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Source: The American Journal of Medicine

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Total 259 results found since Jan 2013.

Unmasking a Hidden Cause of Persistent Facial Ulceration: The Relevancy of a Neurologic Examination
A 49-year-old woman presented to the Emergency Department of a tertiary medical center for evaluation of chronic facial ulceration. Her past medical history was significant for type II diabetes mellitus, hypothyroidism, antiphospholipid antibody syndrome, venous thromboembolism, and stroke. The patient noted progressive ulceration around the left nasal ala with extension to the left eyebrow and eyelid for 2 years. She had been evaluated for this problem numerous times at outside medical facilities.
Source: The American Journal of Medicine - May 19, 2016 Category: Journals (General) Authors: Kyle W. Mahoney, Jules B. Lipoff, Bennett W. Clark Tags: Diagnostic dilemma Source Type: research

Prevalence and significance of unrecognized renal dysfunction in patients with stroke
Unrecognized renal dysfunction, defined as estimated glomerular filtration rate
Source: The American Journal of Medicine - May 19, 2016 Category: Journals (General) Authors: David Pereg, Zach Rozenbaum, Dina Vorobeichik, Nir Shlomo, Ronit Gilad, Sivan Bloch, Morris Mosseri, David Tanne Tags: Clinical Research Study Source Type: research

Unmasking a Hidden Cause of Persistent Facial Ulceration The Relevancy of a Neurologic Examination
A 49-year-old woman presented to the emergency room of a tertiary medical center for evaluation of chronic facial ulceration. Her past medical history was significant for type II diabetes mellitus, hypothyroidism, antiphospholipid antibody syndrome, venous thromboembolism, and stroke. The patient noted progressive ulceration around the left nasal ala with extension to the left eyebrow and eyelid for 2 years. She had been evaluated for this problem numerous times at outside medical facilities. Previous treatments included three 6-week courses of intravenous vancomycin, one 6-week course of daptomycin, and one 2-week course of oral acyclovir.
Source: The American Journal of Medicine - May 19, 2016 Category: Journals (General) Authors: Kyle W. Mahoney, Jules B. Lipoff, Bennett W. Clark Tags: Diagnostic Dilemma Source Type: research

Prevalence and Significance of Unrecognized Renal Dysfunction in Patients with Stroke
Unrecognized renal dysfunction, defined as an estimated glomerular filtration rate
Source: The American Journal of Medicine - May 19, 2016 Category: Journals (General) Authors: David Pereg, Zach Rozenbaum, Dina Vorobeichik, Nir Shlomo, Ronit Gilad, Sivan Bloch, Morris Mosseri, David Tanne Tags: Clinical research study Source Type: research

Unmasking a Hidden Cause of Persistent Facial Ulceration: The Relevancy of a Neurologic Examination
A 49-year-old woman presented to the Emergency Department of a tertiary medical center for evaluation of chronic facial ulceration. Her past medical history was significant for type II diabetes mellitus, hypothyroidism, antiphospholipid antibody syndrome, venous thromboembolism, and stroke. The patient noted progressive ulceration around the left nasal ala with extension to the left eyebrow and eyelid for 2 years. She had been evaluated for this problem numerous times at outside medical facilities.
Source: The American Journal of Medicine - May 19, 2016 Category: Journals (General) Authors: Kyle W. Mahoney, Jules B. Lipoff, Bennett W. Clark Tags: Diagnostic dilemma Source Type: research

North American Thrombosis Forum, AF Action Initiative Consensus Document
The North American Thrombosis Forum Atrial Fibrillation Action Initiative consensus document is a comprehensive yet practical briefing document focusing on stroke and bleeding risk assessment in patients with atrial fibrillation, as well as recommendations regarding anticoagulation options and management. Despite the breadth of clinical trial data and guideline recommendation updates, many clinicians continue to struggle to synthesize the disparate information available. This problem slows the uptake and utilization of updated risk prediction tools and adoption of new oral anticoagulants.
Source: The American Journal of Medicine - April 26, 2016 Category: Journals (General) Authors: Christian T. Ruff, Jack E. Ansell, Richard C. Becker, Emelia J. Benjamin, David J. Deicicchi, N.A. Mark Estes, Michael D. Ezekowitz, John Fanikos, Jawed Fareed, David Garcia, Robert P. Giugliano, Samuel Z. Goldhaber, Christopher Granger, Jeff S. Healey, R Source Type: research

Sudden Cardiac Arrest From Heat Stroke: Hidden Dangers of Hot Yoga
A healthy 35-year-old woman, 12 weeks postpartum, was in her hot yoga class when she suddenly became unresponsive. Cardiopulmonary resuscitation (CPR) was started on the patient promptly. Emergency Medical Services arrived 5 minutes into initiation of CPR. Examination revealed warm skin, dilated pupils, and frank blood foaming from her mouth. Rhythm was consistent with ventricular fibrillation. Forty-five minutes of CPR was performed prior to return of spontaneous circulation, after which the patient was placed on vasopressor support.
Source: The American Journal of Medicine - April 19, 2016 Category: Journals (General) Authors: Prajwal Boddu, Suhag Patel, Anahita Shahrrava Tags: AJM online Source Type: research

Sudden cardiac arrest from heat stroke: Hidden dangers of hot yoga
A healthy 35-year-old female, 12 weeks post-partum, was in her hot yoga class when she suddenly became unresponsive. Cardiopulmonary Resuscitation (CPR) was started on the patient promptly. Emergency Medical Services (EMS) arrived 5 minutes into initiation of CPR. Exam revealed warm skin, dilated pupils and frank blood foaming from her mouth. Rhythm was consistent with ventricular fibrillation. 45 minutes of CPR was performed before return of spontaneous circulation, after which patient was placed on vasopressor support.
Source: The American Journal of Medicine - April 19, 2016 Category: Journals (General) Authors: Prajwal Boddu, Suhag Patel, Anahita Shahrrava Tags: Clinical Communication to the Editor Source Type: research

Major Outcomes in Atrial Fibrillation Patients with One Risk Factor: Impact of Time in Therapeutic Range Observations from the SPORTIF Trials
The benefits and harms of oral anticoagulation therapy in patients with only one stroke risk factor (ie, CHA2DS2-VASc  = 1 in males, or 2 in females) has been a subject of debate.
Source: The American Journal of Medicine - April 14, 2016 Category: Journals (General) Authors: Marco Proietti, Gregory Y.H. Lip Tags: Clinical research study Source Type: research

Major Outcomes in Atrial Fibrillation Patients with One Risk Factor: Impact of Time in Therapeutic Range
The benefits and harms of oral anticoagulation (OAC) therapy in patients with only one stroke risk factor (i.e. CHA2DS2-VASc= 1 in males, or 2 in females) has been subject of debate.
Source: The American Journal of Medicine - April 14, 2016 Category: Journals (General) Authors: Marco Proietti, Gregory Y.H. Lip Tags: Clinical Research Study Source Type: research

Usefulness of CHADS2 and CHA2DS2-VASc scores in the prediction of new-onset atrial fibrillation: a population-based study
CHADS2 and CHA2DS2-VASc are validated scores used to predict stroke in patients with atrial fibrillation. Many of the individual risk factors included in these scores are also risk factors for atrial fibrillation. We aimed to examine the performance of CHADS2 and CHA2DS2-VASc scores in predicting new-onset atrial fibrillation in subjects without preexisting diagnosis of atrial fibrillation.
Source: The American Journal of Medicine - March 21, 2016 Category: Journals (General) Authors: Walid Saliba, Naomi Gronich, Ofra Barnett-Griness, Gad Rennert Tags: Clinical Research Study Source Type: research

Usefulness of CHADS2 and CHA2DS2-VASc Scores in the Prediction of New-Onset Atrial Fibrillation: A Population-Based Study
CHADS2 and CHA2DS2-VASc are validated scores used to predict stroke in patients with atrial fibrillation. Many of the individual risk factors included in these scores are also risk factors for atrial fibrillation. We aimed to examine the performance of CHADS2 and CHA2DS2-VASc scores in predicting new-onset atrial fibrillation in subjects without preexisting diagnosis of atrial fibrillation.
Source: The American Journal of Medicine - March 20, 2016 Category: Journals (General) Authors: Walid Saliba, Naomi Gronich, Ofra Barnett-Griness, Gad Rennert Tags: Clinical research study Source Type: research

Migrating susceptibility vessel sign in posterior circulation stroke
A 95-year-old woman with atrial fibrillation was admitted with acute onset of disturbed consciousness. On admission, neurological deficits rapidly improved and completely disappeared. The prothrombin time-international normalized ratio (PT-INR) was 1.4 although she was medicated with warfarin (2.5 mg/day). Brain magnetic resonance (MR) imaging with diffusion-weighted imaging (DWI) findings on admission were normal, but MR angiography (MRA) detected basilar-top occlusion and susceptibility-weighted imaging (SWI) confirmed the susceptibility vessel sign at the basilar top (Fig.
Source: The American Journal of Medicine - March 11, 2016 Category: Journals (General) Authors: Teppei Komatsu, Hidetaka Mitsumura, Satoshi Matsushima, Yasuyuki Iguchi Tags: Clinical Communication to the Editor Source Type: research

Migrating Susceptibility Vessel Sign in Posterior Circulation Stroke
A 95-year-old woman with atrial fibrillation was admitted with acute onset of disturbed consciousness. On admission, neurological deficits rapidly improved and completely disappeared. The prothrombin time –international normalized ratio was 1.4 although she was medicated with warfarin (2.5 mg/day). Brain magnetic resonance (MR) imaging with diffusion-weighted imaging (DWI) findings on admission were normal, but MR angiography (MRA) detected basilar-top occlusion, and susceptibility-weighted imaging (SWI) confirmed the susceptibility vessel sign at the basilar top (Figure, A and E).
Source: The American Journal of Medicine - March 10, 2016 Category: Journals (General) Authors: Teppei Komatsu, Hidetaka Mitsumura, Satoshi Matsushima, Yasuyuki Iguchi Tags: AJM online Source Type: research

Healthy Lifestyle and Functional Outcomes from Stroke in Women
While a healthy lifestyle has been associated with reduced risk of developing ischemic stroke, less is known about its effect on stroke severity.
Source: The American Journal of Medicine - February 17, 2016 Category: Journals (General) Authors: Pamela M. Rist, Julie E. Buring, Carlos S. Kase, Tobias Kurth Tags: Clinical Research Study Source Type: research