Occam's Razor be damned
yesterday, 2 cases, the first severe respiratory distress and chest pain. Turns out to be pneumonia with adjacent effusion, and b/l PE's, and a large lung nodule suspicious for Ca, despite a story sounding like COPD and lungs too tight to move any air and an CXR looking more like CHF. The second, suicide attempt, by alcohol and xanies and oxy's (the latter 2 stolen), with aspiration pneumonitis, and tylenol level>100 (despite the PD and paramedics finding no tylenol containing bottles), and then the urine hcg popped up positive, lol. At least I felt like an EP instead of an urgent care doc, :)
ConclusionThe rare clinical entity of a WS necessitates a targeted diagnostic evaluation and therapy. Clinical details, diagnostic studies and treatment are discussed here.
For anyone interested: https://psyarxiv.com/bhyg9/ Apparently, BA does not beat out active control. I am sure the common factors folks will love this. However, I caution that camp not to conflate studies of depression and anxiety with more severe problems.
ABSTRACT A 52-year-old male patient complained of loss of sensitivity and pain in the maxilla. After examination, root canal treatment of tooth 12 was requested. Subsequently, there was a purplish increased volume of softened consistency in the area of vestibular attached gingiva of tooth 12. The anterior upper dental segment presented mobility. Incisional biopsy revealed malignant neoplasm of glandular epithelial origin, suggestive of solid adenoid cystic carcinoma (ACC). An immunohistochemical panel was performed, which confirmed the histopathological suspicion. Solid ACC may lead to diagnostic difficulties, since this l...
Publication date: Available online 10 November 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Christopher J. Graham, Shona L. Brown, Katy Vincent, Andrew W. Horne
ConclusionsMigraine may affect quality of life similarly to early stages of RRMS. Bio-psycho-socio-medical understanding of the two diseases and their impact on patients QoL should be reconsidered.
Two large public image datasets commonly used to train artificial intelligence...Read more on AuntMinnie.comRelated Reading: AI needs robust clinical evaluation in healthcare AI may help improve sensitivity of ED chest x-ray reads AI model could speed up pneumonia diagnosis in ED Are studies on AI for tuberculosis really valid? AI tops recent imaging informatics highlights
ConclusionQHD inhibits LPS gut-leakage in NASH, which is associated with downregulation of intestinal MAPK pathway.Graphical abstract
WellNow Urgent Care has opened a new site in West Seneca, it's 13th in Western New York.
Publication date: Available online 10 November 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Fabrice Ferré, Jean-Mathieu Mastantuono, Charlotte Martin, Anne Ferrier, Philippe Marty, Pierre Laumonerie, Nicolas Bonnevialle, Vincent MinvilleAbstractBackground and objectivesThe frequent onset of hemidiaphragmatic paralysis during interscalene block restricts its use in patients with respiratory insufficiency. Supraclavicular block could be a safe and effective alternative. Our primary objective was to assess the incidence of hemidiaphragmatic paralysis following ultrasound-guided supraclavi...
Cutting and other forms of self-injury are on the rise among adolescents. Researchers are beginning to understand the phenomenon, and how to treat it.