• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Recognition of giant cell arteritis in patients with polymyalgia rheumatica who have a stroke: a cautionary tale
Abstract An 82‐year‐old woman with polymyalgia rheumatica (PMR) on prednisone 7 mg daily was admitted to an acute stroke unit with a right homonymous hemianopia, a left posterior cerebral artery occlusion and occipital lobe infarct. She had raised inflammatory markers, did not have a temporal artery biopsy, and was discharged on the same dose of prednisone. After 21 months, off prednisone, her ophthalmologist, concerned about giant cell arteritis (GCA), restarted prednisone 40 mg daily, with rapid, profound visual improvement. After 3 days her general practitioner, noting normal baseline inflammatory markers, stopp...
Source: Internal Medicine Journal - October 9, 2017 Category: Internal Medicine Authors: Donald H. Gutteridge, Frank L. Mastaglia Tags: Brief Communication Source Type: research

Reflection on stroke deaths and end ‐of‐life stroke care
Internal Medicine Journal,Volume 48, Issue 3, Page 330-334, March 2018.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Source Type: research

Urolithiasis is associated with an increased risk of stroke: A population ‐based 5‐year follow‐up study
ConclusionsIn conclusion, the present study detected an increased risk of both ischemic and hemorrhagic stroke in patients with urolithiasis, particularly in those older than 40 years old.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Authors: Ping ‐Song Chou, Wei‐Pin Chang, Yii‐Her Chou Tags: Original Article Source Type: research

Reflection on Stroke Deaths and end ‐of‐life stroke care
ConclusionIn this cohort, palliative care referral and EOLCP were commenced in less than 50% of patients, highlighting significant variations in clinical care. These data support the need to promote awareness of ACP, particularly in patients with prior stroke or significant co‐morbidities. This may help reduce potentially futile invasive investigations and treatment.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Authors: Syed Zujajuddin Quadri, Thang Huynh, Cecilia Cappelen ‐Smith, Nirupama Wijesuriya, Abul Mamun, Roy Beran, Alan Mcdougall, Dennis Cordato Tags: Original Article Source Type: research

Strategic framework improves access to stroke reperfusion across the state of Victoria Australia
ConclusionA strategic and region‐specific approach has resulted in improved access by road transport to reperfusion therapies for stroke patients across Victoria.
Source: Internal Medicine Journal - August 6, 2017 Category: Internal Medicine Authors: Janet E. Bray, Sonia Denisenko, Bruce C. V. Campbell, Michael Stephenson, Jason Muller, Grant Hocking, Peter J. Hand, Christopher F. Bladin Tags: Original Article Source Type: research

Impact and implementation of a sustainable regional telestroke network
DiscussionTelestroke was associated with a significant increase in thrombolysis rate and reduction in door‐to‐needle time in provincial hospitals indicating improved patient care. Quantification of the extra neurologist workload allowed for a seamless transition to ‘business as usual’ using a novel funding and service model.
Source: Internal Medicine Journal - July 25, 2017 Category: Internal Medicine Authors: Annemarei Ranta, Jeremy Lanford, Suzanne Busch, Carolyn Providence, Ivan Iniesta, Ian Rosemergy, Andrew Wilson, Pietro Cariga, Victoria Richmond, John Gommans Tags: Original Article Source Type: research

Acute evaluation of the acute vestibular syndrome – differentiating posterior circulation stroke from acute peripheral vestibulopathies
Abstract This review article aims to provide an evidence‐based approach to evaluating the patient who presents with acute prolonged, spontaneous vertigo in the context of the acute vestibular syndrome (AVS). Differentiation of posterior circulation stroke presenting as an acute vestibular syndrome has been regarded as an important diagnostic challenge for physicians involved in acute care. Current evidence suggests that a targeted approach to history taking and physical examination with emphasis on the oculomotor examination, more specifically the HINTS (Head Impulse/ Nystagmus/Test‐of‐skew) examination battery, yiel...
Source: Internal Medicine Journal - July 11, 2017 Category: Internal Medicine Authors: Benjamin Kwok ‐Tung Tsang, Alex Siew‐Kar Chen, Mark Paine Tags: Review Source Type: research

Benefits of clinical facilitators on improving stroke care in acute hospitals: a new programme for Australia
ConclusionFixed‐term employment of Facilitators was effective in positively influencing stroke care in hospitals through a range of change management strategies where stroke‐specific expertise had been previously limited.
Source: Internal Medicine Journal - July 4, 2017 Category: Internal Medicine Authors: Tara Purvis, Karen Moss, Linda Francis, Karen Borschmann, Monique F. Kilkenny, Sonia Denisenko, Christopher F. Bladin, Dominique A. Cadilhac Tags: Original Article Source Type: research

Perioperative management of new oral anticoagulants in patients undergoing elective surgery at a tertiary hospital
ConclusionConsiderable discordance exists between guideline recommendations and perioperative NOAC management. Assistive tools are required that better align decision making with current best practice.
Source: Internal Medicine Journal - June 7, 2017 Category: Internal Medicine Authors: Henry Wamala, Ian A Scott, Xenia Caney Tags: Original Article Source Type: research

A strategic framework improves access to stroke reperfusion across the state of Victoria, Australia
ConclusionsA strategic and region‐specific approach has resulted in improved access by road transport to reperfusion therapies for stroke patients across Victoria.
Source: Internal Medicine Journal - May 30, 2017 Category: Internal Medicine Authors: Janet E. Bray, Sonia Denisenko, Bruce C.V. Campbell, Michael Stephenson, Jason Muller, Grant Hocking Grad, Peter J. Hand, Christopher F. Bladin Tags: Original Article Source Type: research

Disparities in the incidence of acute myocardial infarction: long ‐term trends from the Hunter region
ConclusionBetween 1996 and 2013 in the Hunter region, the adjusted incidence of AMI increased for regional patients compared to metropolitan patients with a trend towards a higher adjusted incidence of AMI in the indigenous population.
Source: Internal Medicine Journal - May 14, 2017 Category: Internal Medicine Authors: Allan J. Davies, Crystal Naudin, Mohammed Al ‐Omary, Arshad Khan, Chris Oldmeadow, Mark Jones, Bruce Bastian, Rohan Bhagwandeen, Peter Fletcher, James Leitch, Andrew Boyle Tags: Original Article Source Type: research

Giant Cell Arteritis – Beyond temporal artery biopsy and steroids
Abstract Giant cell arteritis is the commonest primary vasculitis of the elderly. The acute complications of untreated Giant cell arteritis such as vision loss or occasionally stroke can be devastating. The diagnosis is however not altogether straightforward due to variable sensitivities of the temporal artery biopsy as a reference diagnostic test. In this review, we discuss the increasing role of imaging in the diagnosis of Giant cell arteritis. Glucocorticoid treatment is the backbone of therapy but it is associated with significant adverse effects. A less toxic alternative is required. Conventional and novel immunosuppr...
Source: Internal Medicine Journal - May 9, 2017 Category: Internal Medicine Authors: Jem V Ninan, Susan Lester, Catherine L Hill Tags: Review Source Type: research

Capturing atrial fibrillation post acute stroke: stroke unit versus coronary care monitored telemetry
Source: Internal Medicine Journal - May 8, 2017 Category: Internal Medicine Authors: Valente M, Dewey HM, Choi PM Tags: Abstracts Source Type: research

Environmental heat stroke and long ‐term clinical neurological outcomes: a literature review of case reports and case series 2000–2016
Source: Internal Medicine Journal - May 8, 2017 Category: Internal Medicine Authors: Lawton E, Gabb G, Pearce H Tags: Abstracts Source Type: research

The benefits of clinical facilitators on improving stroke care in acute hospitals: a new program for Australia
ConclusionFixed‐term employment of Facilitators was effective in positively influencing stroke care in hospitals through a range of change management strategies where stroke‐specific expertise had been previously limited.
Source: Internal Medicine Journal - April 19, 2017 Category: Internal Medicine Authors: Tara Purvis, Karen Moss, Linda Francis, Karen Borschmann, Monique F. Kilkenny, Sonia Denisenko, Christopher F. Bladin, Dominique A. Cadilhac Tags: Original Article Source Type: research

Pages: 1  2  3  4  5  6