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Total 35189 results found since Jan 2013.

Cardiac Tamponade Secondary to Hemorrhagic Pericardial Effusion: A Complication of STEMI
Conclusion: The differential for hemodynamic compromise in a patient with STEMI is broad, but quickly distinguishing pump failure from other life-threatening causes of shock is imperative to dictate time-sensitive management decisions. The presence of a hemorrhagic pericardial effusion in the setting of STEMI is a surrogate marker for a severe infarct and can help the bedside physician determine whether a patient will be better served in the catheterization lab for revascularization or in the operating room for surgical repair.PMID:37711482 | PMC:PMC10498953 | DOI:10.31486/toj.23.0023
Source: Ochsner Journal - September 15, 2023 Category: General Medicine Authors: Marvin Kajy Amy Rechenberg Connor Kerndt Kevin Wolschleger Source Type: research

Massive Renal Cyst Displacing Intra-Abdominal Structures
Conclusion: Noninvasive treatment options for a massive simple renal cyst are limited. Symptomatic treatment and monitoring the cyst size on a regular basis might be helpful for patients who refuse invasive treatment.PMID:37711476 | PMC:PMC10498955 | DOI:10.31486/toj.23.0036
Source: Ochsner Journal - September 15, 2023 Category: General Medicine Authors: Khalid M G Mohammed Ayaa Zarm Juan Carlos Q Velez Muner M B Mohamed Source Type: research

Gangliocytic Paraganglioma of the Duodenum: A Masquerader
Conclusion: GP is often a histologic surprise as most cases are diagnosed in postoperative histopathology. While GP has a more benign course than a neuroendocrine tumor, radical surgical resection is warranted in cases of diagnostic dilemma, suspicion of malignancy, or lymph node metastasis. Robotic-assisted pancreatoduodenectomy is a feasible option.PMID:37711472 | PMC:PMC10498948 | DOI:10.31486/toj.23.0010
Source: Ochsner Journal - September 15, 2023 Category: General Medicine Authors: Vishu Jain B Selvakumar Vaibhav Kumar Varshney Vikarn Vishwajeet Sameer Taywade Lokesh Agarwal Taruna Yadav Rakesh Pandey Source Type: research

Appendiceal mucocele as an exceptional cause of ileocecocolic intussusception in adults: a case report
ConclusionThe symptoms of bowel intussusception with the appendiceal mucocele as the lead point in adults are similar to any other bowel intussusception. Differential diagnosis is often carried out thanks to the injected abdominal computed tomography scan.
Source: Journal of Medical Case Reports - September 15, 2023 Category: General Medicine Source Type: research

Effectiveness of thoracic spine manipulation for upper quadrant musculoskeletal disorders: protocol for a systematic review
Introduction Upper quadrant musculoskeletal disorders (UQMD), comprising of cranial, cervical, shoulder and upper extremity disorders, are among the most frequently reported disorders in clinical practice. Thoracic high velocity low amplitude thrust (Tx-HVLAT) manipulation is a form of conservative management recommended in systematic reviews as an effective treatment option for aspects of UQMD disorders such headache, shoulder pain and lateral elbow pain. However, no recent systematic reviews have assessed the effectiveness across UQMD. Therefore, this systematic review aims to update the current evidence on the effective...
Source: BMJ Open - September 15, 2023 Category: General Medicine Authors: Thoomes, E., Tilborghs, G., Heneghan, N. R., Falla, D., de Graaf, M. Tags: Open access, Rehabilitation medicine Source Type: research

Pain catastrophising in Chinese patients with breast cancer during postoperative chemotherapy: a qualitative study
Conclusion Patients with breast cancer have adverse pain experience during postoperative chemotherapy. The evaluation and screening of psychological variables such as pain catastrophising should be strengthened to provide new ideas for pain management.
Source: BMJ Open - September 15, 2023 Category: General Medicine Authors: Zhang, Y., Long, W., Wang, H., Wang, J., Tang, C., Ma, J., Zhong, J. Tags: Open access, Oncology Source Type: research

Cryotherapy following total knee replacement
CONCLUSIONS: The certainty of evidence was low for blood loss, pain and range of motion, and very low for transfusion rate, function, total adverse events and withdrawals from adverse events. We are uncertain whether cryotherapy improves transfusion rate, function, total adverse events or withdrawals from adverse events. We downgraded evidence for bias, indirectness, imprecision and inconsistency. Hence, the potential benefits of cryotherapy on blood loss, pain and range of motion may be too small to justify its use. More well-designed randomised controlled trials focusing especially on clinically meaningful outcomes, such...
Source: Cochrane Database of Systematic Reviews - September 14, 2023 Category: General Medicine Authors: Ashwin Aggarwal Sam Adie Ian A Harris Justine Naylor Source Type: research

A retrospective observational study of the management of non-traumatic dental presentations at a tertiary centre in New Zealand: a Choosing Wisely approach
CONCLUSIONS: NTDPs may receive non-optimal management in EDs. Continuing to care for NTDPs in this environment may add to increased healthcare costs, access block and poor opioid and antimicrobial stewardship.PMID:37708483
Source: New Zealand Medical Journal - September 14, 2023 Category: General Medicine Authors: Calum Fisher Oliver Sutcliffe Peter Coghlan Andrew McCombie Laura Joyce Source Type: research

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