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Source: Journal of Pain and Symptom Management - Category: Palliative Care Source Type: research

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Conclusions: There is a risk of leptospira infections having a late diagnosis given their unspecific clinical presentation, which generates a high number of differential diagnoses. The early management in the intensive care unit could decrease the incidence of complications and the mortality of patients with leptospirosis. PMID: 31529853 [PubMed - in process]
Source: Biomedica : Revista del Instituto Nacional de Salud - Category: International Medicine & Public Health Tags: Biomedica Source Type: research
Conclusion: Isolated fractures of the trapezoid require a high index of suspicion as they are rare, and localizing signs and symptoms are typically vague and may mimic those of scaphoid fractures. When athletes present with dorsal wrist pain, swelling, and snuffbox tenderness in the setting of negative plain x-rays, the most likely mechanisms of injury are associated with athletic activity. Treatment depends on the degree of displacement and other associated injuries and ranges from activity modification or immobilization to open reduction with internal fixation. PMID: 31528141 [PubMed]
Source: Ochsner Journal - Category: General Medicine Tags: Ochsner J Source Type: research
We present the case of a male diagnosed with a giant hepatic artery aneurysm, which first presented with pain and hemorrhage due to a partial rupture of the aneurysm. After discarding treatment with a stent or surgery due to the wide extension, we chose to embolize the hepatic artery with coils. However, the progress was unfavorable after the procedure, with the appearance of liver failure that was resolved by an urgent liver transplantation. Giant hepatic artery pseudoaneurysms are an infrequent entity and their management is a great challenge. The diagnosis is usually delayed due to non-specific clinical signs and the li...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
Publication date: Available online 19 September 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Tiernan Connor Middleton, Dennis Drehner, Monica Epelman, Tamarah J. Westmoreland, Adela Casas-Melley, Pamela EllsworthAbstractRenal masses in the pediatric population carry a wide differential diagnosis; however, a careful history and physical can often elucidate the source. Infectious, benign, and malignant causes should all be considered in a patient presenting with a renal mass to mitigate risks of treatment options and safely ameliorate the patient's pathology. Pediatric renal masses are rare. Renal malignan...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
DiscussionThe patient presented with severe abdominal pain in the right lower quadrant, as well as fever and vomiting. These complaints may have been misdiagnosed as appendicitis. The diagnosis of gastrointestinal basidiobolomycosis was confirmed by histopathology, based on a surgical specimen taken during the primary exploration. The management was a combination between surgical intervention and medical treatment.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 18 September 2019Source: Arthroscopy TechniquesAuthor(s): Justin Hallock, Larry D. FieldAbstractThe formation of heterotopic ossification around the shoulder is a rare but potentially debilitating condition. It is found most commonly around the hip and is usually associated with an inciting event such as trauma, burn, previous surgery, or traumatic brain/spinal cord injury. The formation of shoulder heterotopic ossification following arthroscopic surgery is very uncommon, with few data pertaining to it in the current literature. Formation of heterotopic ossification in the shoulder after ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Conditions:   Opioid Use;   Spine Fusion Interventions:   Behavioral: Spinal Fusion Preoperative Opioid Taper;   Other: Non-taper Control Sponsor:   Stanford University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Chronic Nonmalignant Pain;   Pain, Intractable;   Pain, Chronic Interventions:   Device: Flowonix Prometra® II Programmable Infusion System;   Drug: Opioids, Neuropathic pain medications, antispasmodics, NSAIDS, etc. Sponsors:   Evolve Restorative Center;   Flowonix Medical;   Celéri Health;   Advanced Infusion Solutions Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Chronic Pain Intervention:   Behavioral: STEPS (Seniors using Technology to Engage in Pain Self-management) Sponsor:   University of Michigan Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Opioid Use;   Spine Fusion Interventions:   Behavioral: Spinal Fusion Preoperative Opioid Taper;   Other: Non-taper Control Sponsor:   Stanford University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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