brings a new challenge. A 32-year-old Hispanic femal...
Source: Journal of Global Infectious Diseases - Category: Infectious Diseases Authors: Source Type: research
ConclusionThe results of this study suggest that younger age, workers ’ compensation, elevated preoperative pain scores, and longer operative times are independently associated with greater inpatient pain following TLIF. Surgeons can use this information to better assess which patients may require additional pain control following TLIF. Patient expectations of posto perative outcomes in regard to pain and recovery may also be better managed.Graphic abstract These slides can be retrieved under Electronic Supplementary Material. (paragraph). Then process the ppt slide as graphical image.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
Femoral nonunion is the most common cause of reoperation after femoral fractures. It causes pain and disability, prolongs rehabilitation, and increases healthcare cost and lost work hours [1-4]. Nonunion can develop due to a fracture, patient-related or fixation-related risk factors, such as inadequate fracture gap, avascularity, fracture stability, smoking, infection, malignancy, use of NSAIDs or steroids, or other systematic diseases (such as diabetes) etc. [1,2].
Source: Injury - Category: Orthopaedics Authors: Source Type: research
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