Результаты поиска

How effective are injection treatments for lateral epicondylitis?

OBJECTIVE: To compare the effectiveness, after 3 months, of a single injection of platelet-rich plasma (PRP), glucocorticoid (GC), or saline … itis symptoms for ≥3 months (pain on the lateral side of the elbow and at the lateral epicondyle on palpation and during resisted dorsiflexion of the wrist), an ultrasound (US) color Doppler flow of ≥ grade 2 (range, 0-4). Exclusion criteria were age <18 years, treatment with GC injection within 3 months, inflammatory diseases, and conditions causing chroni …

Hematology

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Совпадение в полном тексте источника
… If no dullness is detected on percussion, there is no need to palpate as the results of palpation will not effectively rule in or rule out splenic enlargement. If the possibility of missing splenic enlargement remains an important clinical concern, then ultrasound or scintigraphy is indicated. … One-handed palpation with patient supine | 8.2 | 0.41 Middleton hooking maneuver | 6.5 | 0.16 JAMA 1993 270:18 UPDATE —palpation may have greater accuracy than percussion, especially in lean patients. …

Intractable right coronary artery spasm in the early postoperative period after heart transplantation: a case report.

Coronary artery spasm after heart transplantation is a very rare complication. In one observational study and many anecdotal reports, most cases of coronary artery spasm occurred more than 1 year after surgery and had good outcomes. However, cases of intractable coronary artery spasm during the early postoperative period resulting in fatality are limited. This report presents a case of two cardiac arrests caused by coronary artery spasms within a short period of time after heart transplantation.

Совпадение в полном тексте источника
… There were no abnormal findings on inspection and palpation of the epicardial coronary vessels during donor heart procurement. The operation was performed without complications, and postoperative transesophageal echocardiography revealed normal biventricular contractility. … Although the donor in this case was not indicated to undergo left heart catheterization before transplantation according to the consensus statement, and no abnormalities were found during the intraoperative inspection and palpation of the coronary arteries, a high plaque burden of the RCA was found on …

Vertebroplasty of cervical vertebra.

BACKGROUND: The first vertebroplasty was performed by Harve Deramond in France in 1984 due to a hemangioma of cervical vertebral body. Procedure technique consisted of inserting a needle through the bony palate of the oral cavity. Bone cement injected under pressure not only fills the areas of bone loss. The heat released in the process of crystallization causes denaturation of pathological tissue proteins (metastasis) and disrupts blood supply (hemangiomas). The aim of this study was to evaluate the method of treatment from anterolateral access. MATERIAL/METHODS: In the years 2007-2012 the p

Совпадение в полном тексте источника
… As common carotid artery pulse was identified through palpation, percutaneous injection was performed at the level of C4–C5 intervertebral disc at the level of C4 vertebral body. … Puncture was performed at the level of C4–C5 intervertebral disc at the level of C4 body after palpating common carotid artery pulse. …

Fetal health surveillance in labour.

OBJECTIVE: This guideline defines the standards pertaining to the application and documentation of fetal surveillance in labour that will de … ction frequency, duration, intensity, and resting tone should be assessed and documented. Abdominal palpation, a tocodynamometer, or an intrauterine pressure catheter may be used to facilitate the assessment. (III-C) 9. Practitioners should use standard terminology when describing fetal heart rate characteristics of an electronic fetal monitoring record. (I …

Emergency Care

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Cementless Reverse Shoulder Arthroplasty Technique to Maximize Press-Fit Fixation with Humeral Matchstick Bone Grafts.

BACKGROUND: Cementless reverse shoulder arthroplasty has become increasingly popular because of the improved implant design, porous ingrowth surface, and surgical techniques. When avoiding the risks of cement use, a press-fit arthroplasty stem that has been implanted may not feel immediately stable, especially if the medullary canal size is in between standard stem diameters. To help surgeons improve fixation and avoid overstuffing the medullary canal, we present the matchstick autograft augmentation technique. The use of humeral autograft, analogous to impaction grafting in hip arthroplasty,

Unusual Manifestations of Secondary Syphilis: Case Presentations.

Dear Editor, Syphilis is an infection caused by Treponema pallidum. Without treatment, it goes through the following stages: primary, second … mbs and generalized lymphadenopathy (Figure 2, a, b). The tibial crest and radius were sensitive to palpation. A right leg radiography was performed, raising suspicion of osteoid osteoma. The CT scan excluded the diagnosis of osteoma; taking into account the epidemiological context, the diagnosis of syphilis was suspected. The diagnosis was confirmed by leg …

[Mechanism of kynurenine 3-monooxygenase inhibitor GSK180 in alleviating trauma-induced sepsis-induced acute kidney injury in rats].

OBJECTIVE: To investigate the protective effect of kynurenine 3-monooxygenase (KMO) inhibitor GSK180 against trauma-induced sepsis (TIS)-ind … received no treatment. The Sham group was subjected only to laparotomy exploration and gentle cecal palpation followed by abdominal closure, and 40 mL/kg normal saline was injected subcutaneously for fluid resuscitation after surgery until the rats recovered voluntary movement. TIS groups were treated with combined injury to establish the TIS-induced AKI mo …

Charcot Arthropaticy of the Peelter with Ipsionteral Wrist и First Carpometakarpal Shiri Malformation I Type with Syringomyelia.

Артропатия плеча является редким проявлением нервно - суставной болезни и чаще всего ассоциируется с шприцомелией. Когда это происходит, оно часто приводит к постепенному совместному разрушению, но из-за минимальной боли оно приводит к задержкам в диагностике. Мы сообщаем о случае 54-летней женщины, представлявшей трехмесячную историю опухоли левого плеча, деформации и жесткого ограничения диапазона движения, связанного с ипсиосторонней деформацией запястья. У пациента была известная история неправильной формы Кьяри первого типа с шприцомелией. В ходе клинического обследования была выявлена за

Совпадение в полном тексте источника
… The joint was not painful on palpation. Active range of motion was severely restricted, with forward elevation of less than 10°, external rotation of 0°, internal rotation of 0°, and abduction of 0°. … Examination of the left wrist revealed ulnar deviation with first CMC joint effusion, tender to palpation with restricted range of motion, and decreased temperature sensation compared to the contralateral side. …

Временная плазмоцитома костей: исключительная локализация плазматомы одиночных костей, подчеркивающая роль мультимодальной съемки и многодисциплинарного управления.

Одинокая плазмоцитома (SP), редкая форма неоплазмы плазменных клеток, характеризуется моноклонным распространением плазменных клеток в локальном повреждении костей или мягких тканей. Временная плазмоцитома - это редкое проявление этого состояния, которое часто сопровождается такими неспециальными симптомами, как потеря слуха, утенок и краниальный нервный дефицит. Диагноз часто является сложным, учитывая совпадение с другими патологиями, такими, как холеститома и параганлиома. Гистопатологический анализ обычно показывает наличие листов плазменных клеток, которые подтверждаются иммунохимией для

Совпадение в полном тексте источника
… Fig 1 dummy alt text Upon physical examination, a firm, non-pulsatile, and fixed mass was palpated in the deep planes of the right temporal region. It was tender to palpation but did not exhibit any pulsation. The remainder of the physical examination did not reveal any significant abnormalities. …

Fatal Type B Lactic Acidosis Associated With Metastatic Colorectal Cancer: A Case Report With Review of Literature, Pathogenesis, and Treatment.

Type B lactic acidosis associated with malignancy is a life-threatening complication and mostly seen in hematological malignancies but can also be seen in solid tumors. We report a rare case of a 64-year-old female diagnosed with metastatic adenocarcinoma of the colon with liver metastasis associated with severe type B lactic acidosis. We discuss pathophysiology, previously reported cases, and their outcomes. The most widely used therapies are bicarbonate infusion, thiamine supplementation, chemotherapy, and supportive care but is associated with poor outcomes, and no standard treatment recomm

Совпадение в полном тексте источника
… She had moderate right upper abdominal quadrant tenderness to palpation. There was no guarding, rebound, rigidity, or organomegaly. No masses could be palpated on examination. Her neurological, cardiovascular, pulmonary, and dermatological examination was normal. …

Мандибулярная плазмоцитома как первоначальное проявление несекретарской множественной миеломы: Редкая диагностика.

Плазменные клеточные новообразования, связанные с челюстями, редки, при этом мантибулярное участие представляет собой редкое первоначальное проявление системной множественной миеломы (ММ). Их неспециальная клиническая и радиография часто имитирует более распространенные одонтогенные и подстрекательские условия, что затрудняет раннюю диагностику. Мы сообщаем о случае с 81-летним мужчиной, который испытывал боль и опухоль на левой задней челюсти в течение двух месяцев. Клиническое обследование выявило диффузный отек левого челюсти и угла. Ортопантомография (ОПГ) продемонстрировала четко определе

Совпадение в полном тексте источника
… The swelling was firm in consistency with mild tenderness on palpation, and the overlying skin appeared normal without erythema or sinus formation. No palpable cervical lymphadenopathy was noted. … Lingual cortical expansion was also appreciable on palpation. …

An unusual presentation of metastatic prostate cancer in a 44-year-old man: A case report and review of the literature.

UNLABELLED: Prostate cancer is one of the two most common non-cutaneous cancers in men. Its presentation might be with unusual symptoms and cause the wrong initial diagnosis. This case report discusses a rare neurologic manifestation of advanced metastatic cancer in a low-risk man. He had been receiving treatment for multiple sclerosis incorrectly due to unusual manifestations such as claudication and pelvic, leg, and shoulder pain. The patient underwent a whole-body bone scan and then a transrectal ultrasound-guided biopsy, which confirmed metastatic prostate cancer with a Gleason score betwe

Совпадение в полном тексте источника
… erection since he finished radiation treatment/Gleason 4 + 5/sharp and burning pain that was only mildly relieved by topical lidocaine gel/possible partial cavernosal thrombosis at the base of the cavernosal as well as plaques within the tunica albuginea in MRI/rigid penile shaft and glans, with pain on palpation … external rotation (FABER) of the hip and sacroiliac joint spring tests reproduced pain in the left hip, lumbosacral spine, and sacroiliac joint/strength 4/5 in left hip flexion/hypertonicity at the paraspinal muscles, gluteal muscles, iliotibial band, lateral rotators, and adductors of the left hip in palpation …

Effective examination methods for identifying the primary origins of metastatic bone tumors of unknown primary origin during the initial visit: A retrospective chart review study.

ObjectiveTo provide appropriate treatment for patients, early diagnosis of the primary origin of skeletal metastases of unknown primary origin is important. This study aimed to assess the examination strategy effective for identifying the primary origin of skeletal metastases of unknown primary origin.MethodsSixty-one patients with skeletal metastases of unknown primary origin were reviewed. The primary origin was examined via physical examination, blood test including tumor markers, chest radiography, thoracoabdominal computed tomography scan, positron emission tomography-computed tomography

Совпадение в полном тексте источника
… For lung cancer, low-grade helical CT scan is recommended. 14 , 15 Mammography is used for the screening of breast cancer, and palpation is included in the diagnostic work-up examination. 16 , 17 Prostate cancer is usually assessed via blood test, including PSA with or without a digital rectal examination … For example, palpation for breast cancer, blood tests for prostate and hematological cancers, and CT scans for lung and breast cancers are extremely useful examinations. …

Relapsed Chronic Lymphocytic Leukemia Heralded by Parathyroid Hormone Related Peptide-Mediated Hypercalcemia.

Hypercalcemia is a common, serious complication in patients with malignancy and is associated with significant morbidity. Compared to patients with solid tumor malignancies, the reported incidence of hypercalcemia in patients with indolent lymphoid malignancies is lower and rare in those with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). In this report, we describe the case of a patient with a history of CLL/SLL previously treated with multiple lines of therapy and thought to be in remission who presented with symptomatic, severe hypercalcemia. Her calcium initially improv

Совпадение в полном тексте источника
… She appeared fatigued, did not have palpable lymphadenopathy or hepatosplenomegaly, and her abdomen was non‐tender to palpation throughout. Cardiac exam revealed a normal heart rate and regular rhythm without murmurs, rubs, or gallops. … She did not have any paraspinal tenderness to palpation. She was alert and oriented to person, place, and time. …

Case Report: Suspected Solitary Osseous Plasmacytoma in a Cat: Use of Magnetic Resonance Imaging to Diagnose and Confirm Resolution of Disease Following Chemotherapy.

A 9-year-old female spayed Domestic Shorthair cat presented for pain, reluctance to jump, and hyporexia of 14 days duration. Neurologic examination was consistent with C6-T2 myelopathy. Magnetic resonance imaging (MRI) revealed a solitary, contrast-enhancing lesion within the T2 vertebral body. Solitary osseous plasmacytoma was diagnosed based on neurologic examination, advanced imaging, and clinicopathologic findings. Melphalan and prednisolone therapy were initiated. Complete resolution of clinical signs and the vertebral lesion were documented at a 2-year follow up examination with neurolog

Совпадение в полном тексте источника
… On presentation, abnormalities noted on physical examination included pain on palpation of the caudal aspect of the humeri. … Abnormal neurologic findings were anisocoria, left pupil miosis, bilaterally decreased flexor withdrawal reflex of thoracic limbs and pain upon palpation of the tricep muscles bilaterally. …

Presumptive Prostate Cancer Presenting as Low Back Pain in the Chiropractic Office: Two Cases and Literature Review.

Prostate cancer is a common type of cancer in men and may metastasize to the spine and pelvis, causing back and/or radicular pain that appears to be musculoskeletal. This presents a diagnostic challenge and can be complicated by a lack of routine screening for prostate cancer. In two similar cases, elderly males (ages 78 and 82) with no known history of cancer and no previous prostate-specific antigen screening presented to a chiropractor with chronic, worsening radiating low back pain. In each case, a previous provider obtained radiographs and ascribed symptoms to a non-cancerous etiology (i.

Совпадение в полном тексте источника
… Motion palpation revealed stiffness and tenderness at the L4/5 and L5/S1 segments. Straight leg raising and flexion, abduction, and external rotation testing of the hips did not reproduce his symptoms. … Motion palpation revealed restriction and elicited tenderness at the L4/5 and L5/S1 segments. Straight leg raising, and flexion, abduction, and external rotation testing of the hips were painless. The chiropractor’s working diagnosis was lumbar stenosis; however, malignancy was also considered. …

Medication-Related Osteonecrosis of the Jaw: Successful Medical Management of Complex Maxillary Alveolus with Sinus Involvement.

Medication-related osteonecrosis of the jaw (MRONJ) in cancer patients presents a considerable challenge in management. Current management is primarily based on interventions in a limited number of cases assessing a single approach. Medical management typically is reported to include antimicrobial therapy with or without surgery. Advances in the understanding of pathogenesis have led to the investigation of additional medical interventions for early-stage necrosis. We present 3 patients with advanced-stage MRONJ of the maxilla using combined medical modalities including antimicrobial therapy,

Совпадение в полном тексте источника
… Mild tenderness was present over the left maxillary alveolus and maxillary antrum with extraoral and intraoral palpation. A large area of bone exposure over the left maxillary residual arch was seen. This sequestrum was minimally mobile, suggesting progress in sequestration. … The area was not tender, and no pain was reported with palpation over the sinus; mild sensitivity was present immediately over the minor area of bone exposure. …

Next Generation Therapeutics for the Treatment of Myelofibrosis.

Myelofibrosis is a myeloproliferative neoplasm characterized by splenomegaly, constitutional symptoms, bone marrow fibrosis, and a propensity towards transformation to acute leukemia. JAK inhibitors are the only approved therapy for myelofibrosis and have been successful in reducing spleen and symptom burden. However, they do not significantly impact disease progression and many patients are ineligible due to coexisting cytopenias. Patients who are refractory to JAK inhibition also have a dismal survival. Therefore, non-JAK inhibitor-based therapies are being explored in pre-clinical and clini

Совпадение в полном тексте источника
… There was an average decrease in spleen size by palpation by 37% and average reduction in TSS of 54%. Nine patients had improvement in reticulin fibrosis and 8 had improvement in collagen fibrosis [ 63 ]. … Spleen reduction was noted in 2 patients, which was more than 50% by palpation in both, and 5 patients had TSS 50% . Interestingly, 8 patients had improvement in platelet count with a median increase of 48%. …