The Association Between C-Reactive Protein Levels and Pediatric Appendicitis Score and the Severity of Appendicitis in Children
CONCLUSIONS: Higher CRP levels and PAS were associated with increased histologic inflammation of the appendix. This study provides preliminary evidence that CRP and PAS could potentially assist in treatment decisions for appendicitis.PMID:38429214 | DOI:10.1016/j.jemermed.2023.11.016 (Source: Pain Physician)
Source: Pain Physician - March 1, 2024 Category: Anesthesiology Authors: Jill Fennell Heather M Territo Nadya Telt Brian H Wrotniak Rafal Kozielski Earl Pape Michelle Penque 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

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