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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CONCLUSION: CDUS showed adequate diagnostic properties for detection of sacroiliitis and is a useful tool in patients with IBP. PMID: 30554153 [PubMed - as supplied by publisher]
Source: Journal of Rheumatology - Category: Rheumatology Tags: J Rheumatol Source Type: research
CONCLUSION: In conclusion, we observed that both sclerotherapy methods are effective with a low rate of complications, alleviating the complaints of patients with small varicose veins, and providing considerable improvement in venous clinical severity scores.RESUMO OBJETIVO: Nosso objetivo foi avaliar a efic ácia de líquido ou espuma na escleroterapia de varizes por meio de escores de gravidade clínica venosa e possíveis complicações. MÉTODOS: Um total de 318 pacientes (268 do sexo feminino, 50 do sexo masculino) tratados com escleroterapia com espuma ou líquido entre...
Source: Revista da Associacao Medica Brasileira - Category: General Medicine Source Type: research
SUMMARY The present quasi-experimental study aimed to assess the transversus abdominis (TrA), internal oblique (IO) and external oblique (EO) thickness in healthy subjects with the proprioceptive Stabilizer ™ training in abdominal wall muscles. A sample of 41 healthy participants (age: 31.9 ± 4.5 y; height: 1.7 ± 0.1 m; weight: 68.3 ± 13.1 kg; body mass index, BMI: 22.9 ± 2.7 kg/m2) were recruited to participate in this study. Ultrasound images of the EO, IO, TrA, rectus anterior (RA) and interrecti distance (IRD) were measured and analyzed by the ImageJ software. Measurements were made at...
Source: Revista da Associacao Medica Brasileira - Category: General Medicine Source Type: research
ABSTRACT Objective To perform a cross-cultural adaptation of the Neurophysiology of Pain Questionnaire for the Brazilian population (NPQ-BR). Methods A translation and cross-cultural adaptation study were conducted in 11 stages according to standard procedures. Descriptive and inferential statistics were performed. The internal consistency of the questionnaire was assessed using Cronbach ’ s Alpha test ( α ). Results Four translators, six experts, twenty-one patients and ten physiotherapists participated in the study. The NPQ-BR was obtained after seven versions. The expert committee adapted four out of twelve ...
Source: Jornal Brasileiro de Psiquiatria - Category: Psychiatry Source Type: research
ABSTRACT Objective To perform a cross-cultural adaptation of the Neurophysiology of Pain Questionnaire for the Brazilian population (NPQ-BR). Methods A translation and cross-cultural adaptation study were conducted in 11 stages according to standard procedures. Descriptive and inferential statistics were performed. The internal consistency of the questionnaire was assessed using Cronbach ’ s Alpha test ( α ). Results Four translators, six experts, twenty-one patients and ten physiotherapists participated in the study. The NPQ-BR was obtained after seven versions. The expert committee adapted four out of twelve ...
Source: Jornal Brasileiro de Psiquiatria - Category: Psychiatry Source Type: research
ABSTRACT Objective To perform a cross-cultural adaptation of the Neurophysiology of Pain Questionnaire for the Brazilian population (NPQ-BR). Methods A translation and cross-cultural adaptation study were conducted in 11 stages according to standard procedures. Descriptive and inferential statistics were performed. The internal consistency of the questionnaire was assessed using Cronbach ’ s Alpha test ( α ). Results Four translators, six experts, twenty-one patients and ten physiotherapists participated in the study. The NPQ-BR was obtained after seven versions. The expert committee adapted four out of twelve ...
Source: Jornal Brasileiro de Psiquiatria - Category: Psychiatry Source Type: research
Conclusion Considering the particular aspects of postmenopausal women with sexual dysfunction, we developed a cognitive behavioral group therapy protocol, with significant therapeutic potential. Though a control group was not used and that the application was done in a reduced number of participants, this protocol can be assessed and utilized in similar cases, being fit new researches to verify the applicability of such for sexual dysfunction at this stage of female development.
Source: Jornal Brasileiro de Psiquiatria - Category: Psychiatry Source Type: research
(MedPage Today) -- Prevalence in women decreases long before T2D diagnoses and plateaus after
Source: MedPage Today Neurology - Category: Neurology Source Type: news
The study found that -- after adjusting for body weight and other health factors -- women who said they had migraines had a 30 percent lower risk of type 2 diabetes.
Source: WebMD Health - Category: Consumer Health News Source Type: news
Conditions:   Pain, Postoperative;   Regional Block Intervention:   Procedure: erector spinae plane block Sponsor:   Kangbuk Samsung Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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