Cervical Radiculopathy as the Initial Presentation for Lyme neuroborreliosis (P1.311)
Conclusions:Although mechanical causes are high in the differential diagnosis of cervical radiculopathy, Lyme disease is well-known to have symptoms of radiculitis and should be considered in the assessment of cervical pain. A typical early syndrome due to neuroborreliosis has been characterized as a triad of the symptoms mentioned above including radicular pain, cranial or peripheral paresis, and lymphocytic meningitis and is called "Bannwarths syndrome" (Bannwarth, 1941).Disclosure: Dr. Hannoun has nothing to disclose. Dr. Gudin has received personal compensation for activities with Purdue, Endo, Astra Zeneca, Daiichi Sankyo, Collegium, and Kaleo Pharmaceuticals as a consultant.
ConclusionsPamidronate is a safe and efficient method of CRMO therapy, particularly in cases refractory to NSAIDs treatment. Treatment with pamidronate provides both symptomatic relief as well as normalisation of bone morphology.
Publication date: Available online 16 June 2019Source: Joint Bone SpineAuthor(s): Pierre Letellier, Florian Bailly, Marina Assadourian, Antoine Potel, Violaine Foltz, Sophia Ascione, Laetitia Morardet, Myrianne Le Ralle, Bruno Fautrel, Arnaud Dupeyron, Nada Ibrahim-Nasser, Isabelle Griffoul-Espitalier, Bernard Duplan, Johann Beaudreuil, Laure Gossec
Nearly 6% of people in the study had a heart attack otrdeveloped angina (chest pain). The researchers found that all the people who developed heart trouble displayed a faster decline in their mental function at the same time.
Authors: Gras E, Bailly E, Le Brun C, Lemaignen A, Lanotte P PMID: 31202618 [PubMed - as supplied by publisher]
Conclusions: WTP for fluoride varnish varied dramatically between individuals. In both countries, it was difficult to predict this variance, as factors which would likely impact upon on WTP had a limited effect and were sometimes counter-intuitive. WTP values for a parent and their child were not statistically significantly different.
Conclusions: All treatments were found to effectively reduce bacterial counts (p 0.05) among treatments or between clinical variables (p> 0.05).
Sometimes appearances, or statistics, can be deceiving.
Did you know that tooth decay is the most common chronic disease of childhood? And that 40% of children have tooth decay by kindergarten? This is a big deal, not only because of the pain and infection it can cause, but also because children with tooth decay are more likely to miss school and have poorer grades — and because tooth decay is linked to a higher risk of many health problems later in life, including heart disease and premature birth. Tooth decay is simple to prevent, yet sadly, many families don’t take the steps that are needed. 1. Don’t skip the fluoride. Fluoride is very helpful w...
Can you diagnose this patient with low back pain, right lower extremity paraesthesias, and incontinence?
In the June 14thWall Street Journal, Johns Hopkins University bioethicist Travis Rieder, in an excellent essay, shared with readers his battle with pain resulting from a devastating accident, the effectiveness of opioids in controlling the pain, and the hell he went through when he was too rapidly tapered off of the opioids to which he had become physically dependent. Like most patients requiring long term pain management with opioids, he developed a physical dependence, which is often mistakenly equated with addiction by policymakers and many in the media. The aggressive schedule launched me into wit...