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Total 92 results found since Jan 2013.

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith.  Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

A 50-something with Regular Wide Complex Tachycardiaa: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith.  Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Lessons learned from examination of Canadian medico-legal cases related to interventional therapies for chronic pain management
CONCLUSION: We recommend that clinicians conduct appropriate physical examinations, keep up-to-date with clinical standards, and ensure their documentation reflects their assessment, the patient's condition, and the treatment rationale.PMID:37523142 | DOI:10.1007/s12630-023-02531-1
Source: Canadian Journal of Anaesthesia - July 31, 2023 Category: Anesthesiology Authors: Emma MacLean Gary Garber Kate Barbosa Richard Liu Allison Verge Karim Mukhida Source Type: research

Thinking on Your Feet Well: Building Adaptive Expertise in Learners Using Simulation
On this episode of the Academic Medicine Podcast, Sam Clarke, MD, MAS, and Jon Ilgen, MD, PhD, join host Toni Gallo to discuss the importance of teaching adaptive expertise to prepare learners for the types of complex cases they will encounter in clinical practice. This conversation also covers what adaptive expertise is, how simulation can be used to foster this skill in learners, and the complementary relationship between performance-oriented cases and adaptive cases in health professions education. This episode is now available through Apple Podcasts, Spotify, and anywhere else podcasts are available. ...
Source: Academic Medicine Blog - July 24, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast adaptive expertise medical education medical students residents simulation Source Type: blogs

Ascariasis causing small bowel obstruction in an adult female: A case report
CONCLUSION: In a patient presented with symptoms and signs suggestive of bowel obstruction, Ascariasis should be considered as a differential diagnosis for those from endemic areas. The treating physician should have a high index of suspicion.PMID:37437322 | DOI:10.1016/j.ijscr.2023.108486
Source: Pain Physician - July 12, 2023 Category: Anesthesiology Authors: Anteneh Messele Birhanu Suleman Hassen Mohammed Bizuayehu Tassew Gossaye Molla Asnake Kebede Source Type: research

Foot and ankle tuberculosis: A case report and review of the literature
Clin Case Rep. 2023 Jun 13;11(6):e7483. doi: 10.1002/ccr3.7483. eCollection 2023 Jun.ABSTRACTKEY CLINICAL MESSAGE: It is important to consider foot and ankle tuberculosis (TB) as a potential cause of cystic lesion around the ankle, especially in patients with a history of TB. Early diagnosis and treatment with a rifampin-based regimen for a duration of 12 months can lead to good functional and clinical outcomes.ABSTRACT: Skeletal TB is an uncommon accounting for 10% of extra-pulmonary TB may present slowly over an extended period of time, making a diagnosis difficult and time-consuming (Microbiology Spectr. 2017;5:5). For ...
Source: Pain Physician - June 16, 2023 Category: Anesthesiology Authors: Sami Nogdallah M Elghazali Abuelgassim E Mustafa Alaa Mohamed Khairy Montaser Fatooh Hozaifa Mohammed Ali Abd-Elmaged Source Type: research

Ibuprofen in the Management of Viral Infections: The Lesson of COVID-19 for Its Use in a Clinical Setting
J Clin Pharmacol. 2023 Apr 30. doi: 10.1002/jcph.2258. Online ahead of print.ABSTRACTNonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used for the management of fever, pain, and inflammation. However, they have always been considered to have a double-faced role, according to their capacity to manage inflammation but also their possible reduction of immune system response and diagnosis delay. This last point could favor a dramatic increase of viral infection diffusion, possibly leading to a more severe outcome. The advent of severe acute respiratory syndrome coronavirus 2 excluded the use of NSAIDs, particularly i...
Source: The Journal of Clinical Pharmacology - May 31, 2023 Category: Drugs & Pharmacology Authors: Gianmarco Marcian ò Lucia Muraca Vincenzo Rania Luca Gallelli Source Type: research

Considerations on the Obstacles That Lead to Slow Recruitment in a Pain Management Clinical Trial: Experiences from the Belgian PELICAN (PrEgabalin Lidocaine Capsaicin Neuropathic Pain) Pragmatic Study
CONCLUSION: The findings of the qualitative study demonstrate the need for further, more varied LNP research in Belgium, not limited to pharmacological studies. It also sheds important light on the recruitment obstacles that may be faced during these studies. Future studies could support this research by offering better proposals for feasibility and recruitment, for instance, by designing and conducting a compelling pilot study or applying social media during the recruitment phase. Clinical Trials. This trial is registered with NCT03348735. EUDRACT number 2018-003617-17.PMID:37089721 | PMC:PMC10121349 | DOI:10.1155/2023/7708982
Source: Pain Research and Management - April 24, 2023 Category: Anesthesiology Authors: Guy H Hans Dima Almeshal Lotte Vanlommel Ella Roelant Iris Verhaegen Elke Smits Koen Van Boxem Robert Fontaine The Pelican Investigators Team Source Type: research