Advanced Procedures Post-Fellowship
Hi everyone! Just as the title says, if you don’t end up matching at a pain fellowship that has exposure to or teaches you to perform advanced procedures, such as MILD, ISS, BVN ablation, Interspinous fusion, etc, how do you go about learning and getting enough personal practice to add these procedures to your clinical practice?
Gout typically affects the big toe because it is furthest from the heart - uric acid is more likely to turn into crystals at the extremities where body temperature is coolest.
Discussion: To the best of our knowledge, this is the first reported case of Aspergillus endogenous endophthalmitis in an immunocompetent patient secondary to pulmonary changes that occurred from previously treated tuberculosis.
Conclusion] Chiropractic Biophysics technique which includes the cervical extension traction using the pediatric Denneroll orthotic was effective in restoring lordosis in a pediatric patient with cervical kyphosis and chronic headaches presenting with recent neck pains from a traumatic origin. Routine X-ray of the cervical spine is recommended for patients presenting with craniocervical symptoms as spine alignment is often overlooked as pathognomonic for these conditions.PMID:35035083 | PMC:PMC8752283 | DOI:10.1589/jpts.34.71
Cureus. 2021 Dec 14;13(12):e20403. doi: 10.7759/cureus.20403. eCollection 2021 Dec.ABSTRACTThe authors present a case of a Baker's cyst in the right leg of an 86-year-old woman, whose presentation was more typical for a deep venous thrombosis. Both conditions have inflammation and acute calf pain. The clinical manifestations, imaging findings, and treatment of this common emergency department presentation are discussed.PMID:35036229 | PMC:PMC8754354 | DOI:10.7759/cureus.20403
We report the case of a 45-year-old man, with end-stage renal disease on peritoneal dialysis resulting from systemic lupus erythematosus, who presented to the emergency department with progressive abdominal pain for the last two weeks. The pain was associated with nausea, vomiting, abdominal distension, and decreased bowel motion. Upon examination, the vital signs were within the normal limits. Abdominal examination revealed a distended abdomen with generalized tenderness. There was evidence of ascites as indicated by the positive shifting dullness test. The bowel sounds were of increased frequency and intensity. The labor...
CONCLUSION: "Terminal ileum suspension" is a safe, effective and feasible surgical method for laparoscopic radical resection of low rectal cancer, which can be applied in clinical practice.PMID:35035436 | PMC:PMC8713210 | DOI:10.12669/pjms.38.1.4721
Conclusion] We developed a 31-item Katakori Disability Index with content validity.PMID:35035072 | PMC:PMC8752277 | DOI:10.1589/jpts.34.13
CONCLUSIONS: GI symptoms are prevalent among COVID-19 patients, the most common which were vomiting and diarrhea and were associated with COVID-19 severity.PMID:35035951 | PMC:PMC8748210 | DOI:10.1016/j.amsu.2021.103234
J Plast Surg Hand Surg. 2022 Jan 17:1-6. doi: 10.1080/2000656X.2021.2024558. Online ahead of print.ABSTRACTReverse homodigital dorsoradial flap (RHDF) of the thumb has become a qualified option for the reconstruction of thumb tissue defects. However, the sensory recovery of the flap in long term is still unknown. Therefore, this study focused on the sensory recovery of RHDFs for the coverage of thumb in hand after a long-term follow-up. From January 2010 to March 2011, 18 patients (14 men and four women) were treated consecutively with an RHDF. All the patients were followed up two times. The pain and cold intolerance of t...
Anaesthesia. 2022 Jan 17. doi: 10.1111/anae.15651. Online ahead of print.ABSTRACTEffective pain control enhances patient recovery after surgery. Laparoscopic techniques for major abdominal surgery are increasingly utilised to reduce surgical trauma. Intrathecal morphine is an attractive analgesic option that is gaining popularity. However, limited evidence guides its use in the setting of laparoscopic surgery. In addition, enhanced recovery after surgery pathways advocate opioid-sparing techniques. We conducted a feasibility trial to compare intrathecal morphine with non-neuraxial analgesia in laparoscopic or laparoscopic-...