Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome
We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic ...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Lauren Santucci Anthony Almeida Source Type: research
A 15% Trichloroacetic Acid + 3% Glycolic Acid Chemical Peel Series Improves Appearance of Hand Lentigines: An Evaluator-Blinded, Split-Hand Prospective Trial
CONCLUSION: A series of three 15% TCA + 3% GA peels are effective and safe in the treatment of hand lentigines.PMID:38460193 | DOI:10.1097/DSS.0000000000004114 (Source: Pain Physician)
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Ali Alajmi Ghassan Niaz Christine Chen Kachiu Lee Source Type: research
Exogenous Peptide Injection Causing Medical Thigh Compartment Syndrome
We present a case of a 43-year-old man who presented to the Emergency Department with worsening thigh pain. The patient had injected a "peptide cocktail" into his thigh 3 days prior. Physical examination revealed trace pitting edema of the left leg with moderate muscle spasm and tenderness of the medial aspect of the distal thigh with associated numbness along the medial aspect of the knee. Point-of-care ultrasound detected intramuscular edema and free fluid in the leg. He was found to have acute compartment syndrome of the thigh secondary to the peptide cocktail injection, causing a large hematoma posterior to the adducto...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Daniella Lamour Tony W Bruno Richard D Shih Joshua J Solano Scott M Alter Source Type: research
Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome
We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic ...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Lauren Santucci Anthony Almeida Source Type: research
Severe pain management in the emergency department: patient pathway as a new factor associated with IV morphine prescription
CONCLUSION: This bedside case-control study highlights that IV morphine avoidance in the ED could be associated with ambulatory pathways. It confirms the decreased choice of "NRS-only" IV morphine protocols for all patients, including non-trauma patterns. Modern pain education should propose new tools for pain evaluation that integrate the heterogeneity of ED pathways.PMID:38454991 | PMC:PMC10918692 | DOI:10.3389/fpubh.2024.1352833 (Source: Pain Physician)
Source: Pain Physician - March 8, 2024 Category: Anesthesiology Authors: Virginie E Lvovschi Florence Carrouel Karl Hermann Fr édéric Lapostolle Luc-Marie Joly Marie-Pierre Tavolacci Source Type: research
