Kansas Journal of Medicine最新文献

{"title":"Colonic Ganglioneuroma: A Rare Incidental Finding.","authors":"Mahmoud Mahdi, Khalid Afaneh, Ahmad Mahdi, Obada Tayyem","doi":"10.17161/kjm.vol16.18859","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18859","url":null,"abstract":"112 Colonic Ganglioneuroma: A Rare Incidental Finding Mahmoud Mahdi, M.D.1, Khalid Afaneh, M.D.2, Ahmad Mahdi, M.D.2, Obada Tayyem, M.D.3 1University of Kansas School of Medicine-Wichita, Wichita, KS Department of Internal Medicine 2Heartland Pathology, Wichita, KS 3Kansas Gastroenterology, Wichita, KS Received Dec. 12, 2022; Accepted for publication March 1, 2023; Published online April 24, 2023 https://doi.org/10.17161/kjm.vol16.18859","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"112-113"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/cb/16-112.PMC10136615.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9393693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acral Nodular Melanoma at a Site of Trauma.","authors":"Sandra Jaroonwanichkul, Emily Fan, Stephanie Matthews, Bao Vincent Ho, John C Hall","doi":"10.17161/kjm.vol16.19501","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19501","url":null,"abstract":"Melanoma is a malignant cutaneous tumor accounting for approximately 2% of cancer deaths worldwide. Acral nodular melanomas are found on the hands and feet while nodular melanomas are characterized by prominent vertical invasion.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"187-188"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/9b/16-187.PMC10395766.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9939504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent Aseptic (Mollaret's) Meningitis in a Patient with HIV.","authors":"Craig Beavers, Nicholas Tuck, Richard Muraga","doi":"10.17161/kjm.vol16.18612","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18612","url":null,"abstract":"INTRODUCTION Pierre Mollaret first described recurrent episodes of aseptic meningitis in 1944.1 Since it was first noted, several etiologies have been suggested, however, with the development of polymerase chain reaction (PCR), it is now known that patients with Mollaret’s meningitis contain Herpes Simplex Virus type 2 (HSV-2) in their cerebrospinal fluid (CSF) and the recurrent symptoms are due to reactivation of the virus.2 The CSF analysis often reveals a polymorphonuclear pleocytosis with large (Mollaret) cells early in the course of illness, followed by a lymphocytic predominance found later.3 Patients commonly present with meningeal symptoms, including fever, headache, and neck stiffness, and signs including positive Kernig and Brudzinski signs.4 They also often present with a recurrence of these symptoms, but the recurrence rate and previous medical history is extremely variable.5,6 In patients with human immunodeficiency virus (HIV), given their immunosuppressive state, meningitis can be caused by various etiologies, including bacterial, fungal, and viral pathogens, including HIV itself. While cryptococcal meningitis is the most common cause of meningitis, opportunistic infections such as cryptococcus primarily infect individuals with a CD4 count less than 350.7 In this case, a patient with HIV and aseptic meningitis is presented.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"19-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/65/16-19.PMC9872499.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10632359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to Sport After Primary Anterior Cruciate Ligament (ACL) Reconstruction: A Survey of The American Orthopaedic Society for Sports Medicine.","authors":"Shin Xu,&nbsp;Sana G Cheema,&nbsp;Armin Tarakemeh,&nbsp;Jeffrey Randall,&nbsp;Megan Bechtold,&nbsp;Scott Mullen,&nbsp;Paul Schroeppel,&nbsp;Mary K Mulcahey,&nbsp;Bryan G Vopat","doi":"10.17161/kjm.vol16.18617","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18617","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior cruciate ligament (ACL) tears are a common sports injury, and typically require a prolonged post-operative rehabilitation. The purpose of this study was to survey members of the American Orthopaedic Society for Sports Medicine (AOSSM) to determine their return to sport (RTS) criteria after primary ACL reconstruction (ACLR).</p><p><strong>Methods: </strong>A 23-question, anonymous survey hosted through Google^® Docs was distributed electronically to AOSSM members. This survey included questions regarding the timing, as well as any functional tests or other metrics used to determine when an athlete is ready to RTS.</p><p><strong>Results: </strong>A total of 863 surgeons responded over four months. The most popular graft choice was bone patellar tendon bone autograft (63%). For non-pivoting sports, 43% of respondents allowed RTS at five to six months, while 31% allowed RTS at seven to eight months. For pivoting sports, 34% of respondents allowed RTS at seven to eight months, while 36% allowed RTS at nine to ten months. The most common criteria for return to non-pivoting sports include full knee motion (89%) and time after ACLR (76%). The most common criteria for return to pivoting sports include full knee motion (87%) and passing a hop test (80%). Only 21% of respondents assessed for psychological readiness to RTS.</p><p><strong>Conclusions: </strong>RTS occurred sooner in non-pivoting than pivoting sports, with similar RTS criteria in both groups. Most respondents did not assess for psychological readiness to RTS.</p>","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"105-109"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/9d/16-105.PMC10136672.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9393689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unique Etiology of Trigeminal Neuralgia After Acute Ischemic Stroke.","authors":"James L Walker,&nbsp;Jared McLaughlin,&nbsp;John Dickerson,&nbsp;Sukruta S Pradhan,&nbsp;Felecia A Newton","doi":"10.17161/kjm.vol16.19500","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19500","url":null,"abstract":"Unique Etiology of Trigeminal Neuralgia After Acute Ischemic Stroke James L. Walker, M.D.1, Jared McLaughlin, D.O.1, John Dickerson, M.D.2, Sukruta S. Pradhan, M.D.1, Felecia A. Newton, Ph.D.1 1University of Kansas School of Medicine-Wichita, Wichita, KS Department of Anesthesiology 2Kansas Spine and Specialty Hospital, Wichita, KS Received Feb. 3, 2023; Accepted for publication May 23, 2023; Published online July 25, 2023 https://doi.org/10.17161/kjm.vol16.19500","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"185-186"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/23/f4/16-185.PMC10395765.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9930312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Labile Blood Pressure due to COVID-19 Infection and Radiation Induced Baroreceptor Dysfunction.","authors":"Timothy Nguyen,&nbsp;Stephen S Wanjala,&nbsp;Mona B Brake","doi":"10.17161/kjm.vol16.19691","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19691","url":null,"abstract":"Management of Labile Blood Pressure due to COVID-19 Infection and Radiation Induced Baroreceptor Dysfunction Timothy Nguyen, D.O.1, Stephen S. Wanjala, M.D.1, Mona B. Brake, M.D., FACN1,2 1University of Kansas School of Medicine-Wichita, Wichita, KS Department of Internal Medicine 2Robert J. Dole Veterans Affairs Medical Center, Wichita, KS Received March 10, 2023; Accepted for publication May 22, 2023; Published online July 25, 2023 https://doi.org/10.17161/kjm.vol16.19691","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"182-184"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/86/16-182.PMC10395768.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9939505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Emergency Medical Services Personnel Compliance with Escalating Airway Algorithm Protocol.","authors":"Leah Duncan,&nbsp;Michael Falahat,&nbsp;Connor Hartpence,&nbsp;Deryk S Ruddle,&nbsp;Samuel Ofei-Dodoo","doi":"10.17161/kjm.vol16.18938","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18938","url":null,"abstract":"<p><strong>Introduction: </strong>When emergency medical services (EMS) personnel respond to emergencies, the decisions they make often can mean life or death for the patient. This is especially true in the case of advanced airway management. Protocols are set in place to ensure that the least invasive airway management techniques are used initially before more invasive techniques. The purpose of this study was to determine how often EMS personnel followed this protocol, while adequately achieving the goals of appropriate oxygenation and ventilation.</p><p><strong>Methods: </strong>This retrospective chart review was approved by the Institutional Review Board of the University of Kansas Medical Center. The authors reviewed the Wichita/Sedgewick County EMS system for cases during 2017 in which patients required airway support. We examined de-identified data to determine if invasive methods were applied in sequence. Cohen's kappa coefficient (κ) and immersion-crystallization approach were used to analyze the data.</p><p><strong>Results: </strong>A total of 279 cases were identified in which EMS personnel used advanced airway management techniques. In 90% (n = 251) of cases, less invasive techniques were not used prior to more invasive techniques and in 80% (n = 222) of cases, the more invasive technique was used alone. A dirty airway was the most common reason for the EMS personnel's choice of using more invasive approaches in achieving the goals of appropriate oxygenation and ventilation.</p><p><strong>Conclusions: </strong>Our data showed that EMS personnel in Sedgwick County/Wichita, Kansas often deviated from the advanced airway management protocols when caring for patients in need of respiratory intervention. Dirty airway was the main reason for using a more invasive approach in achieving the goals of appropriate oxygenation and ventilation. It is important to understand reasons why deviations in protocol were occurring to ensure that current protocols, documentation, and training practices are effective in producing the best possible patient outcomes.</p>","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"53-55"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ec/c3/16-53.PMC9957594.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injury Care: A Missing Piece in the December 15, 2022 U.S.-Africa Leaders' Summit.","authors":"Terrence B Epie,&nbsp;Ojas Patel,&nbsp;Jack Ayres,&nbsp;Albers Haley,&nbsp;Ravali Reddy,&nbsp;Wendy Metumah,&nbsp;Austin Gartner,&nbsp;Johnathan Dallman,&nbsp;Archie Heddings","doi":"10.17161/kjm.vol16.19222","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19222","url":null,"abstract":"61 Injury Care: A Missing Piece in the December 15, 2022 U.S.-Africa Leaders' Summit Terrence B. Epie, M.D., M.Sc., MBA1,2, Ojas Patel1,3, Jack Ayres1,3, Albers Haley1,3, Ravali Reddy1,3, Wendy Metumah4, Austin Gartner1,3, Johnathan Dallman1,3, Archie Heddings, M.D.1,3 1African Trauma Initiative (ATI), Kansas City, KS 2University of Kansas, Lawrence, KS School of Business 3University of Kansas Medical Center, Kansas City, KS 4University of Ngaoundéré, Ngaoundéré, Cameroon Received Jan. 20, 2023; Accepted for publication Jan. 24, 2023; Published online Feb. 21, 2023 https://doi.org/10.17161/kjm.vol16.19222","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/0a/16-61.PMC9957596.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Splenic Artery Pseudoaneurysm in a Septic Patient with Acute Pancreatitis.","authors":"Mahmoud Mahdi,&nbsp;Aastha Bharwad,&nbsp;Rajeev Seecheran,&nbsp;Joud Zakhour,&nbsp;Majd Kayali,&nbsp;Ahmad Mahdi","doi":"10.17161/kjm.vol16.18696","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18696","url":null,"abstract":"Splenic Artery Pseudoaneurysm in a Septic Patient with Acute Pancreatitis Mahmoud Mahdi, M.D., Aastha Bharwad, M.D., Rajeev Seecheran, M.D., Joud Zakhour, M.D., Majd Kayali, M.D., Ahmad Mahdi, M.D. University of Kansas School of Medicine-Wichita, Wichita, KS Department of Internal Medicine Received Nov. 16, 2022; Accepted for publication Dec. 20, 2022; Published online Jan. 18, 2023 https://doi.org/10.17161/kjm.vol16.18696","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"17-18"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/89/16-17.PMC9872497.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10632358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Occupational HPV Exposure Among Medical Trainees: A Call for HPV Vaccination.","authors":"William M Webb,&nbsp;Andrea E Covey","doi":"10.17161/kjm.vol16.19567","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19567","url":null,"abstract":"The global COVID-19 pandemic has brought new scrutiny to aero-sol-generating medical procedures (AGMPs) and the risk that they pose to healthcare workers, namely through the transmission of aerosolized viral particles and viral DNA. As a result, there is now widespread knowl-edge of the risks posed by the SARS-CoV-2 virus and the measures that protect against it, including personal protective equipment and vaccination. However, healthcare workers regularly encounter another virus that is known to be highly contagious in multiple contexts and leads to significant morbidity and mortality. This is the human papillomavirus (HPV), which accounts for up to 79% of all oropharyngeal cancers in the U.S. and is a known cause of respiratory conditions such as recurrent laryngeal papillomatosis. 1-2 While studies into the respiratory transmission of HPV mainly have examined the risk posed by exposure to and inhalation of surgical smoke during procedures such as loop electrosurgical excision pro-cedure and CO2-laser ablation, 3 many non-surgical AGMPs, such as mechanical ventilation and even endotracheal suctioning, have been shown to result in the airborne transmission of other virus-contain-ing aerosols. 4 Although more research is needed to determine the risk of HPV transmission specifically in procedures that are common to general and critical care medicine, the list of known AGMPs includes sputum induction, nebulized or aerosol therapy, high-flow oxygen therapy, non-invasive and manual ventilation, endotracheal intuba-tion and","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"143"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/6a/16-143.PMC10241205.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9963433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}