[Primary prophylaxis of venous thromboembolism in ambulatory cancer patients treated with antineoplastic agents].
Authors: Debourdeau P, Simonin C, Carbasse C, Debourdeau T, Zammit C, Scotté F Abstract Apart from myeloma, primary prophylaxis of venous thromboembolism (VTE) in ambulatory cancer patients treated with chemotherapy is underused, despite its proven benefit for pancreatic cancer and to a lesser extent for lung cancer. This prophylaxis has been showed to be effective for myeloma, pancreas but in absolute numbers these cancers lead to a few venous thromboembolic events. Up to date, VTE risk scores cannot be used as a discriminatory criterion to select a high-risk population that could really benefit from this p...
Source: Revue de Medecine Interne - April 2, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A tool for knowledge transfer in internal medicine from Quebec: "BaladoCritique: Journal Club" podcast].
[A tool for knowledge transfer in internal medicine from Quebec: "BaladoCritique: Journal Club" podcast]. Rev Med Interne. 2019 Mar 27;: Authors: Lanthier L, Plourde MÉ, Huard G, Cauchon M PMID: 30928245 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - April 2, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Analysis of the discrimination of the final marks after the first computerized national ranking exam in Medicine in June 2016 in France].
CONCLUSION: The cNRE reduced equally-ranked students compared to 2015, with a mean deviation between two papers of 0.28 in 2016 vs 0.04 in 2015. Despite the new format introduced by the cNRE, 75% of students are still ranked in a low proportion of points that is equivalent to previous NRE in 2015 (between 15 et 20% of points). PMID: 30902508 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - March 26, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Acquired autoimmune haemophilia: Where is the place of rituximab in the treatment strategy? Reflection from a monocentric series of 8 patients and literature review].
CONCLUSIONS: Rituximab appears to be an effective and well-tolerated treatment for autoimmune acquired haemophilia. However, its place remains to be specified. PMID: 30904179 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - March 26, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Which place of antiphosphatidylethanolamine antibodies research in seronegative antiphospholipid syndrome suspicion?]
CONCLUSION: These results suggest the implication of aPE in SNAPS. PMID: 30905593 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - March 26, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[One or more functional somatic syndromes? Comparison of the health status of fibromyalgia and electro-hypersensitive people].
CONCLUSION: The health status of fibromyalgia persons is overall worse than the health status of electro-hypersensitive individuals in this small sample. Despite the overlap in symptoms and a similar impact on daily functioning, this exploratory study suggests that heterogeneous mechanisms of "somatization" may be at stake in functional somatic syndromes. PMID: 30885414 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - March 21, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Reliability and validity of a workbook for assessment of professional competencies of internal medicine residents].
CONCLUSION: This study suggest that it would be difficult to ensure a sufficient reliability for professional skills assessment using these tools given our available current human and material resources. However, these assessment forms could be added to the resident portfolio as supports for the debriefing in order to document their progression during their formation. PMID: 30871866 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - March 16, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Free light chains assay: Indications and methods].
Authors: Martellosio JP, Leleu X, Roblot P, Martin M, Puyade M Abstract Serum free light chains (sFLC) assay is an important marker in plasma cell dyscrasia. It is thus recommended for the diagnosis of monoclonal gammopathy, together with serum protein electrophoresis and immunofixation. sFLC assay has also a prognostic value and is a criterion for treatment response and relapse of some monoclonal gammopathies. Three assays are currently available in France, the gold standard being the Freelite® assay, the two others requiring further validation. These three assays are not interchangeable during patient's follo...
Source: Revue de Medecine Interne - March 15, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Azithromycine and chronic bronchial diseases: For which patients? For which benefits? With what modalities?]
Authors: Pronost P, Tromeur C Abstract Azithromycin is a macrolide widely used in chronic bronchial diseases due to its anti-inflammatory properties. This treatment is prescribed to patients with bronchiectasis, asthma and severe chronic obstructive pulmonary disease who present more than 3 exacerbations per year or a deterioration of respiratory function despite an optimal treatment. Macrolides decrease the number of exacerbation but azythromycine must be prescribed carefully. Indeed, it involves potential cardiovascular and otological toxicities and the emergence of resistant bacteria. In addition, studies r...
Source: Revue de Medecine Interne - March 13, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A rash of the face].
Authors: Chaabouni R, Bahloul E, Boudaya S, Frikha F, Amouri M, Turki H PMID: 30857824 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - March 13, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Unusual cause of upper extremity edema].
Authors: Quentric P, Michelin P, Lévesque H, Miranda S PMID: 30853379 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - March 12, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

Alcohol withdrawal syndrome management: Is there anything new?
Authors: Airagnes G, Ducoutumany G, Laffy-Beaufils B, Le Faou AL, Limosin F Abstract Patients with alcohol use disorder experience frequently alcohol withdrawal syndrome (AWS), which is a potentially life-threatening condition mainly caused by glutamate overactivity. The aim of therapeutic alcohol withdrawal is the entry into a process of complete and lasting abstinence. Therefore preparing withdrawal is crucial to optimize compliance and efficacy of aftercare. Indeed, performing repeated withdrawal per se without any project of subsequent abstinence may be deleterious, at least because of repeated exposure to glut...
Source: Revue de Medecine Interne - March 12, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Chronic metabolic and renal disorders related to lithium salts treatment].
Authors: Tabibzadeh N, Vrtovsnik F, Serrano F, Vidal-Petiot E, Flamant M Abstract Lithium salts are the main treatment of bipolar disorder, which is characterized by potentially life-threatening maniac and/or depressive episodes. They have proven efficient in the prevention and treatment of acute episodes as well as in the prevention of suicidal risk. However, this efficacy is counterbalanced by a narrow therapeutic range that can lead to potentially harmful overdose, and by adverse long-term events. Nevertheless, they remain first-line treatment, notwithstanding therapeutic alternatives. In this review, we will de...
Source: Revue de Medecine Interne - March 6, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Hemolytic disorders and venous thrombosis: An update].
Authors: Lecouffe-Desprets M, Graveleau J, Artifoni M, Connault J, Agard C, Pottier P, Hamidou M, Néel A Abstract Many factors can contribute to the risk of venous thrombosis observed in hemolytic diseases. Some mechanisms are related to hemolysis by itself, while others seem more specific to each disease. Despite recent advances in the quantification of this risk and in understanding its physiopathology, the association of hemolysis with venous thrombosis is often unknown. The purpose of this general review is to clarify the main pro-thrombotic mechanisms during hemolysis and to synthesize the clinical data...
Source: Revue de Medecine Interne - February 20, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Hypertrophic cardiomyopathies].
Authors: Lairez O Abstract Hypertrophic cardiomyopathies represent a heterogeneous group of pathophysiological mechanisms and etiologies (genetic or not), which lead to the development of left ventricular hypertrophy. Left ventricular hypertrophy, when not explained by a significant and prolonged increase in post-load (such as severe poorly controlled arterial hypertension or severe aortic stenosis) justifies etiological exploration. The etiology may range from physiological adaptation in the athlete to myocardial involvement, isolated or integrated as part of a global neuromuscular involvement; metabolic or mitoch...
Source: Revue de Medecine Interne - February 13, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Diagnosis of pulmonary embolism].
Authors: Righini M, Robert-Ebadi H, Le Gal G Abstract The diagnosis of pulmonary embolism (PE) is nowadays based on the sequential use of several diagnostic tests rather than on a single test. These diagnostic strategies are safe and have been prospectively validated. The first step after identifying patients with suspicion of PE is to establish the pre-test clinical probability. Several scores are available in order to make a standardised and reproducible assessment of the clinical probability, and therefore represent precious diagnostic tools. Indeed, clinical probability guides further investigations. Indeed, in...
Source: Revue de Medecine Interne - February 13, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Chronic disease and empathy: Psychotherapy or placebotherapy?]
Authors: Braillon A, Grenon Q, Taiebi F PMID: 30711359 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - February 5, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[CAR-T cells: Lymphocytes that express a chimeric antigen receptor].
Authors: Chabannon C, Bouabdallah R, Fürst S, Granata A, Saillard C, Vey N, Mokart D, Fougereau E, Lemarie C, Mfarrej B, Blaise D, Calmels B Abstract CAR-T cells are genetically modified human lymphocytes and gene therapy medicinal products. They are developed to treat cancers that express a membrane antigen targeted by the CAR. The FDA approved the two first-in-class medicinal products in 2017 and EMA in August 2018; both are autologous CAR-T cells targeting CD19 that is expressed at the surface of normal B-cells throughout their differentiation, and on B-cell lymphoid malignancies. Clinical efficacy was demo...
Source: Revue de Medecine Interne - January 30, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Association between prescription of long-term systemic glucocorticoid therapy associated measures and prescriber's medical speciality].
CONCLUSION: Adjuvant measures to long-term glucocorticoid therapy are heterogeneously prescribed. The prescriptions depend largely on the medical specialty of the prescribing physician. PMID: 30683427 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - January 29, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Headaches of unusual cause].
Authors: Rougelot A, Beaumel A, Luyton C, Coury F PMID: 30638701 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - January 16, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Hepatitis C virus infection, 1989-2019: From discovery to eradication].
Authors: Cacoub P, Halfon P PMID: 30638702 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - January 16, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Metabolic encephalopathies].
Authors: Marois C, Quirins M, Hermann B, Mouri S, Bouzbib C, Rudler M, Thabut D, Weiss N Abstract Metabolic encephalopathies (ME) are a common cause of admission to emergency rooms, to hospitalization wards or to intensive care units. They could account for 10 to 20% of causes of comatose states in ICU and could be associated to a poor outcome especially in older patients. Nevertheless, they are often reversible and are associated with a favorable outcome when diagnosed and rapidly treated. They correspond to an altered brain functioning secondary to the deficiency of a substance that is mandatory for the normal br...
Source: Revue de Medecine Interne - January 16, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Influenza infection: An update for clinicians].
Authors: Blot M, Chavanet P, Piroth L Abstract Lower respiratory infections remain the deadliest communicable disease in the world. Influenza infections are particularly involved, whether intrinsically, or more frequently, by promoting bacterial infections and superinfections. The flu is also responsible for the decompensation of many comorbidities and could lead to some myocardial infarction and stroke. The effect of antiviral therapies is limited but preventives measures, such as vaccination, remain a major public health issue. The flu is a major challenge at all levels and all times, from vaccine prevention, to ...
Source: Revue de Medecine Interne - January 16, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Gaucher disease: A review].
Authors: Nguyen Y, Stirnemann J, Belmatoug N Abstract Gaucher disease is a rare autosomal recessive genetic disease, caused by a deficiency of the lysosomal enzyme, glucocerebrosidase that leads to the accumulation of its substrate (glucosylceramide) in lysosomal macrophages. In the general population, its incidence varies between 0.4 and 5.8/100,000 inhabitants. Type 1 Gaucher disease is the most frequent and is characterized by its extreme heterogeneity including asymptomatic or more severe presentations. The most frequent symptoms are anemia, thrombocytopenia, splenomegaly, and/or hepatomegaly, and a potentially...
Source: Revue de Medecine Interne - January 16, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[NSAID urticaria: Similar management to acute urticaria].
Authors: Khandzian M, Hacard F, Braire-Bourrel M, Jaulent C, Bérard F, Nicolas JF, Nosbaum A Abstract Non-steroidal anti-inflammatory drugs (NSAIDs) are the most common providers of immediate hypersensitivity reactions. Among these reactions, isolated acute urticaria is the most common clinical feature with a non-allergic origin. It is a pharmacological side effect resulting from the alteration of arachidonic acid metabolism induced by NSAIDs. Diagnosis of this acute urticaria is clinical, requiring no allergy testing. Currently, the recommended therapeutic management of NSAID urticaria is the avoidance of a...
Source: Revue de Medecine Interne - January 13, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Rhabdomyolysis in patients treated by corticosteroids for acute asthma in intensive care unit].
We report the case of a woman admitted in intensive care unit for acute severe asthma, treated with high doses of methylprednisolone. Serum CPK level raised with a peak at 28,160 UI/L (n
Source: Revue de Medecine Interne - January 10, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A renal pseudotumor].
Authors: Maldiney T, Leguy-Seguin V, Prevel O, Rajillah A, Thibault T, Chabannes M, Nicolas B, Guilhem A, Berthier S, Audia S, Samson M, Bonnotte B PMID: 30606461 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - January 6, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Primary open-angle glaucoma].
Authors: Bertaud S, Aragno V, Baudouin C, Labbé A Abstract Primary open-angle glaucoma is a progressive chronic optic neuropathy, typically bilateral, that occurs after the age of 40 years. It is the second leading cause of irreversible blindness in the world. Primary open-angle glaucoma corresponds to a progressive loss of retinal ganglion cell characterized by an excavation of the optic disc associated with typical visual field defects. Elevated intraocular pressure is the main risk factor of primary open-angle glaucoma. Diagnosis and monitoring of primary open-angle glaucoma arebased on both analysis of s...
Source: Revue de Medecine Interne - December 31, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Update on leptospirosis].
Authors: Le Turnier P, Epelboin L Abstract Leptospirosis is a worldwide spirochetal zoonosis whose global incidence is increasing and is probably underestimated. Leptospirosis has long been associated with occupational contact with animals (rats and cattle) and has become in developed countries a pathology more related to recreational activities with exposure to fresh water (canoeing, swimming, canyoning) and to an environment contaminated by urine from leptospires excretory rodents. Leptospirosis should be one of the differential diagnoses to be considered when returning from travel to tropical areas, particularly...
Source: Revue de Medecine Interne - December 30, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Insights on the management of Lyme disease].
Authors: Feyeux D, Fantin B Abstract Lyme disease is currently a hot topic in France due to a high incidence in some areas. Its clinical polymorphism can lead to misdiagnosis on one hand and to unjustified treatment on the other hand. Clinical symptoms vary considerably according to involved organs (skin, central and/or peripheral nervous system, joints, heart, eyes) and may be limited to or associated with general non-specific signs. Biological exams must be guided by clinical symptoms to help diagnosis and treatment decision according to clinical history, presentation, time of onset and duration of symptoms. Howe...
Source: Revue de Medecine Interne - December 28, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Characteristics of giant cell arteritis patients under and over 75-years-old: A comparative study on 164 patients].
Authors: Daumas A, Bichon A, Rioland C, Benyamine A, Berbis J, Ebbo M, Jarrot PA, Gayet S, Rossi P, Schleinitz N, Harle JR, Kaplanski G, Villani P, Granel B Abstract PURPOSE: Giant cell arteritis (GCA) is the most common vasculitis of the elderly. In order to assess the impact of age at diagnosis, we compared the characteristics of patients of less than 75 years (
Source: Revue de Medecine Interne - December 24, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Exploring illness perceptions of lupus patients for a motivational environment in therapeutic education].
CONCLUSION: Multiple dimensions of systemic lupus erythematosus patient have to be considered for an optimal motivational environment for the practice of TE. PMID: 30551890 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - December 17, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Sweet's syndrome induced by pegfilgrastim during a myelodysplastic syndrome AREB2: A case report].
CONCLUSION: Sweet's syndrome is a rare adverse effect of G-CSF. PMID: 30551891 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - December 17, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Hyperlactatemia induced by inhaled β2 agonists: An underrecognized side effect. Report of two cases].
We report two asthmatic patients who presented in the emergency department for an asthma exacerbation. The first patient developed hyperlactatemia at 3.9 mmol/L and the second patient developed hyperlactatemia at 5.6 mmol/L after terbutaline treatment. Both patients had a favorable outcome after adjusting the aerosol dose to clinical parameters. DISCUSSION: Lactic acidosis induced by the use of inhaled β2 agonists is not synonymous of clinical deterioration. However, this side effect may be complicated by a tachypnea compensating for metabolic acidosis and should be known to avoid unnecessary therapeutic...
Source: Revue de Medecine Interne - December 15, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Standardized screening of alcohol misuse in emergency wards: The experience of a systematic use of the FACE scale in the European Georges-Pompidou Hospital].
CONCLUSION: A systematic screening is crucial to identify patients that should benefit from brief intervention or specialized intervention in an addictology unit. PMID: 30545574 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - December 15, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Melanoma update].
Authors: Longvert C, Saiag P Abstract Incidence of malignant melanoma has been increasing since the 1980s. For loco-regional stages, surgery is still the best treatment. Melanoma has a high distant metastatic potential and prognosis of advanced stages was until recently very poor. Since 2011 however, a real revolution has taken place in the treatment of metastatic melanoma. This is based upon considerably improved knowledge of the molecular mechanisms of melanoma and cancer immunology. Thus, two new classes of systemic therapeutic agents are now available: immunotherapies (immunological checkpoint inhibitors), whic...
Source: Revue de Medecine Interne - December 12, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Retrospective analysis of anti-TIF1gamma, anti-NXP2 and anti-SAE1/2 antibodies carriers at Bordeaux university hospital from November 2014 to February 2017].
CONCLUSION: The immunodot kit allowed the diagnosis of 10 dermatomyositis. A high number of autoantibody positive patients without dermatomyositis raises the issue of the immunodot's performances in the context of biological autoimmunity. PMID: 30527961 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - December 12, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Eosinopenia in 2018].
Authors: Gil H, Bouldoires B, Bailly B, Meaux Ruault N, Humbert S, Magy-Bertrand N Abstract Since 1893, eosinopenia is a biological test to help a diagnosis of bacterial infection. Several publications have confirmed this hypothesis, particularly in the intensive care, pneumology and pediatric units. The value of this marker has been identified in vascular cerebral diseases and coronary bypass. Its contribution seems as relevant as procalcitonin, without extra cost. The diagnostic performance of this test was reinforced by a composite score (CIBLE score) that may improve its value in daily routine. Finally, monitor...
Source: Revue de Medecine Interne - December 8, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A voluminous epigastric mass].
Authors: Elkaoui H, Bouchentouf SM, Ait Ali A, Bounaim A PMID: 30514586 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - December 7, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Hemorrhagic syndrome due to a heparin-like anticoagulant in a patient with systemic lupus erythematosus].
CONCLUSION: This rare anomaly of hemostasis balance has been described in blood cancers and solid cancers. This is the first description of a case associated with an autoimmune connective tissue disorder such as lupus. After one year of follow-up, no diagnosis of blood or solid cancer was made. PMID: 30471875 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 27, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[The American opioid overdose crisis: A threat for France?]
Authors: Vodovar D, Langrand J, Tournier N, Mégarbane B Abstract Since the 2000s, a concerning increase in opioid-analgesic-related overdoses and deaths has been reported in the United States. In contrast with opioid overdoses reported in the 80-90s mostly involving heroin, currently it is the misuse of opioid analgesics that is mainly responsible for opioid overdoses. This crisis is related to factors (not limited to the US) which occurred during the 90s and which have led to a broad prescription of opioids in non-cancer pain. In Europe and France, there is (but to a much lesser extent) an increase in ...
Source: Revue de Medecine Interne - November 17, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Biosimilars in France, to understand the stakes in order to use them well].
Authors: Scherlinger M, Pellegrin JL, Germain V, Lazaro E, Duffau P, Schaeverbeke T, FHU ACRONIM PMID: 30396704 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 8, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Acute appendicitis of unusual cause].
Authors: Kauffmann P, Bilger L, Baicry F, Bilbault P, Le Borgne P PMID: 30389205 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 7, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Uncertainty management and medical skills: A clinical and educational reflexion].
Authors: Belhomme N, Jego P, Pottier P Abstract Uncertainty arises when information is not sufficient to predict the prognosis or the outcome following an intervention. It is omnipresent in medical daily practice, and will follow each practitioner all along his career. The communication or merely even the feeling of uncertainty is frequently perceived as a negative experience. Nevertheless, rather than a sign of weakness, feeling uncertain reflects a dynamic state of self-reassessment which should be experienced by each doctor involved in providing his patients with the best care. Furthermore, uncertainty may lead ...
Source: Revue de Medecine Interne - November 7, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Glucocorticoid sensitive bilateral leg swelling in an 85-year-old woman presenting with polymyalgia rheumatica: A case report].
CONCLUSION: This case, the first to report leg swelling of inflammatory origin in the context of PMR, could indicate an increased vascular permeability caused by inflammation in the elderly. PMID: 30391043 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 7, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A wrist destructive osteoarthropathy].
Authors: Akasbi N, Driouach S, Harzy T PMID: 30385067 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 4, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A muscular calcium pyrophosphate deposition pseudo-abscess: An atypical localization of chondrocalcinosis].
CONCLUSION: Hip chondrocalcinosis is unusual, and the association with intramuscular deposition of calcium pyrophosphate crystals seems extremely rare as we found only four other published cases. A microcrystalline arthritis could have spread from the coxofemoral joint through the iliopsoas bursa and into the muscle. However, the imaging aspect with an abscess and a predominant muscular injury might suggest a mechanism of crystal formation originating directly within the muscle. The outcome was always favourable even if some patients required surgery. PMID: 30348464 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 25, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[What place for shared decision making in internal medicine practice?]
Authors: Durieu I, Reynaud Q, Moumjid N PMID: 30348465 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 25, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Capillary leak syndrome secondary to decompression sickness: A case report].
DISCUSSION: In DCS, bubbles formation alters the wall of blood vessels and activates complex biochemical mechanisms inducing extravascular protein leakage. The clinical expression of this syndrome is variable, ranging from simple hemoconcentration to hypovolemic shock. Close clinical-biological monitoring of patients with elevated hematocrit with or without hypoalbuminemia is advisable. Early vascular filling with albumin infusion may prevent the occurrence of hypovolemic shock and improve the prognosis. PMID: 30342791 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 24, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Diffuse cutaneous lesions].
Authors: Wanvoegbe FA, Turcu A, Lévêque L, Devilliers H, Bach B, Muller G, Bielefeld P, Besancenot JF PMID: 30327162 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 19, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research