Epstein-Barr in a Patient Presenting with Right Upper Quadrant Pain: A Case Report from the Emergency Department
J Emerg Med. 2023 Oct 20:S0736-4679(23)00493-6. doi: 10.1016/j.jemermed.2023.10.005. Online ahead of print.ABSTRACTBACKGROUND: Right upper quadrant abdominal pain and elevated cholestasis blood tests are usually associated with bacterial calculous cholecystitis. However, viral infections, such as Epstein-Barr virus (EBV) can also manifest with a similar clinical picture and is an important differential diagnosis.CASE REPORT: This case report discusses a young woman presenting to the emergency department with acute right upper quadrant abdominal pain. The initial assessment revealed a positive Murphy's sign, elevated white ...
Source: Pain Physician - February 29, 2024 Category: Anesthesiology Authors: Umael Khan Anders Aarebrot Solveig Mo Signe Landa Cornelia R ösler Ole Kamal Sodha Rune Bj ørneklett Vernesa Dizdar Source Type: research
Substance use disorders in hospice palliative care: A narrative review of challenges and a case for physician intervention
Palliat Support Care. 2024 Feb 29:1-9. doi: 10.1017/S1478951523001402. Online ahead of print.ABSTRACTOBJECTIVES: Substance use disorders (SUDs) are frequently encountered in hospice palliative care (HPC) and pose substantial quality-of-life issues for patients. However, most HPC physicians do not directly treat their patients' SUDs due to several institutional and personal barriers. This review will expand upon arguments for the integration of SUD treatment into HPC, will elucidate challenges for HPC providers, and will provide recommendations that address these challenges.METHODS: A thorough review of the literature was c...
Source: Pain Physician - February 29, 2024 Category: Anesthesiology Authors: Lauren Rudy Emilie Lacroix Source Type: research
National Trends in Orthopaedic Pain Management from 2016 to 2020
This study aimed to discern national and regional pain prescription trends among orthopaedic surgeons through Medicare claims data, using geospatial analysis to ascertain opioid and nonopioid usage patterns across the United States.METHODS: Physician-level Medicare prescription databases from 2016 to 2020 were filtered to orthopaedic surgeons, and medications were categorized into opioids, muscle relaxants, anticonvulsants, and NSAIDs. Patient demographics were extracted from a Medicare provider demographic data set, while county-level socioeconomic metrics were obtained primarily from the American Community Survey. Geospa...
Source: Pain Physician - February 29, 2024 Category: Anesthesiology Authors: Nicholas Peterman Krishin Shivdasani Nicholas Pagani Racheal Mann Anant Naik Devon Pekas Daniel Sun Source Type: research
Spontaneous regression of acute fibrinous organizing pneumonia induced by COVID-19 vaccination: A case report
Respir Investig. 2024 Feb 28;62(3):356-359. doi: 10.1016/j.resinv.2024.01.014. Online ahead of print.ABSTRACTA 42-year-old woman visited our hospital with complaints of fever, muscle pain, and dyspnea one week after receiving the coronavirus disease 2019 (COVID-19) vaccine. Chest high-resolution computed tomography showed a patchy consolidation and ground-glass attenuation in the both lungs, consistent with acute interstitial pneumonia. Transbronchial lung cryobiopsy revealed organizing pneumonia with marked intra-alveolar fibrin, and pathologically diagnosed as acute fibrinous organizing pneumonia (AFOP). Other causative ...
Source: Pain Physician - February 29, 2024 Category: Anesthesiology Authors: Sanshiro Haga Ryota Otoshi Akimasa Sekine Taichi Kaneko Chieri Yamada Tomohisa Baba Shigeru Komatsu Tomoe Sawazumi Tamiko Takemura Takashi Ogura Source Type: research
Epstein-Barr in a Patient Presenting with Right Upper Quadrant Pain: A Case Report from the Emergency Department
J Emerg Med. 2023 Oct 20:S0736-4679(23)00493-6. doi: 10.1016/j.jemermed.2023.10.005. Online ahead of print.ABSTRACTBACKGROUND: Right upper quadrant abdominal pain and elevated cholestasis blood tests are usually associated with bacterial calculous cholecystitis. However, viral infections, such as Epstein-Barr virus (EBV) can also manifest with a similar clinical picture and is an important differential diagnosis.CASE REPORT: This case report discusses a young woman presenting to the emergency department with acute right upper quadrant abdominal pain. The initial assessment revealed a positive Murphy's sign, elevated white ...
Source: Pain Physician - February 29, 2024 Category: Anesthesiology Authors: Umael Khan Anders Aarebrot Solveig Mo Signe Landa Cornelia R ösler Ole Kamal Sodha Rune Bj ørneklett Vernesa Dizdar Source Type: research
Substance use disorders in hospice palliative care: A narrative review of challenges and a case for physician intervention
Palliat Support Care. 2024 Feb 29:1-9. doi: 10.1017/S1478951523001402. Online ahead of print.ABSTRACTOBJECTIVES: Substance use disorders (SUDs) are frequently encountered in hospice palliative care (HPC) and pose substantial quality-of-life issues for patients. However, most HPC physicians do not directly treat their patients' SUDs due to several institutional and personal barriers. This review will expand upon arguments for the integration of SUD treatment into HPC, will elucidate challenges for HPC providers, and will provide recommendations that address these challenges.METHODS: A thorough review of the literature was c...
Source: Pain Physician - February 29, 2024 Category: Anesthesiology Authors: Lauren Rudy Emilie Lacroix Source Type: research
Pain is Common in Myositis and Associated with Disease Activity
CONCLUSIONS: Pain is common in myositis and is associated with multiple measures of disease activity, PROs, and functional outcomes in myositis. Most importantly pain improves with improvement in disease activity. SF-36 pain questions have good psychometric properties.PMID:38410059 | DOI:10.1093/rheumatology/keae126 (Source: Pain Physician)
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: Anjana Chandrasekhara Pillai Tissa Bijoy George Ren Dianxu Siamak Mogadham-Kia Chester V Oddis Shiri Keret Rohit Aggarwal Source Type: research
Real-world effects of Yishen Tongbi decoction for rheumatoid arthritis: protocol for a prospective, observational, multicenter cohort study with validation against double-blind, randomized, controlled trial
This study has been approved by the Ethics Committee of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine (NO.K-2023-009). The results of the study will be published in national and international peer-reviewed journals and at scientific conferences. The researchers will inform participants and other RA patients of the results through health education. Clinical Trial Registration: https://www.chictr.org.cn/index.html, identifier ChiCTR2300076073.PMID:38410132 | PMC:PMC10895057 | DOI:10.3389/fphar.2024.1320578 (Source: Pain Physician)
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: Lijuan Liu Fangfang Zhu Yijun Xin Lu Zhang Congqi Hu Yanping Xu Jinming Zhang Lingjie Liu Guangxing Chen Source Type: research
Health-related quality of life of type 2 diabetes mellitus patients: A cross-sectional study in the cape coast metropolis
CONCLUSION: The study reveals that pain/discomfort and anxiety/depression are the most experienced problems among patients with type 2 DM. The HrQoL of type 2 DM patients was also found to be affected by age, comorbidities, systolic and diastolic blood pressure. Therefore, identifying these factors and developing appropriate interventions is crucial for improving patient outcomes and enhancing treatment outcomes.PMID:38410501 | PMC:PMC10895150 | DOI:10.1002/hsr2.1937 (Source: Pain Physician)
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: Leticia Awontayami Amaama George Nkrumah Osei Perditer Okyere Victor Obiri Opoku Theophilus Junior Yankey Tetteh Attoh Mainprice Akuoko Essuman Jacob Martey Richard K D Ephraim Source Type: research
Toenail Onychomycosis with or without Diabetes in Canada: Patient Treatment Preferences and Health State Utilities
CONCLUSION: Among patients with toenail onychomycosis, the presence of diabetes was associated with differing treatment-related preferences. Utility values for patients with toenail onychomycosis represent a significant decline from full health that is exacerbated by comorbid diabetes.PMID:38410773 | PMC:PMC10896105 | DOI:10.2147/PPA.S450215 (Source: Pain Physician)
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: Alexis T Mickle Greta Lozano-Ortega Veronique Gaudet Evan Popoff Martin Barbeau Steve Mathieu Source Type: research
Case 326
Radiology. 2024 Feb;310(2):e230628. doi: 10.1148/radiol.230628.ABSTRACTA 15-year-old boy presented with a 3-week history of inner left thigh pain provoked by activity and experienced occasionally at rest. He denied nighttime pain, fever, or chills. Laboratory investigation revealed the following normal values: hemoglobin level of 15.6 g/dL (normal range, 13-16 g/dL), platelet count of 240 × 103/µL (normal range, 140-440 × 103/µL), and total leukocyte count of 7100 cells/µL (normal range, 4500-11 000 cells/µL). The percentage of neutrophils was considered low at 44% (normal range, 54%-62%), and the percentage of eosin...
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: Jade Iwasaka-Neder M Alejandra Bedoya Andy Tsai Sarah D Bixby Source Type: research
Cardiotoxicity After Synthetic Cathinone Use; Two Cases, A Case Series and Scoping Review
In this study, we present two cases, a case series and a scoping review, to explore synthetic cathinone associated cardiotoxicity. Case 1 involved a 28-year-old male with non-ST-elevation myocardial infarction after ingesting a substance containing 4-methylmethcathinone (4-MMC), 3-methylmethcathinon (3-MMC), and methcathinone. Case 2 involved a 49-year-old male with ventricular fibrillation after 4-methylmethcathinone ingestion, who was diagnosed with severe three-vessel disease. A retrospective analysis was performed on self-reported synthetic cathinone poisonings reported to the Dutch Poisons Information Centre from 2012...
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: K L Groenewegen F M J Gresnigt J J Nugteren-van Lonkhuyzen C den Haan E J F Franssen R K Riezebos D Ohana D W de Lange Source Type: research
POCUS for Infectious Enteritis-A Retrospective Case Series Analysis
CONCLUSIONS: Enteritis can initially be difficult to distinguish on clinical grounds from acute appendicitis. Bowel wall edema on POCUS in a child without sonographic signs of appendicitis strongly suggests bacterial enteritis. Early POCUS demonstrating enteritis without signs of appendicitis may decrease hospital resource usage.PMID:38412524 | DOI:10.1097/PEC.0000000000003139 (Source: Pain Physician)
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: Eric Scheier Aviad Nachmany Source Type: research
Squamous Cell Carcinoma of the Supraglottis Presenting as Hoarseness
West Afr J Med. 2024 Jan 31;41(1):97-99.ABSTRACTHoarseness is a well-known condition in primary care offices, with over 1% of primary care visits secondary to this ailment.1 The most common causes are acute laryngitis (40%), functional dysphonia (30%), benign and malignant tumors (2.2 to 30%), neurogenic factors such as vocal cord paralysis (8%), physiological aging (2%), and psychogenic factors (2.2%). Most of these cases are secondary to viral infections and do not require antibiotics on most occasions. These viral infections subside after 1 to 2 weeks, and in the case of persistent hoarseness (above 4 weeks) the America...
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: Tobe Momah Olusegun Lijofi Source Type: research
Window of opportunity in psoriatic arthritis: the earlier the better?
CONCLUSIONS: In PsA, referral and diagnosis within 1 year is associated with better clinical outcomes, suggesting the presence of a window of opportunity. The most gain in referral could be obtained in physician delay and in females, patients with enthesitis, chronic back pain or normal CRP.PMID:38413172 | PMC:PMC10900390 | DOI:10.1136/rmdopen-2023-004062 (Source: Pain Physician)
Source: Pain Physician - February 27, 2024 Category: Anesthesiology Authors: Selinde V J Snoeck Henkemans Pascal H P de Jong Jolanda J Luime Marc R Kok Ilja Tchetverikov Lindy-Anne Korswagen Sjoerd M van der Kooij Maikel van Oosterhout Paul Baudoin Jessica Bijsterbosch Jos H van der Kaap Annette H M van der Helm-van Mil Marijn Vis Source Type: research
