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Make the Diagnosis: Unusual Adenoma

(MedPage Today) -- Case Findings: A 42-year-old male presents with a long history of headaches, impaired vision, and fatigue. He mentions that his wedding ring no longer fits, and he reports joint pain. On physical exam, he has swollen hands and feet, coarse facial features, and partial blindness (bitemporal hemianopsia). After diagnosis with acromegaly secondary to a pituitary macroadenoma, the patient is referred for surgery. However, the patient's IGF-1 concentrations remain elevated following a debulking procedure (the tumor location prevented full resection). What is the best next step for this patient?
Source: MedPage Today Cardiovascular - Category: Cardiology Source Type: news

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Highland Hospital is now the first hospital in the Rochester region to offer nitrous oxide as an additional pain relief option to mothers in labor.
Source: University of Rochester Medical Center Press Releases - Category: Universities & Medical Training Authors: Source Type: news
ConclusionsMultimodal modular exercise in prostate cancer patients with bone metastases led to self-reported improvements in physical function and objectively measured lower body muscle strength with no skeletal complications or increased bone pain.Trial Registration: ACTRN12611001158954. Purpose The presence of bone metastases has excluded participation of cancer patients in exercise interventions and is a relative contraindication to supervised exercise in the community setting because of concerns of fragility fracture. We examined the efficacy and safety of a modular multimodal exercise program in prostate cancer pa...
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: Clinical Sciences Source Type: research
ConclusionsThese results suggest that an early intervention based on NMES superimposed to repeated STSTS exercises is effective for recovering quadriceps strength and symmetry in lower extremity loading by the time of return to sport. Purpose Quadriceps weakness and asymmetrical loading of lower limbs are two major issues after anterior cruciate ligament reconstruction (ACLR). The aim of this study was to evaluate the effectiveness of a 6-wk training protocol involving neuromuscular electrical stimulations (NMES) of the quadriceps muscle superimposed on repeated sit-to-stand-to-sit exercises (STSTS), as an additional t...
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: Clinical Sciences Source Type: research
ConclusionsThis study identified characteristics that discriminated between individuals with acute and chronic PFP when compared with healthy controls. Certain discriminating characteristics were shared between both the acute and chronic subgroups when compared with healthy controls, whereas others were specific to the duration of PFP. Purpose This study aimed to identify the discriminating kinematic gait characteristics between individuals with acute and chronic patellofemoral pain (PFP) and healthy controls. Methods Ninety-eight runners with PFP (39 male, 59 female) and 98 healthy control runners (38 male, 60 fema...
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: Applied Sciences Source Type: research
Discussions about developments and best practices in digital services in government. To join: Email listserv@listserv.gsa.gov with no subject and subscribe digitalservice in the body. In cities across the country, from Tulsa, OK to Miami, FL, Code for America Brigade volunteers get together with government to help improve services. For example, they’re improving services designed to serve people experiencing homelessness (Asheville, NC) and simplifying benefits applications into SMS-based conversations you can have on a flip phone (Anchorage, AK). Go meet them. There are engineers and designers, but also EMTs an...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: blogs
Conclusion According to our findings, NP (+) patients with BC had increased cardiac sympathetic activity, which was suggested to be associated with increased cardiovascular morbidity and mortality. PMID: 29447081 [PubMed - as supplied by publisher]
Source: Neurological Research - Category: Neurology Tags: Neurol Res Source Type: research
London-based physical trainers and sisters Maddy and Alex Weaver shared a core workout routine with Daily Mail Online that can be performed by people suffering from lower back pain or discomfort.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
Elizabeth Moreno got hit with a $17,850 bill from a Texas lab after leaving a urine sample at her doctor ’ s office.Kaiser Health News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Pathology & Lab Medicine News Source Type: news
Source: BMJ Comments - Category: General Medicine Source Type: forums
Conclusion: Adolescents with headaches and pubertal delay should be investigated for prolactinomas. Treatment with cabergoline is well tolerated and effective in reducing clinical symptoms and prolactin concentrations was well as inducing tumour shrinkage. Further clinical prospective studies are needed to standardize paediatric treatment modalities.Horm Res Paediatr
Source: Hormone Research in Paediatrics - Category: Endocrinology Source Type: research
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