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Reactivation of pulmonary tuberculosis following local radiation therapy of prostate cancer.
In this report, we describe the case of an 81-year-old male with reactivation tuberculosis following local radiation therapy for prostate cancer. The patient was asymptomatic except for an unintentional 20-pound weight loss and was incidentally found to have a pulmonary infiltrate in the right upper lobe on imaging for shoulder pain. The medical history was not able for recently treated prostate cancer. After further investigation, the patient was determined to have Mycobacterium tuberculosis infection. It is important to have a high level of suspicion for reactivation tuberculosis in patients with a pulmonary infiltrate f...
Source: Connecticut Medicine - February 1, 2014 Category: Journals (General) Authors: Thomas P, Foley R, Kosowicz L Tags: Conn Med Source Type: research

A Constricting Diagnosis
The heart, vasculature, and blood (pump, pipes, and fluid) work together to meet the metabolic demands of the body. End organs and tissue are not adequately perfused when the system fails, leading to injury and deranged physiology. Understanding the hemodynamic relations in normal cardiovascular physiology and how it changes in pathologic conditions helps us make the correct diagnosis and implement the right treatment.   Physical examination can provide indirect clues to hemodynamics, though invasive evaluation has been the traditional gold standard. This can include arterial and central venous pressure measurements, card...
Source: Spontaneous Circulation - December 12, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Long-Term Experience With Sodium Chondroitin Sulfate in Patients With Painful Bladder Syndrome.
CONCLUSIONS: Treatment with sodium chondroitin sulfate through endovesical instillation in painful bladder syndrome improves pain, voiding frequency and quality of life in the long term. PMID: 23769895 [PubMed - as supplied by publisher]
Source: Actas Urologicas Espanolas - June 13, 2013 Category: Urology & Nephrology Authors: Tornero JI, Olarte H, Escudero F, Gómez G Tags: Actas Urol Esp Source Type: research