Fertility-Sparing Approaches in Gynecologic Oncology: Role of Imaging in Treatment Planning.
Abstract Gynecologic cancers impact women of all ages. Some women may wish to preserve their capacity for future childbearing. With appropriate patient selection, acceptable oncologic outcomes may be achieved with preservation of fertility. Determination of eligibility for fertility preservation is guided by patient factors, tumor histology, and preoperative local staging with pelvic MR imaging. The aim of this article is to educate radiologists on the current guidelines for fertility-sparing techniques in women with early stage cervical, endometrial, and ovarian malignancies. PMID: 32044014 [PubMed - in proc...
Source: The Medical Clinics of North America - February 13, 2020 Category: General Medicine Authors: Stein EB, Hansen JM, Maturen KE Tags: Radiol Clin North Am Source Type: research

Therapeutic Exercise.
Abstract Physicians often overlook exercise as a treatment or prophylactic measure for many common diseases and ailments. It can be used to treat comorbidities including obesity, cardiovascular disease, chronic obstructive pulmonary disease, diabetes mellitus, osteoporosis, osteoarthritis, cancer, and low back pain. Education on the general physical activity guidelines as well as easy exercise prescription methods can improve the ability of physicians to prescribe exercise as a therapeutic option. In addition, identifying barriers to compliance with exercise and ways to overcome these barriers is also necessary in...
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Barker K, Eickmeyer S Tags: Med Clin North Am Source Type: research

Updated Approach to Stroke Rehabilitation.
This article summarizes stroke rehabilitation, with a particular focus on rehabilitation from acute diagnosis to chronic impairments of stroke. The emphasis is on both pharmacologic and nonpharmacologic intervention and interdisciplinary collaboration. PMID: 32035564 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Lindsay LR, Thompson DA, O'Dell MW Tags: Med Clin North Am Source Type: research

Traumatic Brain Injury: An Overview of Epidemiology, Pathophysiology, and Medical Management.
Abstract Traumatic brain injury (TBI) is an acquired insult to the brain from an external mechanical force that may result in temporary or permanent impairment. The goal of this article is to provide a general review of the epidemiology, pathophysiology and medical management of adult patients with TBI for providers practicing outside the field of physical medicine and rehabilitation. The medical and rehabilitation management of moderate to severe TBI is the focus of this article, with a brief discussion of the management of mild injuries. PMID: 32035565 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Capizzi A, Woo J, Verduzco-Gutierrez M Tags: Med Clin North Am Source Type: research

Cancer Rehabilitation: Acute and Chronic Issues, Nerve Injury, Radiation Sequelae, Surgical and Chemo-Related, Part 1.
This article covers the common functional impairments experienced by cancer survivors and the treatment strategies used in cancer rehabilitation. Application of these services can enhance the ongoing care for cancer survivors. PMID: 32035566 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Kline-Quiroz C, Nori P, Stubblefield MD Tags: Med Clin North Am Source Type: research

Cancer Rehabilitation:: Acute and Chronic Issues, Nerve Injury, Radiation Sequelae, Surgical and Chemo-Related, Part 2.
This article reviews the functional impairments frequently encountered in breast, head and neck, brain, and spinal cord tumors. The authors also discuss management and treatment options incorporated in comprehensive cancer rehabilitation to address these impairments to maximize and maintain function and quality of life. PMID: 32035567 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Nori P, Kline-Quiroz C, Stubblefield MD Tags: Med Clin North Am Source Type: research

Management of the Patient with Chronic Spinal Cord Injury.
This article provides a framework to help PCPs understand how these changes impact their patient's physiologic function and subsequent risks for health complications with guidance for initial treatment approaches. PMID: 32035568 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Ong B, Wilson JR, Henzel MK Tags: Med Clin North Am Source Type: research

Neck Pain and Lower Back Pain.
Abstract Neck pain is the fourth leading cause of disability. Acute neck pain largely resolves within 2 months. History and physical examination play a key role in ruling out some of the more serious causes for neck pain. The evidence for pharmacologic interventions for acute and chronic musculoskeletal neck pain is limited. Lower back pain is the leading cause of disability and productivity loss. Consultation with a physical medicine and rehabilitation spine specialist within 48 hours for acute pain and within 10 days for all patients with lower back pain may significantly decrease rate of surgical...
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Popescu A, Lee H Tags: Med Clin North Am Source Type: research

Osteoarthritis: Pathology, Diagnosis, and Treatment Options.
This article reviews the pathology, symptoms, diagnosis, and various conservative, surgical, and novel treatments of OA. PMID: 32035570 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Abramoff B, Caldera FE Tags: Med Clin North Am Source Type: research

Common Injuries of the Weekend Athlete.
Abstract Each year increasing numbers of people participate in a wider variety of athletic endeavors. Unlike previous generations, many patients remain in these activities later into their lives, some well beyond retirement. As the population ages and their activities continue, they are subject to injury of various forms affecting all aspects of their bodies. PMID: 32035571 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Ellen MI, Lin C Tags: Med Clin North Am Source Type: research

Geriatric Rehabilitation: Gait in the Elderly, Fall Prevention and Parkinson Disease.
Abstract Aging-associated anatomic and physiologic decline begins during the fourth decade of life and progresses over the ensuing decades sometimes to a state of frailty, with the decline amplified when there is deconditioning. Aging-related gait and balance disorders leading to an increased risk of falling can be compensated for with the use of exercise interventions, durable medical equipment, and environmental modifications. Caregiver training is an essential component of geriatric rehabilitation. PMID: 32035572 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Swanson R, Robinson KM Tags: Med Clin North Am Source Type: research

Determination of Postacute Hospitalization Level of Care.
Abstract In the United States, we are blessed with many options for postacute care: inpatient rehabilitation facilities, long-term acute care hospitals, skilled nursing facilities, home health agencies, and outpatient rehabilitation. However, choosing the appropriate level of care can be a daunting task. It requires interdisciplinary input and involvement of all stakeholders. The decision should be informed by outcomes data specific to the patient's diagnosis, impairments, and psychosocial supports. PMID: 32035573 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Mayer RS, Noles A, Vinh D Tags: Med Clin North Am Source Type: research

Medical Care That Matters.
PMID: 32035574 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Ende J Tags: Med Clin North Am Source Type: research

Physical Medicine and Rehabilitation: An Update for Internists.
PMID: 32035575 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 10, 2020 Category: General Medicine Authors: Lenrow DA Tags: Med Clin North Am Source Type: research

The Role of Electroconvulsive Therapy in the Treatment of Severe Bipolar Mixed State.
Abstract Electroconvulsive therapy (ECT) results effective in two-thirds of the patients with severe and drug-resistant mixed states. The episode duration is the main predictor of nonresponse. This practice may increase the risk of mood destabilization and chronic complications and may decrease the chance of recovery in many patients. Compared with the burden of neurologic and metabolic side effects associated with long-term use of complex pharmacologic regimens, ECT should be considered a safe option with a very low incidence of severe adverse events and a long-term nondestabilizing effect. PMID: 32008684 [P...
Source: The Medical Clinics of North America - February 6, 2020 Category: General Medicine Authors: Perugi G, Medda P, Barbuti M, Novi M, Tripodi B Tags: Psychiatr Clin North Am Source Type: research

Collaborative Antimicrobial Stewardship for Surgeons.
Abstract Antimicrobial stewardship efforts that include surgeons rely on healthy and open communications between surgeons, infectious diseases specialists, and pharmacists. These efforts most frequently are related to surgical prophylaxis, the management of surgical infections, and surgical critical care. Policy should be based on best evidence and timely interactions to develop consensus on how to develop appropriate guidelines and protocols. Flexibility on all sides leads to increasingly strong relationships over time. PMID: 32008698 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 6, 2020 Category: General Medicine Authors: Robinson ED, Volles DF, Kramme K, Mathers AJ, Sawyer RG Tags: Infect Dis Clin North Am Source Type: research

Integration of Diabetes Technology in Clinical Practice.
This article attempts to aid clinicians in using diabetes devices in their clinical practice. It reviews device selection, initiation, and follow-up. It discusses work flow in an office and provides tips on billing. It stresses the need for patient choice, education, and on-going support through downloading and interpretation of data to optimize care. PMID: 31980122 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - January 27, 2020 Category: General Medicine Authors: Peters AL Tags: Endocrinol Metab Clin North Am Source Type: research

Plasma Energy Skin Rejuvenation.
Abstract Nitrogen plasma skin regeneration (PSR) initiated the use of cold atmospheric plasma (CAP) in skin rejuvenation over a decade ago. Helium gas CAP is already in widespread use worldwide for many surgical applications, whereas its use in skin rejuvenation is now emerging as a viable tool for treatment of facial rhytidosis. Animal studies comparing these CAPs suggest that observed differences in skin tissue interaction result from differences in plasma generation and in energy deposition wherein greater skin tissue contraction observed with helium PSR may result from its unique bimodal energy deposition and ...
Source: The Medical Clinics of North America - December 1, 2019 Category: General Medicine Authors: Holcomb JD Tags: Facial Plast Surg Clin North Am Source Type: research

Adaptive Sports, Arts, Recreation, and Community Engagement.
This article discusses the history of adaptive sports and the benefits of adaptive sports and recreation. Barriers and medical challenges are also thoroughly discussed, including common musculoskeletal issues, methods to prevent musculoskeletal injury, pain, fatigue, maximal exertion, and other medical comorbidities and illness. The role of health care providers such as physiatrists is emphasized to provide support to individuals with CP who either are interested in starting exercise or a sport or are already an athlete. PMID: 31760987 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 27, 2019 Category: General Medicine Authors: Tow S, Gober J, Nelson MR Tags: Phys Med Rehabil Clin N Am Source Type: research

Registry-based Research in Cerebral Palsy: The Cerebral Palsy Research Network.
Abstract Registries are a powerful tool for clinical research. Clinical registries for cerebral palsy can aid in comparative effectiveness research, especially using the practice-based evidence model. The Cerebral Palsy Research Network (CPRN) was initiated in 2014 as a patient-centered, multidisciplinary registry. The leadership group initiated a 4-stage participatory action research process: listen, reflect, plan/analyze, and take action. CPRN also joined with CP NOW, an advocacy group, to create a research agenda for cerebral palsy. With more than 20 centers and growing, CPRN hopes to generate evidence for deve...
Source: The Medical Clinics of North America - November 27, 2019 Category: General Medicine Authors: Hurvitz EA, Gross PH, Gannotti ME, Bailes AF, Horn SD Tags: Phys Med Rehabil Clin N Am Source Type: research

Mechanisms of Subcutaneous and Sublingual Aeroallergen Immunotherapy: What Is New?
M, Akdis CA Abstract Allergen immunotherapy (AIT) is considered to be the only treatment option with the promise of healing and induction of long-lasting allergen tolerance, persisting even after discontinuation of therapy. Despite a more than 100-year-long history, still only a minority of patients are being treated with AIT. Substantial developments took place in the last decade to overcome problems in standardization, efficacy, safety, high costs, long duration of treatment; and new guidelines have also been implemented. Major advancements in the understanding of AIT mechanisms with the focus on recent findings...
Source: The Medical Clinics of North America - November 27, 2019 Category: General Medicine Authors: Komlósi ZI, Kovács N, Sokolowska M, van de Veen W, Akdis M, Akdis CA Tags: Immunol Allergy Clin North Am Source Type: research

Sublingual and Patch Immunotherapy for Food Allergy.
This article reviews research advances for sublingual and patch immunotherapy for food allergy with a focus on peanut allergy. Published studies on sublingual immunotherapy (SLIT) and epicutaneous immunotherapy (EPIT) were summarized in this review. Sublingual and epicutaneous methods have emerged as alternatives to oral immunotherapy. SLIT studies have shown modest desensitization with a robust safety profile. EPIT studies have high adherence rates, an excellent safety profile, and potential for desensitization in children. Advances in food immunotherapy with SLIT and EPIT studies have shown promise as viable alternatives...
Source: The Medical Clinics of North America - November 27, 2019 Category: General Medicine Authors: Waldron J, Kim EH Tags: Immunol Allergy Clin North Am Source Type: research

Highlights of Novel Vaccination Strategies in Allergen Immunotherapy.
M, Akdis CA Abstract Increasing safety while maintaining or even augmenting efficiency are the main goals of research for novel vaccine development and improvement of treatment schemes in allergen immunotherapy (AIT). To increase the efficacy of AIT, allergens have been coupled to innate immunostimulatory substances and new adjuvants have been introduced. Allergens have been modified to increase their uptake and presentation. Hypoallergenic molecules have been developed to improve the safety profile of the vaccines. Administration of recombinant IgG4 antibodies is a new, quick, passive immunization strategy with r...
Source: The Medical Clinics of North America - November 27, 2019 Category: General Medicine Authors: Komlósi ZI, Kovács N, Sokolowska M, van de Veen W, Akdis M, Akdis CA Tags: Immunol Allergy Clin North Am Source Type: research

Approach to Patients with Eosinophilia.
Abstract Physicians may encounter blood or tissue eosinophilia through a routine complete blood count with differential or a tissue pathology report. In this article, the basic biology of eosinophils is reviewed and definitions of blood eosinophilia, as well as the challenges of defining tissue eosinophilia, are discussed. Conditions associated with eosinophilia are briefly discussed as well as a general approach to evaluating eosinophilia. Future challenges include determining which eosinophil-associated diseases benefit from eosinophil-targeted therapy and identifying biomarkers for disease activity and diagnosi...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Kuang FL Tags: Med Clin North Am Source Type: research

Drug Hypersensitivity Reactions.
This article discusses special considerations about antibiotics, angiotensin-converting enzyme inhibitors, anesthetic agents, aspirin and nonsteroidal antiinflammatory drugs, radiocontrast media, and chemotherapeutic agents. PMID: 31757230 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Dykewicz MS, Lam JK Tags: Med Clin North Am Source Type: research

Approach to Patients with Stinging Insect Allergy.
Abstract Stinging insect allergy is uncommon but can be life threatening. Diagnosis requires clinical history and confirmative skin or blood testing by an allergist. Baseline serum tryptase level can be used to stratify risk. Treatment is supportive for all reactions except for anaphylaxis, which is treated with intramuscular epinephrine, recumbent posture, and adjunct measures such as IV fluids, and oxygen. Venom immunotherapy is most effective for long-term management in patients with a history of anaphylaxis. Venom immunotherapy rapidly reduces the risk of sting anaphylaxis by up to 98% and maintenance treatmen...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Abrams EM, Golden DBK Tags: Med Clin North Am Source Type: research

Food Allergy in Adults: Presentations, Evaluation, and Treatment.
Abstract Food allergy presents in all ages and has a significant impact on an individual's quality of life. Some of the food allergies that start in childhood remain into adulthood and new-onset allergies can occur at any point of life. Health care providers caring for adult patients should be aware of various food allergy presentations and syndromes. In this article, the authors cover recent literature on food allergies in adults and discuss the epidemiology of adult food allergy as well as common clinical scenarios and presentations of various types of food allergies. PMID: 31757232 [PubMed - in proces...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Mahdavinia M Tags: Med Clin North Am Source Type: research

Approach to the Patient with Hives.
Abstract Urticaria is a common presenting problem to the primary care provider. Acute urticaria lasting less than 6 weeks may be associated with a drug or food allergens. Chronic urticaria lasting more than 6 weeks is often associated without a known underlying cause. Inducible stimuli causing hives should be excluded using specific provocation testing. Treatment follows a standardized algorithmic approach as outlined by the Joint Task Force Practice Parameter and/or International Urticaria guidelines. Patients not responsive to steps 1 or 2 should be referred to an urticaria specialist for further evaluation...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Greiwe J, Bernstein JA Tags: Med Clin North Am Source Type: research

Atopic Dermatitis in Adults.
This article examines the pathophysiology, epidemiology, heterogeneous clinical presentation, burden, diagnosis, and treatment of adult AD. PMID: 31757234 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Silverberg JI Tags: Med Clin North Am Source Type: research

Mast Cell Activation: When the Whole Is Greater than the Sum of Its Parts.
Abstract Mast cell activation syndrome (MCAS) is a heterogeneous and rare disorder with episodic and severe activation of mast cells. Because symptoms of mast cell activation are nonspecific, it is important to base the diagnosis on best available clinical and scientific evidence, and not make it one of exclusion. MCAS, much like the mast cell itself, as a whole is greater than the sum of its proposed diagnostic criteria. When each component is considered in isolation, criteria can seem nonspecific, and thus, a broad constellation of symptoms can be attributed to MCAS when they may be due to other disease processe...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Khokhar D, Akin C Tags: Med Clin North Am Source Type: research

Anaphylaxis for Internists: Definition, Evaluation, and Management, with a Focus on Commonly Encountered Problems.
This article reviews the definition, classification, evaluation, differential diagnosis, prognosis, complications, and management of anaphylaxis. Tailored for internists, the article focuses on anaphylactic medication allergies. It provides a guide to optimally evaluate and manage patients with antibiotic allergy using a simple, rapid risk stratification technique, graded antibiotic challenge (test dose), and/or allergist-guided drug desensitization. It also reviews other causes of anaphylaxis that internists are likely to encounter, and an approach to their management. PMID: 31757236 [PubMed - in process] (Source: Th...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Chu DK, McCullagh DJ, Waserman S Tags: Med Clin North Am Source Type: research

Cough: A Practical and Multifaceted Approach to Diagnosis and Management.
This article provides a practical approach to treatment and management of cough, emphasizing causes and potentiators. PMID: 31757237 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Tran BB, Ditto AM Tags: Med Clin North Am Source Type: research

Allergic Contact Dermatitis.
Abstract Allergic contact dermatitis is common, resulting in considerable morbidity. Diagnosis is based on a thorough history, physical examination, and patch testing. Several commercially available panels of patch testing are currently used. Allergens are found in a wide variety of daily products, occupational exposures, and foods. The mainstay of treatment is avoidance of the allergen, and databases like Contact Allergen Management Program and Contact Allergen Replacement Database help patients to select products that do not contain allergens to which they are sensitized. Topical corticosteroids can be used to t...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Nassau S, Fonacier L Tags: Med Clin North Am Source Type: research

Approach to Patients with Allergic Rhinitis: Testing and Treatment.
This article evaluates the role of allergen immunotherapy (AIT) in the treatment of allergic rhinitis (AR). AIT has been shown to be effective in treating AR symptoms with resultant improvements in overall quality of life, comorbid illnesses, and medication requirements. Persistent clinical benefits have been shown years after AIT treatment discontinuation. AIT may prevent the progression of AR to asthma. AIT may more cost-effective than pharmacotherapy. Multiple individual studies and systematic reviews provide strong evidence for the clinical effectiveness of AIT in the treatment of AR. Cost-effectiveness and disease mod...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Cox L Tags: Med Clin North Am Source Type: research

Asthma in Adults.
Abstract Asthma affects approximately 300 million people worldwide and approximately 7.5% of adults in the United States. Asthma is characterized by inflammation of the airways, variable airflow obstruction, and bronchial hyperresponsiveness. The diagnosis of asthma is a clinical one with the history and physical examination being significant, but objective measures, such as pulmonary function testing, can be used to aid in the diagnosis. There are multiple associated comorbidities with asthma, including rhinitis, sinusitis, gastroesophageal reflux disease, obstructive sleep apnea, and depression. There is often a...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Nanda A, Wasan AN Tags: Med Clin North Am Source Type: research

Overreactions.
PMID: 31757241 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Ashar BH Tags: Med Clin North Am Source Type: research

Allergy: The "Whole" Story.
Allergy: The "Whole" Story. Med Clin North Am. 2020 Jan;104(1):xv-xvi Authors: Ditto AM PMID: 31757242 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Ditto AM Tags: Med Clin North Am Source Type: research

Emergency Medicine Orthopedic Assessment: Pearls and Pitfalls.
Abstract Acute musculoskeletal injuries are commonly seen in our emergency departments, and are commonly missed. There are many reasons for more missed injures and a significant one is over-reliance on radiographs. An emergency department orthopedic assessment goes far beyond the radiographs. A focused, yet comprehensive history is vital to understand the forces and mechanism of injury. That injury must be understood in the context of the patient, because older and much younger patients have weaker bone. Finally, the physical examination is instrumental in localizing the pathology and is essential to put radiograp...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Sayal A Tags: Emerg Med Clin North Am Source Type: research

The Emergent Evaluation and Treatment of Shoulder, Clavicle, and Humerus Injuries.
This article summarizes common diagnoses of shoulder pain, including bony, infectious, and connective tissue pathologies and their proper treatment. It also reviews which shoulder pain conditions are emergency diagnoses and need immediate treatment and which diagnoses need conservative management and outpatient follow-up. PMID: 31757245 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Stelter J, Malik S, Chiampas G Tags: Emerg Med Clin North Am Source Type: research

Traumatic Injuries of the Pelvis.
This article equips all emergency medicine practitioners with the knowledge to expertly diagnose, treat, and disposition these patients. Pelvic fractures occurring in young patients tend to be associated with high-energy mechanisms and polytrauma. Pelvic and hip fractures in the elderly are often a result of benign trauma but are associated with significant morbidity and mortality. PMID: 31757246 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Brown JV, Yuan S Tags: Emerg Med Clin North Am Source Type: research

Knee and Leg Injuries.
Abstract Knee and leg injuries are extremely common presentations to the emergency department. Understanding the anatomy of the knee, particularly the vasculature and ligamentous structures, can help emergency physicians (EPs) diagnose and manage these injuries. Use of musculoskeletal ultrasonography can further aid EPs through the diagnostic process. Proper use of knee immobilizers can also improve long-term patient outcomes. PMID: 31757247 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Davenport M, Oczypok MP Tags: Emerg Med Clin North Am Source Type: research

Emergency Orthogeriatrics: Concepts and Therapeutic Considerations for the Geriatric Patient.
Abstract Appropriate recognition of the physiologic, psychological, and clinical differences among geriatric patients, with respect to orthopedic injury and disease, is paramount for all emergency medicine providers to ensure they are providing high-value care for this vulnerable population. PMID: 31757248 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Magidson PD, Thoburn AK, Hogan TM Tags: Emerg Med Clin North Am Source Type: research

The Emergent Evaluation and Treatment of Neck and Back Pain.
This article discusses the efficient and effective evaluation, management, and treatment of patients with neck and back pain in the ED. Emphasis is placed on vertebral osteomyelitis, epidural abscess, acute transverse myelitis, epidural compression syndrome, spinal malignancy, and spinal stenosis. PMID: 31757249 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Corwell BN, Davis NL Tags: Emerg Med Clin North Am Source Type: research

Risk Management and Avoiding Legal Pitfalls in the Emergency Treatment of High-Risk Orthopedic Injuries.
Abstract Many orthopedic injuries can have hidden risks that result in increased liability for the emergency medicine practitioner. It is imperative that emergency medicine practitioners consider the diagnoses of compartment syndrome, high-pressure injury, spinal epidural abscess, and tendon lacerations in the right patient. Consideration of the diagnosis and prompt referrals can help to minimize the complications these patients often develop. PMID: 31757250 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Bond MC, Willis GC Tags: Emerg Med Clin North Am Source Type: research

Sports Medicine Update: Concussion.
Abstract A systematic approach is required for patients with a suspected concussion. Although standardized tools can aid in assessment, the diagnosis of concussion remains a clinical one. At the time of diagnosis, patients should be given both verbal and written review of the common symptoms of concussion, expected course of recovery, as well as strategies to manage symptoms. Most patients benefit from a brief period of rest, followed by a gradual reintroduction of activities, and a graduated return-to-sport protocol. Patients with prolonged recovery from a concussion may benefit from exercise, vestibular, and cog...
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Misch MR, Raukar NP Tags: Emerg Med Clin North Am Source Type: research

Pain Management for Orthopedic Injuries.
Abstract Pain management in acute orthopedic injury needs to be tailored to the presentation and patient. Subjective and objective assessment, in conjunction with pathophysiology, should be used to provide symptom control. Ideally, treatment should be administered in an escalating fashion, attempting to manage pain with the lowest dose of the safest medication available. There are also adjunctive therapies, including those that are nonpharmacologic, that can provide additional relief. PMID: 31757252 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Nischal N, Arulraja E, Shaheen SP Tags: Emerg Med Clin North Am Source Type: research

Ultrasound Imaging of Orthopedic Injuries.
This article reviews the common MSK injuries that can be diagnosed with ultrasound with a focus on point-of-care ultrasound. PMID: 31757253 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Simard R Tags: Emerg Med Clin North Am Source Type: research

The Emergency Evaluation and Management of Pediatric Extremity Fractures.
This article focuses on the diagnosis and management of pediatric extremity injuries. The article describes the anatomic features and healing principles unique to children and discusses pediatric upper and lower extremity fractures and presents evidence-based and standard practice for their management. Finally, the article describes the conditions under which emergency physicians are likely to miss pediatric fractures by highlighting specific examples and discussing the general factors that lead to these errors. PMID: 31757254 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Boutis K Tags: Emerg Med Clin North Am Source Type: research

The Emergent Evaluation and Treatment of Hand and Wrist Injuries: An Update.
This article provides the necessary knowledge to diagnose and treat common hand and wrist injuries encountered in the emergency department. PMID: 31757255 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Sanderson M, Mohr B, Abraham MK Tags: Emerg Med Clin North Am Source Type: research

The Emergent Evaluation and Treatment of Elbow and Forearm Injuries.
This article provides an updated review of the emergent evalution and treatment of elbow and forearm injuries in the emergency department. Clinically necessary imaging is discussed. Common and uncommon injuries of the elbow and forearm are reviewed with an emphasis on early recognition, efficient management, and avoidance of complications. The astute emergency physician will rely on a focused history and precise examination, applied anatomic knowledge, and strong radiographic interpretative skills to avoid missed injuries and complications. PMID: 31757256 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - November 25, 2019 Category: General Medicine Authors: Hanlon DP, Mavrophilipos V Tags: Emerg Med Clin North Am Source Type: research