Development of trismus in a case of temporal arteritis
Publication date: Available online 5 August 2019Source: Journal of Oral and Maxillofacial Surgery, Medicine, and PathologyAuthor(s): Hiroki Inoue, Motonobu Achiwa, Takashi Takemoto, Kenichi KuritaAbstractGiant cell arteritis, which most frequently occurs in individuals over 50 years of age, is a vasculitis of unknown etiology characterized by inflammation of the carotid arteries and their branches, particularly the temporal arteries. An 85-year-old woman visited our department with chief complaints of pain in the right temporomandibular joint and trismus. She had a history of gastric ulcer, but no notable family history. The left mandibular tooth #12 had been extracted at a local dental office. Subsequently, the patient developed pain in the area extending from the right temporomandibular joint to the occipital region and trismus. As these symptoms did not improve, she was referred to our department. Also, the causative tooth for oral pain was unknown, and so analgesic drugs were prescribed under a provisional diagnosis of suspected temporomandibular disorder. Two days later, the patient returned to us because of fever and worsening malaise. Marked elevation of white blood cell count (12,800/μL) and C-reactive protein level (33 mg/dL) led to emergency hospitalization. The cause of fever was unknown and the patient was therefore systematically examined in the internal medicine department, and giant cell arteritis was suspected. Based on biopsy results, giant cell art...
Authors: Alshahrani MS Abstract OBJECTIVES: To evaluate the attitudes of pregnant women towards different forms of labor pain relief, preferred methods of pain relief, and the effects of social media on their awareness and knowledge. METHODS: This was a cross-sectional study conducted between April and August 2017 in the Maternity and Children's Hospital, Najran, Saudi Arabia. A total of 416 pregnant women were interviewed and analyzed using IBM Sstatistical Package for Social Sciences version 20 (IBM Corp, Armonk, NY, USA). RESULTS: A total of 62.7% were aware of labor pain. However, 58.7% of the total sam...
Authors: Hao J, Dong B, Zhang J, Luo Z Abstract OBJECTIVES: To evaluate whether pre-emptive analgesia is an effective technique to reduce postoperative delirium (PD) in geriatric patients with hip fracture. METHODS: This is a double-blind randomized clinical trial. Ninety elderly patients scheduled for hipfracture surgery at HongHui Hospital, Xi'an Jiaotong University, Xi'an, China between March 2018 and January 2019 were divided into 2 groups. On arrival at the emergency department, the experimental group (n=44) received ultrasound-guided continuous fascia iliaca compartment block (...
Hi all, For those doing or have completed a pain fellowship, what is the best way to learn? Are there any great resources/textbooks/videos that are helpful? I am now about 1 month in and although the teaching is good at my program, I feel as though I haven't even touched the tip of the iceberg and am trying to figure out where to go from here. Any advice is greatly appreciated!
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