Assessment before surgical treatment for pelvic organ prolapse: Clinical practice guidelines.
CONCLUSION: Before proposing a surgical cure of genital prolapse of women, it suits to achieve a clinical and paraclinical assessment to describe prolapse (anatomical structures involved, grade), to look for recurrence, difficulties approach and postoperative complications risk factors, and to appreciate the impact or the symptoms associated with prolapse (urinary, anorectal, gynecological, pelvic-perineal pain) to guide their evaluation and their treatment. © 2016 Published by Elsevier Masson SAS. PMID: 27595629 [PubMed - in process]
Individuals with chronic pain are at an elevated risk of suicide, yet psychosocial factors that might be involved in increasing or decreasing vulnerability for suicidal ideation and behaviour have received little attention. Extant literature on the topic o...
CONCLUSIONS: This study supports the wider application of allografts in managing nerve problems. However, caution must be applied to the use of long grafts with larger diameters. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. PMID: 31985643 [PubMed - in process]
CONCLUSIONS: The intraoperative anatomy and cause of nerve compression at the frontal trigger site vary greatly among patients. The authors report a supraorbital nerve foramen prevalence of 50.3 percent, which is greater than in previous cadaver studies of the general population. Lastly, the presence of pain at a specific site is associated with macroscopic nerve compression. PMID: 31985652 [PubMed - in process]
Publication date: Available online 28 January 2020Source: Respiratory Medicine Case ReportsAuthor(s): Melinda Vasser, Matthew KoroscilAbstractBack pain is a common presenting concern in physician offices and emergency departments alike, with etiologies ranging from minor injuries to severe life-threatening illnesses. This case details the clinical course of a 68-year-old former smoker with no pulmonary symptoms who presented with back pain multiple times before developing cord compression syndrome and being diagnosed with non-small cell lung cancer (NSCLC). It demonstrates the importance of lung cancer screening and the ne...
ConclusionsWomen are less likely to have acute and surgical pathologies on CT ordered for non traumatic abdominal pain. Epigastric tenderness is negatively associated with abnormal and surgical CT results while RLQ tenderness is associated with an abnormal CT that is likely surgical in nature. These findings should help improve diagnostic accuracy of ordering providers and improve resource utilization.
ConclusionIt is preferable to perform CCTA in young patients with cardiac symptoms, especially in Asian and Middle Eastern countries even of the CAC score is zero.
Publication date: Available online 27 January 2020Source: Diagnostic and Interventional ImagingAuthor(s): A. Hamard, R. Burns, A. Miquel, J.M. Sverzut, V. Chicheportiche, M. Wybier, V. BoussonAbstractDactylitis refers to a global swelling of a finger or a toe giving it a clinical sausage-shape presentation. It is an extremely suggestive symptom as it guides the rheumatologist towards a shortlist of diagnoses. However, radiologists are less familiar with dactylitis. The aim of this review is to detail and illustrate the main causes of dactylitis using standard X-ray imaging, ultrasound, computed tomography and magnetic reso...
Publication date: Available online 28 January 2020Source: Journal of OrthopaedicsAuthor(s): Bura Sindhupakorn, Darawan Jomkoh, Theeranit NamkunteeAbstractBackgroundCorticosteroid and Ketorolac tromethamine is a pain reducing.ObjectiveThe primary objective was pain intensity scores (VAS) in 10, 30, 60 minutes, 2, 6 hours, 1, and 7 days.Method120 patients were randomized. The placebo group (normal saline) and experimental groups (ketorolac 30 mg, 60 mg, triamcinolone 10 mg, 20 mg., and 40 mg, respectively) were compared.ResultVAS at 60 min, 2, 6 hours, 1 and 7 days was significantly different (P
ConclusionsPRP improves pain and function of osteoarthritis. Heterogeneity and risk-of-bias limit current data, requiring more RCTs to determine any regenerative potential of PRP.Prospero Systematic Review Registration Number: 136582
The paper by Khalil et al. is a definite step forward in terms of substantiation of basivertebral nerve ablation as a reasonable, nonsurgical, interventional treatment option for a specific lumbar vertebral body pathoanatomy which is likely responsible for a portion of patients with low back pain (LBP).