Blunt versus penetrating trauma: Is there a resource intensity discrepancy?

Publication date: Available online 10 September 2019Source: The American Journal of SurgeryAuthor(s): CDR Jamie L. Fitch, Paul T. Albini, Anish Y. Patel, Matthew S. Yanoff, LCDR Christian S. McEvoy, Chad T. Wilson, James Suliburk, Stephanie D. Gordy, S. Rob ToddAbstractBackgroundThe rising cost of healthcare requires responsible allocation of resources. Not all trauma centers see the same types of patients. We hypothesized that patients with blunt injuries require more resources than patients with penetrating injuries.MethodsThis was a retrospective analysis of all highest-level activation trauma patients at our busy urban Level I Trauma Center over five years. Data included demographics, injuries, hospital charges, and resources used. A p value 
Source: The American Journal of Surgery - Category: Surgery Source Type: research

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Conclusion: Considering the excellent diagnostic accuracy, ultrasonography can be used as an alternative means in diagnosis of metatarsal bone fractures. PMID: 31602432 [PubMed]
Source: Accident and Emergency Nursing - Category: Emergency Medicine Authors: Tags: Arch Acad Emerg Med Source Type: research
Publication date: Available online 13 October 2019Source: Seminars in Ultrasound, CT and MRIAuthor(s): Angelica Patino Gonzalez, Lucy Modahl, Daniel KowalAbstractImaging plays a central role in the diagnosis of pulmonary infections with the chest radiograph as the initial study of choice. CT can further delineate the extent of disease and present key imaging signs that, along with clinical history and laboratory data, can properly guide the differential diagnosis. In this article, we review and illustrate the most relevant CT imaging manifestations of common and less common pulmonary infections, including a section devoted...
Source: Seminars in Ultrasound, CT and MRI - Category: Radiology Source Type: research
ConclusionBimeniscal replacement by an allograft and/or substitute provides good short-term functional and anatomical outcomes. Nevertheless, this procedure is warranted only in highly selected patients.Level of evidenceIV, retrospective study.
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Conclusion: Syphilitic meningomyelitis can occur at early or late stage of syphilis, the onset may be acute, subacute or chronic. The imaging findings suggested focal inflammation of the spinal cord. Prognosis is relatively good after proper treatment. PMID: 31603731 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
We reported a case of bronchopulmonary lophomoniasis in a Malaysian female with systemic lupus erythromatosus. She presented with productive cough, shortness of breath and high-grade fever for 2 weeks. Physical examination revealed bronchial sound and crackles over the left lung with, reduced expansion and dull percussion in lower left lobe. Chest radiography showed consolidation of the left lung. Routine laboratory tests revealed general low cell count. Blood and sputum culture were negative. Bronchoalveolar lavage stain and culture for bacterial and fungal were negative. Bronchoalveolar lavage for Lophomonas blattarum wa...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
Melorheostosis is a rare sclerosing bone disease characterized by excessive cortical bone deposition that is frequently on the differential diagnosis for bone biopsies. Although the radiologic pattern of “dripping candle wax” is well known, the pathologic findings have been poorly defined. Here, we comprehensively describe the histology of melorheostosis in 15 patients who underwent bone biopsies. Common histologic findings included: dense cortical bone (73.3%), woven bone (60%), and hypervascular features and increased porosity (66.7%). One third of the patients (5/15) also had prominent cement lines. Multiple...
Source: The American Journal of Surgical Pathology - Category: Pathology Tags: Original Articles Source Type: research
ConclusionsThe use of B-mode ultrasound with color Doppler in the evaluation and management of Peyronie ’s disease is a quick, cost-effective process that provides objective information that can assist the urologist in the treatment of patients with Peyronie’s disease.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
This study found that The Canary System was more accurate than Bitewing Radiographs and Cone Beam CT in detecting caries on the gingival floor beneath composite restorations.  The sensitivity and specificity data (table on the right) indicates that The Canary System could find 89% of the caries where the other devices found 40% of the lesions.One of the major reasons for replacing restorations is tooth decay that develops around the edges of the filling.  This study found that “Radiographs though valuable in the detection of advanced caries lesions, are less sensitive for early or recurrent lesions under re...
Source: Dental Technology Blog - Category: Dentistry Source Type: news
Publication date: Available online 27 September 2019Source: Journal of Taibah University Medical SciencesAuthor(s): Ammar K. Alomran, Munirah A. Abahussain, Asma A. Aldossary, Isra B. AlshammariAbstractA 19-month-old male infant had presented to a paediatric orthopaedic clinic at the age of 6 months with meningomyelocele and bilateral feet deformity. The patient was admitted to the neonatal intensive care unit because of multiple congenital anomalies. These anomalies included meningomyelocele, right clubfoot, left vertical talus, imperforated anus, and an indirect hernia. Radiographs confirmed the diagnosis of right clubfo...
Source: Journal of Taibah University Medical Sciences - Category: Universities & Medical Training Source Type: research
Condition:   Patients Requiring Surgery for the Treatment of Lumbar Stenosis or Lumbar Disc Herniation Intervention:   Procedure: Ultrasound guidance in addition to radiographic guidance Sponsor:   Centre Medico-Chirurgicale et Obstetrique Cote d'Opale Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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