Contact allergies to dental materials
This study included 86 subjects (83.7% women and 16.3% men) with oral symptoms of a contact allergy. The average age was 63 years (24–86). The most common allergies were to metals, of which nickel and cobalt were the most common allergens. Furthermore, many allergies were indicated to ingredients of cosmetics and composites. Allergies to components in methacrylate-containing denture resins came in at rank 5. 52.4% of the patients showed mucosal changes. Contact stomatitis (54.5%) and an oral lichenoid lesion (20.5%) were most frequently diagnosed. 86% of the patients reported subjective complaints. Pain and burning sensations in the mouth were mostly reported. Appropriate dental allergy history, clinical examination of the oral cavity for changes in the oral mucosa, analysis of specific dentures, and screening for psychogenic disorders are necessary to clarify the origin of these symptoms. PMID: 31305034 [PubMed - in process]
In this study we aim to identify factors associated with variable opioid usage and further delineate optimal prescription patterns for sinonasal surgery.MethodsAll patients undergoing sinonasal surgery within a single health ‐care system from March 2017 to August 2018 were sent electronic postoperative surveys. Data were collected on the amount of opioid required, pain control, presurgical opiate use, and narcotic disposal. Additional data collected from the electronic medical record included demographics, type of sur gery performed, and total amount of opioid prescribed, including refills.ResultsThree ‐hundred sixty f...
ConclusionAlthough patients appear to tolerate office procedures well, providers should recognize the potential for significant fluctuations in blood pressure during the procedure, especially in older patients.
CONCLUSION: Hispanic and non-Hispanic black women experience disparities in pain management in the postpartum setting that cannot be explained by less perceived pain. PMID: 31698389 [PubMed - as supplied by publisher]
The aim of this study was to analyze the clinical manifestations of adverse reactions after the use of SonoVue contrast agent from a large retrospective database, and to evaluate the nursing care strategies and the efficacy of standardized procedure for adverse reactions of SonoVue (SPARS). From January 1, 2012 to December 30, 2018, 34,478 cases of contrast-enhanced ultrasonography were performed in our center. The clinical manifestations of adverse reactions after the use of SonoVue contrast agent were identified and analyzed. The nursing care strategies were evaluated and the outcomes of patients with moderate and sever...
Sloughing esophagitis or esophagitis dissecans superficialis (EDS) is an uncommon under-reported benign condition of unknown etiology. Endoscopic findings are characterized by sloughing of large fragments of esophageal mucosa. Patients present with dysphagia, nausea, vomiting, heartburn and abdominal pain. It is associated with medication use (bisphosphonates, NSAIDs and antidepressants), smoking, autoimmune skin disorders and esophageal injury. Differential diagnosis includes conditions that resemble endoscopic appearance of sloughing of the esophageal mucosa like eosinophilic esophagitis (EoE).
We have previously shown that prescription opioid analgesics for chronic pain are associated with increased coding for allergic rhino-conjunctivitis (ARC) and asthma. As GABA agonists are increasingly used for chronic pain and have immunomodulatory effects, we investigated if their use is associated with ARC and asthma.
Sluder ’s neuralgia (also known as sphenopalatine neuralgia) consists of neuralgic, sensory and gustatory manifestations attributed to irritation of sphenopalatine ganglion, usually from infection, deformity or scarring. Pain is associated with nasal and/or sinus congestion, swelling or erythema of nasal mucosa, tearing and facial erythema. Medical therapy for sinus decongestion can usually alleviate symptoms.
Urticarial vasculitis is a small vessel vasculitis characterized by urticarial lesions which can leave bruising upon resolution. It often causes pain and pruritus and can be difficult to treat with traditional medications thereby adversely affecting quality of life.
A 47 year old gentleman presented to a local ED with five days of substernal chest pain. He had ST depressions and a troponin of 18, however cardiac catheterization was negative. Eosinophils were found to be 8000.
Authors: Kalangara J, Potru S, Kuruvilla M Abstract While opioids represent one of the most common medication allergy labels, these labels are often unsubstantiated in clinical practice. The removal of erroneous opioid allergy labels has a unique importance in the population with acute or chronic pain. The current approach to patients with pseudo-allergy to opioids is switching to an alternative opioid with less histamine release. Thus, allergy labels to relatively lower potency opioids such as codeine may be feasibly result in the prescription of stronger medications like fentanyl that would otherwise not be indic...