Pneumothorax in the Setting of Tuberous Sclerosis: A S “LAM” Dunk Diagnosis

A 25-year-old female with a history of tuberous sclerosis presented to our hospital with acute onset dyspnea and right-sided chest pain. One month prior, the patient developed subjective fevers and productive cough. Symptoms initially resolved, but returned shortly thereafter, persisting until presentation. Upon arrival, she had noted tachypnea, tachycardia, and hypoxemic respiratory failure with oxygen desaturation to 80% on room air, responding well to nasal cannula. Physical examination was significant for absent breath sounds throughout the right lung fields.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Medical image Source Type: research

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Authors: Schumann M, Hamed A, Kohl T PMID: 31431251 [PubMed - in process]
Source: Deutsches Arzteblatt International - Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
CONCLUSION: Patients with IBS in Germany are likely not receiving sufficient diag- nostic evaluation in conformity with the relevant guidelines. The high prevalence of comorbid mental disorders and other pain syndromes implies that the complaints of patients with IBS need to be more comprehensively evaluated and treated. PMID: 31431234 [PubMed - in process]
Source: Deutsches Arzteblatt International - Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Publication date: Available online 22 August 2019Source: Life SciencesAuthor(s): Mehana E. El-Sayed, Khafaga F. Asmaa, El-Blehi S. SamarAbstractExtensive degeneration of articular cartilage (AC) is a primary event in the pathogenesis of osteoarthritis (OA) and other types of joint and bone inflammation. OA results in the loss of joint function, usually accompanied by severe pain, and are the most common type of arthritis, affecting more than 10% of adults. The characteristic signs of OA are progressive cartilage destruction and, eventually, complete loss of chondrocytes. A key enzyme responsible for these degenerative chan...
Source: Life Sciences - Category: Biology Source Type: research
CONCLUSION: Compared to the cold steel technique, coblation tonsillectomy is superior in terms of less early post-operative pain and less damage to surrounding tissues. Significantly lower mast cell degranulation in coblation tonsillectomy may contribute to the reduction of post-operative pain. PMID: 31434599 [PubMed - as supplied by publisher]
Source: Journal of Laryngology and Otology - Category: ENT & OMF Tags: J Laryngol Otol Source Type: research
Authors: Ito A, Ishiguro T, Takaku Y, Kagiyama N, Kamei K, Takayanagi N Abstract A 42-year-old man with asthma presented in 2007 with chest infiltration and productive cough. Pycnoporus sanguineus and Perenniporia tephropora were repeatedly isolated from sputum and bronchial washing fluids. Because we lacked immunologic evidence, we could not diagnose him with allergic bronchopulmonary mycosis (ABPM) due to these basidiomycetous fungi. At that time, serum-specific IgE and IgG against Schizophyllum commune findings were negative. Inhaled beclomethasone/salmeterol improved his condition. Seven years later, mucous plu...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
ConclusionUltrasound guided infiltration allows accurate placement of large volume of diluted local anaesthetic solution safely and provides effective anaesthesia.
Source: The Surgeon - Category: Surgery Source Type: research
Publication date: Available online 22 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Kendall M. Lawrence, Matthew Iyer, Prerana Baranwal, Aliza Solomon, Nitsana A. SpiglandAbstractIngestion of neodymium magnets carries risks of dangerous intestinal complications including necrosis of the intestinal wall, bowel perforation, enteroenteric fistulae, and even death. Prompt endoscopic or surgical removal can prevent these complications. Here we report a case of unwitnessed ingestion of 19 neodymium magnets that went unrecognized for two weeks before presenting with small bowel obstruction due to a phytob...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Kasich, Gee group to push opioid settlement toward hospitals COLUMBUS, Ohio (AP) — West Virginia University President Gordon Gee and former Ohio Gov. John Kasich are creating a nonprofit that will fight to steer cash from any national opioid settlement to... “Under IRS rules, the new tax-exempt nonprofit — which can raise unlimited amounts and not disclose its donors to the public — must “primarily” engage in social welfare and helping the community, meaning at least half its budget has to go to ...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
ConclusionA multimodal oral analgesia protocol provides sufficient pain relief to allow closed reduction of upper-limb fractures in children at the emergency department. This management strategy provided high satisfaction rates in both the patients and their parents.Level of evidenceII, prospective observational study.
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Generic and spine-specific surveys are used before surgery for lumbar degenerative spondylolisthesis (LDS) to measure pain. While both types of surveys can discern various aspects of pain, such as pain intensity and pain-associated disability, their ability to capture how pain impacts other outcomes, such as fulfillment of expectations, is not known.
Source: The Spine Journal - Category: Orthopaedics Authors: Source Type: research
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