A Rare but Growing Cause of Abdominal Pain

​BY MARK GRANT, DO, &SARAH CARIGNAN, PA-CThe patient had been playing a round of golf a week earlier, and thought he had strained a muscle in his right lower back while swinging a golf club. The patient continued his golf workouts throughout the week, which included lifting weights and swinging a golf club with minimal pain.​The day prior to ED presentation, he began having worsening right-sided back pain, and began ibuprofen and ice treatment, which helped minimally. The patient woke up experiencing worsening back pain that radiated from his right flank to his right lower abdominal area. He reported increased pain with ambulation, and on presentation was experiencing sweats and a fever. His mother reported that the patient had a temperature of 101°F.He had no appetite, was nauseated, and complained of pain in the right flank area that radiated to the right lower abdominal area. The patient's heart rate was 104 bpm, blood pressure was 115/49 mm Hg, oxygen saturation was 97% on room air, and his temperature was 99.3°F orally. The patient denied testicular pain, dysuria, hematuria, diarrhea, constipation, and URI symptoms. He had an unremarkable past medical history, no prior surgeries, no significant family history or social history, and was not sexually active.Physical exam findings revealed an unremarkable ENT exam. He was tachycardic without any murmurs, and his lungs were clear to auscultation. The patient's abdominal exam revealed pain at McBurney's point,...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research

Related Links:

Do you folks have any ideas for my next PIP? I did the back pain one a few years ago and it wasn't too bad. Can I do same one (from AAPMR) again? The other projects don't really pertain to my practice. Any other recommendations?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
ConclusionThe proposed multiparametric MRI-based SLICs+MTh method performs noninvasive assessment of NACT response in osteosarcoma that may improve cancer treatment monitoring, planning, and overall prognosis.Key Points• The simple linear iterative clustering supervoxels and Otsu multithresholding-based technique (SLICs+MTh) successfully estimates the proportion of necrosis, viable tumor, and edema in osteosarcoma in the course of chemotherapy.• The proposed technique is noninvasive and uses multiparametric MRI to measure necrosis as an indication of anticancer treatment response.• SLICs+MTh-based necrosis w...
Source: European Radiology - Category: Radiology Source Type: research
ConclusionsThe e-ASPECTS software generates robust values for e-ASPECTS and acute infarct volumes when using ST ≤ 4 mm with ST = 1 mm yielding the best performance for predicting baseline stroke severity and clinical outcome after 90 days.Key Points•Clinical utility of automatically derived ASPECTS from computed tomography scans was shown in patients with acute ischemic stroke and treatment with mechanical thrombectomy.•Thin slices (=  1 mm) had the highest clinical utility in comparison with thicker slices (2–10 mm) by having the strongest correlation...
Source: European Radiology - Category: Radiology Source Type: research
Publication date: Available online 25 May 2020Source: Academic RadiologyAuthor(s): Amel Amalou, Baris Turkbey, Sheng Xu, Evrim Turkbey, Peng An, Gianpaolo Carrafiello, Anna Maria Ierardi, Robert Suh, Hayet Amalou, Bradford J. Wood
Source: Academic Radiology - Category: Radiology Source Type: research
CONCLUSIONS: The average patient is middle aged (often male) with a history of subacute back pain, sometimes presenting fever and/or neurological damage on diagnosis. Acute phase reactants are frequently raised. Diabetes mellitus, endocarditis and immunosuppressed patients may have the worst chance of a good outcome, therefore these patients should be more carefully managed (always try to obtain an imaging-guided biopsy, correct antibiotic treatment, and a functional and clinical follow-up). PMID: 32446680 [PubMed - as supplied by publisher]
Source: Medicina Clinica - Category: General Medicine Tags: Med Clin (Barc) Source Type: research
TYPE 2 diabetes does not pose a threat if you keep blood sugar levels under control. Diet acts as the ultimate bulwark against high blood sugar levels and a natural green powder has been proven to lower blood sugar.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Publication date: Available online 25 May 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Paul Ryan, Mark Sheehy
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
Publication date: Available online 24 May 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Mariana Y Puerta, Ricardo Galhardoni, Manoel Jacobsen Teixeira, Jose Tadeu Tesseroli de Siqueira, Silvia Regina Dowgan Tesseroli de Siqueira
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
Publication date: Available online 24 May 2020Source: Canadian Journal of DiabetesAuthor(s): Jacob M. Zamora, Jason M. Kong
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research
Does the Trump-hyped drug hydroxychloroquine have the potential to treat diabetes?
Source: Diabetes Mine - Category: Endocrinology Authors: Source Type: blogs
More News: Acetaminophen | Acne | Appendicitis | Back Pain | Blogging | Brain | Cardiology | Ceftriaxone | Cellulitis | Children | Constipation | Crohn's Disease | CT Scan | Cubicin | Diabetes | Diverticular Disease | Emergency Medicine | Endocrinology | Gastroenteritis | Gastroenterology | Geriatrics | Grants | Heart | Hernia | Ibuprofen | Infectious Diseases | Inflammatory Bowel Disease | Linezolid | Lortab | Metronidazole | Morphine | MRSA | Neurology | Neurosurgery | Pain | Pathology | Pediatric Hernia | PET Scan | Radiology | Rocephin | Staphylococcus Aureus | Superbugs | Ultrasound | Zyvox