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?
We present the case of a 56-year-old female presenting with bilateral foot pain. Imaging reveals symmetrical abductor digiti minimi atrophy associated with bilateral plantar fasciitis. These appearances are well demonstrated on both magnetic resonance imaging and ultrasound.
Publication date: Available online 23 April 2019Source: NeuropsychologiaAuthor(s): Yuan Cao, Nurain Md Yusri, Tamara Powell, Ross CunningtonAbstractTo contribute to better understanding of empathy of younger adults for the pain of older adults, this study examined whether brain responses and behavioral ratings of young adult participants to the observed physical pain of older people differed from that to younger people. fMRI was used to measure participants’ brain responses to seeing younger and older people receiving a painful compared with non-painful touch, while they rated both the level of perceived pain observe...
Publication date: May–June 2019Source: Brain Stimulation, Volume 12, Issue 3Author(s): D.J.H.A. Henssen, W. Hoefsloot, P.S.M. Groenen, A.M. Van Cappellen van Walsum, E. Kurt, T. Kozicz, R. van Dongen, D.J.L.G. Schutter, R.H.M.A. Bartels
Conclusions: OBT-A seems to have an effect on central sensitization, expressed by allodynia. This action could be exerted by modulating nociceptive transmission, and reducing the global burden of migraine. Patients with more severe allodynia display a limited long-term effect on headache frequency. The modulation of central sensitization could reduce migraine disability, in spite of the persistence of frequent headache.Eur Neurol 2019;81:37 –46
Conclusions: Patterns of CAM use in Turkey for migraine differ from western practices. Due to fear of disapproval, patients tend to hide CAM use from their doctors. Exploring the CAM use among migraineurs is essential to prevent potential interactions of CAM therapies with conventional treatments.Eur Neurol 2019;81:24 –29
AliveCor is giving consumers a chance to understand their heart (beats) a whole better through a pair of new indications. The Mountain View, CA-based company said its KardiaMobile ECG is now cleared for the detection of BradyCardia and TachyCardia. Previously, AliveCor had a nod from FDA for KardiaMobile to detect Atrial Fibrillation (AFib) and Normal Sinus Rhythm. The Mountain View, CA-based company said the new indications make it the only consumer-cleared device with the ability to detect the three most common heart arrhythmias. "No other consumer ECG device in the world, can tell you more about your heart than Kar...
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Conclusions: Pediatric patients with head and neck cancer can be risk-stratified based on clinical and dosimetric factors. This data, combined with parent and patient perceptions, is key to the development of rational guidelines.
Conclusions: Early diagnosis of HSFI is challenging because signs and symptoms are usually nonspecific. In neutropenic children, persistent fever, back pain extending to the shoulder, widespread muscle pain, and increased serum galactomannan levels should alert clinicians. Abdominal imaging, particularly an abdominal ultrasound, which is easy to perform and available even in most resource-limited countries, should be recommended in children with prolonged neutropenic fever, even in the absence of localizing signs and symptoms.