A 60-Year-Old Woman With Acute Chest  Pain and Bilateral Pleural and Pericardial Effusions.

A 60-Year-Old Woman With Acute Chest Pain and Bilateral Pleural and Pericardial Effusions. Chest. 2019 Jun;155(6):e167-e170 Authors: Orr L, DeSilva P, Datta D Abstract CASE PRESENTATION: A 60-year-old woman presented with acute-onset, progressively worsening shortness of breath and pleuritic chest pain for 3 days. She also complained of a dry cough, but no fever or chills. There was no history of swelling of the feet; nor was there a history of nausea or diarrhea. She was a lifelong nonsmoker and had no history of recent travel or sick contacts. Her medical history included hypertension and ulcerative colitis. The ulcerative colitis was in remission and she had not been taking medications for this for over 7 years. Her home medications included alendronate, amlodipine, aspirin, atenolol, and vitamin D3 supplements. She had no allergies. PMID: 31174661 [PubMed - in process]
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research

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Resident and inflammatory mononuclear phagocytes (MPhs) with functional plasticity in the intestine are critically involved in the pathology of inflammatory bowel diseases (IBDs), the mechanism of which remains incompletely understood. In the present study, we found that increased expression of the E3 ligase F-box and WD repeat domain–containing 7 (FBXW) in the inflamed intestine was significantly correlated with IBD severity in both human diseases and in mouse models. Myeloid Fbxw7 deficiency protected mice from colitis induced by dextran sodium sulfate (DSS) or 2,6,4-trinitrobenzene sulfonic acid (TNBS). Fbxw7 defi...
Source: Journal of Clinical Investigation - Category: Biomedical Science Authors: Source Type: research
In a society where physical activity is limited and food supply is abundant, metabolic diseases are becoming a serious epidemic. Metabolic syndrome (MetS) represents a cluster of metabolically related symptoms such as obesity, hypertension, dyslipidemia, and carbohydrate intolerance, and significantly increases type 2 diabetes mellitus risk. Insulin resistance and hyperinsulinemia are consistent characteristics of MetS, but which of these features is the initiating insult is still widely debated. Regardless, both of these conditions trigger adverse responses from the pancreatic β cell, which is responsible for produci...
Source: Journal of Clinical Investigation - Category: Biomedical Science Authors: Source Type: research
Hello, I am a current fellow. I have been talking with a group (PMR) and they are asking me to take call. I don't know exactly how this works from a monetary standpoint and I was hoping someone could fill me in. It is 1:4 call and it is a week on at a time. Rounding Sat and Sun on a unit of around 10-12. I am assuming I don't get paid for taking call at night which means I will only make what I bill on the weekends. Is that correct? If there is anyone who has done this as a PMR doc does this... Advice on Taking Call
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Conclusion: Hypothetical risk factors for obstruction of the vermifor m appendix detected on CT were not associated with acute appendicitis. That suggests that factors other than those related to mechanical obstruction are implicated in the pathogenesis of acute appendicitis.Resumo Objetivo: Avaliar a correla ção de critérios morfológicos do apêndice cecal por tomografia computadorizada (TC) e o risco de apendicite aguda. Materiais e Métodos: Casos foram definidos como apendicite aguda confirmada cirurgicamente que tiveram pelo menos dois exames de TC: um no diagnóstico de ap...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Publication date: Available online 19 August 2019Source: Aggression and Violent BehaviorAuthor(s): Heng Choon Chan, Rebecca W.Y. WongAbstractAnimal cruelty has been a growing concern worldwide, and is broadly defined as all socially unacceptable behaviors that are intentionally perpetrated to cause unnecessary pain, suffering, distress, and/or death to an animal. This review synthesizes more than 87 research studies identified through online databases and manual search of specific studies. Findings denote that beating, hitting, or kicking, shooting, strangling or smothering, stabbing, and sexual abusing are reported to be ...
Source: Aggression and Violent Behavior - Category: Psychiatry & Psychology Source Type: research
Uvodich M, Schwend R, Stevanovic O, Wurster W, Leamon J, Hermanson A. Patterns of Pain in Adolescents with Slipped Capital Femoral Epiphysis. J Pediatr 2019;206:184-9.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Current Best Evidence Source Type: research
Publication date: Available online 19 August 2019Source: Pregnancy HypertensionAuthor(s): Alfred O. Osoti, Stephanie T. Page, Barbra A. Richardson, Brandon L. Guthrie, John Kinuthia, Stephen J. Polyak, Carey FarquharAbstractObjectiveWe evaluated the 6-month postpartum risk of metabolic syndrome (MetS), a marker of future cardiovascular disease (CVD) risk, comparing women whose most recent pregnancies were complicated with gestational hypertension (GH) or preeclampsia (PE) versus those who had normotensive pregnancies.Study designThis was a prospective cohort study in which women with GH or PE and normotensive women were ac...
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
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