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The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society最新文献

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Clinical Case of the Month: A 56-Year-Old Man with Sudden Onset Abdominal Pain. 本月临床病例:56岁男性突发性腹痛。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
Bashar Ababneh Md, Murtuza J Ali, Fred A Lopez
{"title":"Clinical Case of the Month: A 56-Year-Old Man with Sudden Onset Abdominal Pain.","authors":"Bashar Ababneh Md,&nbsp;Murtuza J Ali,&nbsp;Fred A Lopez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute abdominal pain is one of the most common presentations encountered in the emergency department (ED). The differential diagnosis of acute abdominal pain is extensive and identifying the underlying etiology can be challenging. Spontaneous renal artery thrombosis is a rare cause of acute abdominal pain. We review a case of acute presentation of renal artery thrombosis in a patient without risk factors for thromboembolism, and highlight the importance of considering this rare cause of abdominal pain. </p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"63-5"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34707113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traumatic Presentation of a Periorbital Dermoid Cyst: A Case Report. 眼眶周围皮样囊肿外伤性表现1例。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
Kiranya Tipirnen, John Carter, Michael MarinoD, Rohan R Walvekar
{"title":"Traumatic Presentation of a Periorbital Dermoid Cyst: A Case Report.","authors":"Kiranya Tipirnen,&nbsp;John Carter,&nbsp;Michael MarinoD,&nbsp;Rohan R Walvekar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dermoid cysts are largely considered benign, developmental neoplasms that frequently present during childhood. Orbitofacial dermoids represent a unique group of embryologically derived soft tissue masses that often present as localized, well-circumscribed swellings along the embryonal suture lines. Clinical presentation is variable, but in rare instances, may be preceded by local trauma, possibly suggesting an inciting event as the initial stimulus to cyst enlargement. Although dermoid cysts tend to remain clinically benign, their natural history of gradual enlargement necessitates complete surgical excision to prevent complications. </p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"54-6"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34707110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Emergency Department Presentation of Erythema Ab Igne Caused by Repeated Heater Exposure. 急诊报告因反复接触加热器而引起的Ab型红斑。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
Jeffrey Goorland, Mary Ann Edens, Tammy D Baudoin
{"title":"An Emergency Department Presentation of Erythema Ab Igne Caused by Repeated Heater Exposure.","authors":"Jeffrey Goorland,&nbsp;Mary Ann Edens,&nbsp;Tammy D Baudoin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Erythema ab igne is a rare, reticular erythematous hyperpigmentation resulting from repeated thermal injury. We describe our assessment of a 22-year-old woman with bilateral shin discoloration of 3 weeks' duration. Upon questioning, she revealed that she had been standing near a portable heater for extended periods. She was advised to avoid further exposure to the heat source. By the time of a follow-up clinic visit, the discoloration had resolved. Patients with hyperpigmented patches should be questioned about heat exposure. Erythema ab igne can progress to serious dermatologic conditions, but if the cause is eliminated, it usually resolves without medical intervention. </p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"33-4"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34707106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Wegener's Granulomatosis Presenting as a Parapharyngeal Mass. 韦格纳肉芽肿病表现为咽旁肿块。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
Ryan E Nelson, Douglas M Hildrew, Tyler Deblieux, Jesse A Guittard, Todd M Brickman
{"title":"Wegener's Granulomatosis Presenting as a Parapharyngeal Mass.","authors":"Ryan E Nelson,&nbsp;Douglas M Hildrew,&nbsp;Tyler Deblieux,&nbsp;Jesse A Guittard,&nbsp;Todd M Brickman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Wegener's Granulomatosis (WG) is classically characterized by the triad of sinonasal, pulmonary, and renal manifestations. However, a growing body of research has demonstrated that atypical head and neck pathologies including retropharyngeal and parapharyngeal lesions are often the presenting feature of patients found to have WG.</p><p><strong>Case: </strong>This report describes the hospital course of a patient who presented with a parapharyngeal mass with secondary superior cervical chain compression and Lemierre's Syndrome. We discuss how a stepwise approach involving a multidisciplinary team led to the diagnosis of WG.</p><p><strong>Conclusions: </strong>To our knowledge, this report is the first description of a patient presenting with a parapharyngeal mass causing superior cervical chain compression with simultaneous Lemierre's Syndrome who was ultimately diagnosed with WG. We highlight how the early consideration of WG in patients with atypical head and neck lesions refractory to multiple treatment regimens can led to an expeditious diagnosis and the coordination of appropriate short-term and long-term care.</p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"60-2"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34707112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiology Case Of The Month: Brain Magnetic Resonance Imaging with Bilateral Hyperintensities in the Globus Pallidi. 本月放射学病例:脑磁共振成像伴双侧苍白球高信号。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
Brian J Burkett, Andrea C Bennett, Sarah Castillo-Jorge, Lorenza Garza-Garcia, Enrique Palacios, Jeremy B Nguyen, Harold R Neitzschman
{"title":"Radiology Case Of The Month: Brain Magnetic Resonance Imaging with Bilateral Hyperintensities in the Globus Pallidi.","authors":"Brian J Burkett,&nbsp;Andrea C Bennett,&nbsp;Sarah Castillo-Jorge,&nbsp;Lorenza Garza-Garcia,&nbsp;Enrique Palacios,&nbsp;Jeremy B Nguyen,&nbsp;Harold R Neitzschman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An MRI of the brain and spine of an 11-year-old male revealed the following abnormality which is consistent with his chronic condition. </p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"68-70"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34641184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Missed Opportunities for Health Promotion Intervention in the Management of Alcohol Withdrawal Syndrome. 在酒精戒断综合征管理中错失的健康促进干预机会
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
Jessica Johnson, David E Wilson, Bennett P deBoisblanc
{"title":"Missed Opportunities for Health Promotion Intervention in the Management of Alcohol Withdrawal Syndrome.","authors":"Jessica Johnson,&nbsp;David E Wilson,&nbsp;Bennett P deBoisblanc","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to characterize utilization of evidence-based health promotion practices not included in Alcohol Withdrawal Syndrome (AWS) guidelines, such as vaccinations and counseling services, hypothesizing that missed opportunities for health promotion intervention would abound.</p><p><strong>Methods: </strong>Retrospective medical record review of 99 patients presenting to a safety-net academic medical center with AWS between August 1, 2012 and March 31, 2013.</p><p><strong>Results: </strong>Thiamine replacement (70%), tobacco cessation counseling (28%), influenza or pneumonia vaccination (25% and 28% respectively), psychiatric counseling (70%), referral to alcohol support group or treatment center(40%), and screening for viral hepatitis and HIV (39% and 44%, respectively) were documented by healthcare providers at lower than optimal frequency.</p><p><strong>Conclusions: </strong>Provision of health promotion interventions was not consistent with evidence-based practices. Integration of these measures into AWS protocols and guidelines could help clinicians provide consistent, cost-effective, evidence- based care.</p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34707107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathology Image Of The Month: Recurrent Urinary Tract Infections In a 48-year-Old Female Hyperintensities in the Globus Pallidi. 本月病理影像:一名48岁女性复发性尿路感染，苍白球高信号。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
Ellen E Connor, Anthony Vinson, Ritu Bhalla, Robin R McGoey
{"title":"Pathology Image Of The Month: Recurrent Urinary Tract Infections In a 48-year-Old Female Hyperintensities in the Globus Pallidi.","authors":"Ellen E Connor,&nbsp;Anthony Vinson,&nbsp;Ritu Bhalla,&nbsp;Robin R McGoey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 48-year-old female presented to her physician complaining of intermittent lower abdominal pain radiating to the right lower back. At the time of presentation, she was afebrile and denied any urinary symptoms such as dysuria, frequency or urgency. Physical exam was unremarkable, other than obesity, and her abdominal exam was noncontributory. Medical history, however, was notable for recurrent, Proteus mirabilis culture-proven urinary tract infections requiring antibiotic treatment for the prior three years along with hypertension, uterine fibroids post hysterectomy, diabetes and asthma. Complete blood count was within normal limits, and urine dipstick showed 1+ blood, 1+ protein and 2+ leukocytes. Full renal function labs, urine cytology, radioisotope renography and abdominopelvic CT scanning with contrast were all ordered and a laparoscopic right nephrectomy was recommended based on the results. The bisected right kidney is shown below in Figure 1. She was discharged home on post-operative day one and her follow up urology appointments indicate resolution of both her urinary tract infections and her abdominal pain. </p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"71-3"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34641185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tickborne Coinfections in the United States. 美国的蜱传共感染。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
James H Diaz
{"title":"Tickborne Coinfections in the United States.","authors":"James H Diaz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unlike mosquitoes, ticks transmit the broadest range of pathogens, including bacteria, viruses, and parasites. Ticks have capitalized on many competitive advantages offered to them by changes in climate and human lifestyle and a greater abundance of wild animal reservoir hosts no longer effectively controlled. As a result, tick-transmitted coinfections are increasing today with both recognized and newly discovered pathogens that complicate differential diagnosis and antimicrobial treatment. Without the support of immunological and molecular diagnostic techniques, usually only available at federal and some state laboratories, the initial differential diagnosis of tickborne coinfections is complicated and antimicrobial therapy may not cover coinfections. Therefore, the objectives of this review were to identify the newly emerging tickborne pathogens in the United States, to describe the evolving epidemiology of tick-transmitted coinfections, to design a decision tree analysis approach to the clinical diagnosis and management of tickborne coinfections, and to recommend effective strategies for the control and personal prevention of tickborne diseases. Clinicians should suspect tickborne coinfections in returning travelers and vacationers with clinical and immunological evidence of multiple infecting agents, especially in cases of unusual presentation or severity, prolonged duration, or nonresponse to single antibiotic therapy, typically with doxycycline. Decision tree models based on pathogen prevalence rates in ticks and their zoonotic reservoirs may assist clinicians in diagnosing tickborne coinfections and guiding initial antimicrobial therapy. </p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"44-53"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34707109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
WUnicuspid Aortic Valve- An Uncommon Anomaly With a Common Presentation. 单尖瓣主动脉瓣-一种罕见的异常与常见的表现。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2016-03-01 Epub Date: 2016-04-15
Puja Sitwala, Ashraf Abusara, Vatsal Ladia, Vatsal Ladia, Hemang B Panchal, Charles Raudat, Timir K Paul
{"title":"WUnicuspid Aortic Valve- An Uncommon Anomaly With a Common Presentation.","authors":"Puja Sitwala,&nbsp;Ashraf Abusara,&nbsp;Vatsal Ladia,&nbsp;Vatsal Ladia,&nbsp;Hemang B Panchal,&nbsp;Charles Raudat,&nbsp;Timir K Paul","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unicuspid aortic valve (UAV), which is a rare congenital anomaly, usually presents as aortic stenosis and/or aortic regurgitation. Here we present a case of UAV co-existent with an ascending aortic aneurysm. A 26-year-old male with no significant past medical history presented to the hospital after two episodes of syncope. Transthoracic echocardiogram showed an ejection fraction of 62%, severely stenotic aortic valve, and moderate aortic regurgitation. Computed tomography revealed calcification of the aortic valve, compatible with aortic stenosis and aneurysm of the ascending aorta measuring 4.3 cm in diameter. He underwent successful aortic valve replacement and repair of ascending aortic aneurysm. He recovered well without any complications. This case suggests that any young patient who presents with syncope, aortic stenosis would be a differential and further workup by any available non-invasive modality needs to be performed. </p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"168 2","pages":"57-9"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34707111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trocar Site Metastasis Following Robotic Oophorectomy for Ovarian Cancer: A Case Report and Review of the Literature. 卵巢癌机器人卵巢切除术后套管针部位转移一例报告及文献复习。
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Pub Date : 2015-10-01 Epub Date: 2015-10-15
Jason M Gauthier, Adam Hauch, Buu T Duong, Byron E Crawford, William R Robinson, Emad Kandil
{"title":"Trocar Site Metastasis Following Robotic Oophorectomy for Ovarian Cancer: A Case Report and Review of the Literature.","authors":"Jason M Gauthier,&nbsp;Adam Hauch,&nbsp;Buu T Duong,&nbsp;Byron E Crawford,&nbsp;William R Robinson,&nbsp;Emad Kandil","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>While robotic surgery has seen much success in the treatment of gynecologic malignancies, the technical aspects of this approach raise concern for spreading tumor cells within the peritoneal cavity and to trocar sites. To date, robotic trocar site metastases have been identified following surgery for both endometrial and cervical cancer. </p>","PeriodicalId":22855,"journal":{"name":"The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society","volume":"167 5","pages":"232-4"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34465981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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