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Source: Pain Physician
Condition: Pain

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Total 48 results found since Jan 2013.

Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: Pain Physician - July 13, 2023 Category: Anesthesiology Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research

Eagle Syndrome: A Rare Cause of Stroke in a Young Patient
We report the case of a 26-year-old man who presented to the emergency department because he noticed that his right hand had become clumsy. He first noticed this symptom five days before his presentation, but he noticed that his symptom had improved significantly since it began. He reported that he had episodes of neck pain and pain around the ear. He visited the family physician clinic several times for this complaint and was diagnosed as having a temporomandibular joint disorder. Neurological examination revealed decreased muscle strength in the right upper limb with a power of 4/5 along with a sensory deficit. The coord...
Source: Pain Physician - February 15, 2022 Category: Anesthesiology Authors: Hussain A Alobaidi Ali A Alfaran Hawa H Algazwi Fatimah I Alkhater Hussain M Alshooalah Abdulrahman K Alanzi Ibrahim A Almindil Abdullah K Alqasim Aisha A Faqeeh Amani A Almutairi Ghaida H Alnaqa Najla H Alnaqa Renad M Alasmari Razan M Almashouf Faisal Al Source Type: research

Postoperative Pain, Acute Stroke, Hormone Therapy, Diet to Improve Cardiovascular Risk, Ovarian Cancer.
Authors: PMID: 31083885 [PubMed - in process]
Source: Pain Physician - May 14, 2019 Category: Anesthesiology Tags: Am Fam Physician Source Type: research

Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval.
CONCLUSIONS: The overall prehospital diagnostic accuracy of PEMTs improved between the year 2004 and 2014 respectively. Our findings suggest that the incidence of common diseases (ACS, dyspnea stroke/intracerebral bleeding, sepsis) increased over a 10-year period. Diagnostic accuracy of different diseases varied but generally decreased in the elderly patient. Regular training of EMS personnel and public campaigns should be implemented to improve the diagnostic accuracy in the future. PMID: 30940205 [PubMed - in process]
Source: Pain Physician - April 1, 2019 Category: Anesthesiology Authors: Schewe JC, Kappler J, Dovermann K, Graeff I, Ehrentraut SF, Heister U, Hoeft A, Weber SU, Muenster S Tags: Scand J Trauma Resusc Emerg Med Source Type: research

The Clinical Features of Dissection of the Cervical Brain-Supplying Arteries
CONCLUSION: Dissection of the cervical brain-supplying vessels is not always revealed by the imaging methods that are used to detect it. Stroke prevention thus depends on the physician's being aware of the symptoms and signs of this disease entity, so that early diagnosis can be followed by appropriate treatment.PMID:35734920 | DOI:10.3238/arztebl.m2022.0238
Source: Pain Physician - June 23, 2022 Category: Anesthesiology Authors: Christian Arning Kathrin Hanke-Arning Bernd Eckert Source Type: research

The prevalence, management, and thirty-day outcomes of symptomatic atrial fibrillation in a Tanzanian emergency department
DISCUSSION: AF is common in a Tanzanian EC, with thirty-day mortality being high, but use of evidence-based therapies is rare. There is an opportunity to improve AF care and outcomes in Tanzania.PMID:34703731 | PMC:PMC8524111 | DOI:10.1016/j.afjem.2021.07.002
Source: Pain Physician - October 27, 2021 Category: Anesthesiology Authors: Isaac O Oyediran Sainikitha Prattipati Francis M Sakita Godfrey L Kweka Tumsifu G Tarimo Timothy Peterson Zak Loring Alexander T Limkakeng Gerald S Bloomfield Julian T Hertz Source Type: research

Outcomes of Dexmedetomidine with Local Regional Anesthesia in Carotid Endarterectomy
CONCLUSIONS: The use of dexmedetomidine in addition to LRA is a safe and acceptable alternative to conventional GETA or LRA alone in CEA with shorter length of hospital stay when compared with GETA, improved patient tolerance based on physician observation and similar rates of immediate and short-term complications, as well as post-operative pain scores.PMID:36229003 | DOI:10.1016/j.avsg.2022.08.009
Source: Pain Physician - October 13, 2022 Category: Anesthesiology Authors: Samik H Patel Vikram L Sundararaghavan Amber M Pawlikowski Jeremy Albright Jason M Adams Michael J Heidenreich Robert J Beaulieu Abdulhameed Aziz Source Type: research

The Presentation, Pace, and Profile of Infection and Sepsis Patients Hospitalized Through the Emergency Department: An Exploratory Analysis
CONCLUSIONS: The clinical presentation of sepsis was heterogeneous and occurred with rapid onset prior to hospital presentation. These findings have important implications for improving public education, clinical treatment, and quality measures of sepsis care.PMID:33655214 | PMC:PMC7909460 | DOI:10.1097/CCE.0000000000000344
Source: Pain Physician - March 3, 2021 Category: Anesthesiology Authors: Vincent X Liu Meghana Bhimarao John D Greene Raj N Manickam Adriana Martinez Alejandro Schuler Fernando Barreda Gabriel J Escobar Source Type: research

Transcranial Direct Current Stimulation for the Management of Neuropathic Pain: A Narrative Review
CONCLUSION: The results of the included studies suggest that tDCS may be beneficial in treating patients with NP due to stroke, spinal cord injury, multiple sclerosis, and trigeminal neuralgia. Further studies are recommended to validate the efficacy of tDCS in treating other types of NPs.PMID:34554695
Source: Pain Physician - September 23, 2021 Category: Anesthesiology Authors: Seoyon Yang Min Cheol Chang Source Type: research

Prevalence of Complications Associated with Diabetes among Pakistani Patients: A Questionnaire-Based Survey
CONCLUSION: All age groups showed diabetes-associated complications and different abnormal body conditions. However, the age groups ranging from thirty to eighty years showed more complications. The most prevalent complications reported were retinopathy, nephropathy, diabetic wounds on the foot, slow wound healing, seizures, hypertension, neuropathy, skin infections, cardiovascular disorders, liver damage and stroke in both types of diabetic patients. Our survey may aid in pointing out the most prevalent diabetic complications prevailing in our population so that effective treatment options could be developed to reduce the...
Source: Pain Physician - January 19, 2022 Category: Anesthesiology Authors: Sana Eijaz Sarah Lalpuria Mahrukh Afzal Ariba Yasmeen Sadia Saleem Asma Begum Source Type: research

Standardised data collection in prehospital critical care: a comparison of medical problem categories and discharge diagnoses
CONCLUSIONS: Medical problems reported by HEMS personnel have adequate correspondence to hospital discharge diagnoses. However, the classification of cerebrovascular accidents remains challenging.PMID:35413859 | DOI:10.1186/s13049-022-01013-5
Source: Pain Physician - April 13, 2022 Category: Anesthesiology Authors: Miretta Tommila Jukka Pappinen Lasse Raatiniemi Anssi Saviluoto Tuukka Toivonen Johannes Bj örkman Jouni Nurmi Source Type: research

Electroacupuncture Alleviates Thalamic Pain in Rats by Suppressing ADCY1 Protein Upregulation
CONCLUSIONS: EA treatment may promote the recovery of TP model rat by regulating ADCY1 expression.PMID:35793187
Source: Pain Physician - July 6, 2022 Category: Anesthesiology Authors: Bao-Feng Ma John P Williams Jian-Feng Zhang Ruo-Guo Wang Jian Guo Jian-Xiong An Source Type: research