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Total 35189 results found since Jan 2013.

Sclerosing angiomatoid nodular transformation of the spleen in a child with anemia: a case report and  review of the literature
ConclusionAlthough sclerosing angiomatoid nodular transformation is exceedingly rare in children, it should be considered a differential diagnosis in pediatric splenic neoplasms with concurrent hematologic manifestations, such as anemia.
Source: Journal of Medical Case Reports - September 22, 2023 Category: General Medicine Source Type: research

Unravelling a mysterious skin lesion in a patient with Ulcerative Colitis
A 53-year-old male with a history of long-standing ulcerative colitis presented to the emergency department with pain and swelling in his left lower extremity. He was diagnosed 12 years prior to the presentation with ulcerative colitis. He was initially managed with mesalamine for 5 years after which he lost response. For the following 6 years, he was placed on multiple immunosuppressive medications including adalimumab, infliximab, and mirikizumab. He remained symptomatic despite these medications.
Source: The American Journal of Medicine - September 22, 2023 Category: General Medicine Authors: Khaled Al-Smadi, Ammar Qureshi, Hasan Sqour, Ruijun Jeanna Su, Zeid Kayali Tags: Diagnostic Dilemma Source Type: research

Digital Health Applications in the Area of Mental Health —a Scoping Review
CONCLUSION: Most of the published studies display a high risk of bias, both because of the manufacturers' participation and because of methodological deficiencies. DiGA are an increasingly important therapeutic modality in psychiatry. The available evidence indicates that treatment effects are indeed present, but prospective comparisons with established treatments are still entirely lacking.PMID:37732500 | DOI:10.3238/arztebl.m2023.0208
Source: Deutsches Arzteblatt International - September 21, 2023 Category: General Medicine Authors: Stefanie Schreiter Lea Mascarell-Maricic Orestis Rakitzis Constantin Volkmann Jakob Kaminski Martin Andr é Daniels Source Type: research

Patients experience of using colonoscopy as a diagnostic test after a positive FOBT/FIT: a systematic review of the quantitative literature
Conclusion This review highlighted that patient-reported experiences associated with colonoscopy were generally positive. To improve the colonoscopy experience, bowel screening centres should investigate means to: make bowel preparation more acceptable, make colonoscopy less painful and reduce post-colonoscopy symptoms.
Source: BMJ Open - September 21, 2023 Category: General Medicine Authors: Kayal, G., Kerrison, R., Hirst, Y., von Wagner, C. Tags: Open access, Public health Source Type: research

Proteus mirabilis: A rare cause of pneumonia, radiologically mimicking malignancy of the lung
ConclusionMass lesions suspected for malignancy should be managed with involvement of multiple medical disciplines, to ensure correct and timely diagnosis. This is to avoid miss-management.
Source: Clinical Case Reports - September 20, 2023 Category: General Medicine Authors: Saif ullah, Ramin Saadaat, Hidayatullah Hamidi, Ahmed Maseh Haidary Tags: CASE REPORT Source Type: research

Twists and turns: A case report of cecal volvulus
We present a case of a 22-year-old male presenting in the emergency room with colicky abdominal pain, vomiting, and abdominal distension for which an early computed tomography scan was done and diagnosed as cecal volvulus. Following diagnosis case was managed promptly by laparotomy with right hemicolectomy and primary anastomosis.
Source: Clinical Case Reports - September 20, 2023 Category: General Medicine Authors: Aashish Sapkota, Aashna Batajoo, Samit Lamichhane, Alok Shrestha, Nidhi Bhatt Tags: CASE REPORT Source Type: research

Blot Clot Risk Higher When Pain Relievers Used With Hormonal Contraception
Using over-the-counter pain relievers known as nonsteroidal anti-inflammatory drugs (NSAIDs) such as diclofenac, ibuprofen, and naproxen alongside hormonal contraception was tied to a higher chance of developing blood clots, also known as venous thromboembolism, according to data collected from about 2 million women in Denmark between 1996 and 2017.
Source: JAMA - Journal of the American Medical Association - September 20, 2023 Category: General Medicine Source Type: research

Efficacy of transcutaneous auricular vagus nerve stimulation on radiotherapy-related neuropathic pain in patients with head and neck cancers (RELAX): protocol for a multicentre, randomised, double-blind, sham-controlled trial
This study has been approved by the Medical Research Ethics Committee of Sun Yat-sen University (SYSKY-2022-109-01) and will be conducted in strict accordance with the Declaration of Helsinki. Ethical approvals will be obtained separately for all centres involved in the study. Study results will be published in peer-reviewed academic journals. The database of the study will be available from the corresponding author on reasonable request. Trial registration number NCT05543239
Source: BMJ Open - September 20, 2023 Category: General Medicine Authors: Zuo, X., Li, Y., Rong, X., Yang, X., Zhu, Y., Pan, D., Li, H., Shen, Q.-Y., Tang, Y. Tags: Open access, Neurology Source Type: research

Are we doing enough to help chronic pain sufferers?
One in five adults in the U.S. suffers from chronic pain. We see these patients every day—but do we really hear them when they confide in us about their pain? As health care providers, no matter our discipline, we can do more to truly listen and consider the best referral pathway for pain sufferers. We should Read more… Are we doing enough to help chronic pain sufferers? originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - September 19, 2023 Category: General Medicine Authors: Tags: Conditions Orthopedics Source Type: blogs

Using Meds to Manage Your Arthritis Pain: An Overview
TUESDAY, Sept. 19, 2023 -- Millions of Americans suffer from arthritis, and many reach for medication to ease their joint pain and inflammation. The options might seem overwhelming, though. Here, the Arthritis Foundation offers some suggestions for...
Source: Drugs.com - Daily MedNews - September 19, 2023 Category: General Medicine Source Type: news

Emergency management of colon adenocarcinoma in an adolescent female: A rare case report
Incisional biopsy of the tumor, peritoneal deposits, and excised specimen. Key Clinical MessageColorectal carcinoma (CRC) should be suspected in pediatric patients with a bowel obstruction in an emergency setting. Evidence-based surgical management with chemotherapy is crucial to prevent adverse outcomes.AbstractCRC should be suspected in pediatric patients presenting to the emergency with unspecified abdominal pain. An erect X-ray abdomen and a colonoscopy should be initial diagnostic tests. If colonoscopy raises suspicion of CRC, a biopsy during colonoscopy is indicated. A computed tomography scan of the chest, abdomen, ...
Source: Clinical Case Reports - September 19, 2023 Category: General Medicine Authors: Chintapenta Harshini, T. Sri Harsha, Billakanti Rajkumar, Humaira Shaikh, Nooreen Habib, Ayush Anand Tags: CASE REPORT Source Type: research

Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries
Conclusions People seeking abortion across multiple country contexts and among various care models have confirmed the importance of interpersonal care in quality. These findings provide guidance on six priority areas which could be used to sharpen the definition of abortion quality, improve measurement, and design interventions to improve quality.
Source: BMJ Open - September 19, 2023 Category: General Medicine Authors: Baum, S. E., Jacobson, L., Ramirez, A. M., Katz, A., Grosso, B., Bercu, C., Pearson, E., Gebrehanna, E., Chakraborty, N. M., Dirisu, O., Chowdhury, R., Zurbriggen, R., Filippa, S., Tabassum, T., Gerdts, C. Tags: Open access, Patient-centred medicine Source Type: research

High-Sensitivity Cardiac Troponin Assays: Ready for Prime Time!
Annu Rev Med. 2023 Sep 18. doi: 10.1146/annurev-med-051022-113931. Online ahead of print.ABSTRACTRapid and accurate triage of patients presenting with chest pain to an emergency department (ED) is critical to prevent ED overcrowding and unnecessary resource use in individuals at low risk of acute myocardial infarction (AMI) and to efficiently and effectively guide patients at high risk to definite therapy. The use of biomarkers for rule-out or rule-in of suspected AMI has evolved substantially over the last several decades. Previously well-established biomarkers have been replaced by cardiac troponin (cTn). High-sensitivit...
Source: Annual Review of Medicine - September 18, 2023 Category: General Medicine Authors: Konstantin A Krychtiuk L Kristin Newby Source Type: research

Protocol for a double-blinded randomised controlled trial investigating the use of adjunct bicarbonate in carpal tunnel release: a single-centre study
This study aims to compare the effectiveness of buffered and non-buffered long-acting local anaesthetics in pain relief during and after carpal tunnel release (CTR) surgery. Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment syndrome. Surgical treatment of CTS, CTR, is the most common hand surgical operation. CTR is usually performed under local anaesthesia, the application of which is often the most painful event during the procedure. One important aspect of patient satisfaction is adequate pain management during and after CTR. Long-acting local anaesthetics provide good postoperative pain control...
Source: BMJ Open - September 18, 2023 Category: General Medicine Authors: Hytönen, M., Nietosvaara, Y., Reito, A., Sirola, J., Heikkinen, N., Savolainen, A., Räisänen, M. P. Tags: Open access, Surgery Source Type: research