Make the Diagnosis: Bewildering Bone Pain

(MedPage Today) -- Case Findings: A 23-year-old male presents with a presumed diagnosis of vanishing bone disease (Gorham's disease), a rare condition in which bone is lost in conjunction with an overgrowth of lymphatic vessels. However, the patient presents with ongoing severe pain, which is uncommon in Gorham's disease. He was treated with interferon and zoledronic acid, but discontinued these treatments because of severe side effects. What is your diagnosis?
Source: MedPage Today Cardiovascular - Category: Cardiology Source Type: news

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ConclusionAvailable data suggest that the information needs of people with low back pain are centred around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging. People with low back pain expressed a strong desire for clear, consistent and personalised information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues. To correct unhelpful beliefs and optimise delivery of evidence-based therapy, patient and healthcare professional education (potentially by an integrated public health approach) may be warranted.
Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
Authors: Schweighardt AE, Juba KM Abstract Acetaminophen is among the most commonly used nonopioid analgesics, but significant variation exists in its prescribing practices for cirrhosis patients. Our primary objective was to describe the quality of evidence supporting or refuting the use of acetaminophen in patients with hepatic dysfunction. A comprehensive literature review of PubMed, Cochrane Library, Web of Science, and International Pharmaceutical Abstracts using the search terms "acetaminophen," "paracetamol," "chronic liver disease," "cirrhosis," and "hepatic dise...
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
Publication date: September 2019Source: Urology Case Reports, Volume 26Author(s): Eriawan Agung Nugroho, Dila Junita, Yanuar Hendra WijayaAbstractGiant bladder stone more than 100 g is a rare finding and commonly associated with urinary tract infection. 32-year-old male came with history of lower abdominal pain, dysuria for 2 years. Patient had history of recurrence urinary tract infections for past 1 year and also complaint pollakiuria, incomplete emptying and hematuria. Abdominal radiograph and ultrasound revealed round calcified pelvic calculi. Patient received antibiotic and underwent open cystolithotomy. Extirpated ...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
It is estimated that comorbidity between depression and chronic pain reaches more than half of the depressed adult patients around the world. Evidence indicates that some stressors, such as early-life stress (ELS), mediate the co-occurrence of depression a...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Civil plaintiffs often seek compensation for their psychological injuries. Yet little is known about jurors' preconceived notions (or schemas) for a prospective plaintiff's pain and suffering. The present studies examined (a) whether jurors have psychologi...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
INTRODUCTION: Upper extremity pain among manual wheelchair users induces functional decline and reduces quality of life. Research has identified chronic overuse due to wheelchair propulsion as one of the factors associated with upper limb injuries. Lack of...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Engineering, Physics, Structural Soundness and Failure Source Type: news
This study was conducted to adapt the Burn Specific Pain Anxiety Scale into Turkish, and to test its validity and reliability. The study was conducted between April 2016 and July 2017 in a university and a training/research hospital using the methodologica...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news
ConclusionWe recommend performing an additional CT scan of the wrist in case of credible complaints after trauma to avoid baulking this very rare type of fracture.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 19 June 2019Source: Science &SportsAuthor(s): V. Lins, E. Lattari, D. Monteiro, L. Cid, G. Albuquerque Maranhão Neto, S. MachadoSummaryThe aim of this study was to analyze the effects of cathodal tDCS (c-tDCS) on joint flexibility and pain perception in a sedentary male. Eight male healthy, sedentary right-leg-dominant and novice in muscle stretching aged between 19 and 30 years (24.0 ± 4.0 years) were recruited. Subjects performed three experimental conditions in a randomized, double-blinded crossover design: anodal stimulation (a-tDCS), c-tDCS and sham-tDCS (...
Source: Science and Sports - Category: Sports Medicine Source Type: research
Authors: Ma DM, Hu W, Wang YH, Luo Q Abstract We conducted a large-sample study in six midwifery centres to estimate the effectiveness of Moderate Perineal Protection technique during spontaneous delivery. 31,249 women accepted the traditional technique were selected as control group, and 57,056 women accepted the Moderate Perineal Protection technique as the observation group. There was no significant difference in demographic characteristics between the two groups. The perineal episiotomy rate decreased (22.913% vs. 32.161%, p 
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
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