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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
I was reading ECGs on the system when I came across this one, called " normal " by the conventional computer algorithm
I come in early for every shift to read the ECGs on the system that have not yet been " confirmed " . I came across this one:The computer calls is: " SINUS RHYTHM. NORMAL ECG "What do you think? Be VERY careful when the computer calls the ECG " Normal " . I saw the inferior ST depression (which is reciprocal to subtle STE in aVL) and the subtle ST depression in precordial leads and thought:" If this patient came in with chest pain, then it is an acute OMI. "So I looked on the computer. Turns out that it was a 50-something patient with no previous cardiac history who had called 911 for chest pain...
Source: Dr. Smith's ECG Blog - July 12, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
This was texted to me by a former resident. An 80-something woman who presented with chest pain and dyspnea.
This was texted to me. An 80-something woman who presented with chest pain and dyspnea.What do you think?The rhythm appears to be atrial fibrillation. In any case, it is clearly a supraventricular rhythm. There is significant ST depression in V2-V4. Is this posterior OMI?Before jumping to any conclusions about the significance of ST-T abnormalities, you must first be certain that they are not a result of (secondary to) any QRS abnormalities. Do you see any such abnormalities?There is a large R-wave in V1. Is this RBBB? No, it is not RBBB. The QRS is not wide enough, there are no wi...
Source: Dr. Smith's ECG Blog - July 7, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Limited Competition: NIH-DoD-VA Pain Management Collaboratory - Coordinating Center (U24 Clinical Trial Not Allowed)
Funding Opportunity RFA-AT-24-002 from the NIH Guide for Grants and Contracts. The purpose of this NOFO is to solicit applications for continuation of a Coordinating Center (CC) to provide national leadership for the NIH-DoD-VA Pain Management Research Collaboratory program on evidence-based non-pharmacological approaches to pain management for U.S. veterans, military personnel, and/or their families. For brevity, this initiative will be referred to as the NIH-DoD-VA Pain Management Collaboratory, or PMC. Coordinating Center applicants will need to: 1) develop, adapt, and adopt technical and policy guidelines and best pra...
Source: NIH Funding Opportunities (Notices, PA, RFA) - June 28, 2023 Category: Research Source Type: funding
Successful percutaneous cannulation of foramen ovale obstructed by completely ossified pterygoalar ligament using the Hartel approach: Two case reports
Medicine (Baltimore). 2023 Jun 23;102(25):e34102. doi: 10.1097/MD.0000000000034102.ABSTRACTRATIONALE: Ossification of the pterygoalar ligament, which lies inferolateral to the exocranial opening of the foramen ovale, is traditionally considered to be a bony bar that could obstruct percutaneous needle access to the foramen ovale using the Hartel approach. We herein present two case reports of successfully penetrating the foramen ovale by a needle across the pterygoalar bar. Lack of knowledge of this type of presentation might lead to a change in the surgical approach.PATIENT CONCERNS: A 27-year-old woman had an 11-year hist...
Source: Herpes - June 23, 2023 Category: Infectious Diseases Authors: Qingqing Shang Feng Lin Qingchao Mu Shuying Tan Hongyan Wang Yong Gao Source Type: research
Parliamentary Debate on Vaccination
An animated discussion on a vaccination bill in the English Commons on April 19. brought out a speech by Sir William Priestley, an eminent London practitioner, who was formerly a professor in King ’s College medical school; it contained a sharp arraignment of the enemies of vaccination. Among other points he stated that it is computed that at present about a third of all the children born in England and Wales were escaping vaccination, i. e., about 300,000 children, and in this connection t hey could not but recollect the serious object lesson recently presented by Gloucester. The discovery of glycerinated lymph was made...
Source: JAMA - June 20, 2023 Category: General Medicine 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
What MDMA Taught Me About Human Connection
When I force myself to think back on the 2020 COVID-19 lockdown, a few key memories come to mind: Me, endlessly checking the news for the latest frightening updates. The eerily quiet streets of Brooklyn, save for the sirens of speeding ambulances. Nights spent toggling between insomnia and vivid nightmares.
At the core of it, though, I felt profoundly disconnected from the community around me—and to some extent myself. Knowing that so many other people were going through the same thing as me was of little comfort because they felt completely unreachable. Sure, I could hang out with friends on Zoom, but those stilted,...
Source: TIME: Health - June 6, 2023 Category: Consumer Health News Authors: Rachel Nuwer Tags: Uncategorized freelance health Source Type: news
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
