South Dakota medicine : the journal of the South Dakota State Medical Association最新文献_第10页

Antidepressant Medication Use During Lactation: A Review for Providers. 哺乳期使用抗抑郁药物：哺乳期抗抑郁药物的使用：提供者回顾。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-04-01

Andrew Reuter, Andrew Nerland, Deborah Pritchett, Maria Skorey

{"title":"Antidepressant Medication Use During Lactation: A Review for Providers.","authors":"Andrew Reuter, Andrew Nerland, Deborah Pritchett, Maria Skorey","doi":"","DOIUrl":"","url":null,"abstract":"This article presents a summary of information found within the existing medical literature on the pharmacological treatment options for maternal depression during lactation and the concurrent effects on the breastfeeding infant. Existing data on safety and efficacy varies by treatment modality. Medications used to treat depression are all secreted in breast milk to some extent; however, most antidepressants are considered relatively safe to use during breastfeeding. The selective serotonin reuptake inhibitors (SSRIs) sertraline and paroxetine are present in low levels and are considered preferred agents. Safety data for other antidepressants varies, however. monoamine oxidase inhibitors (MAOIs) should generally be avoided. Available references and resources can help providers optimize treatment of maternal depression while mitigating risk to the infant. Optimizing treatment of maternal depression is a complicated undertaking, which should be made in conjunction with the provider through shared decision making with the patient. Specific properties of any proposed medication, such as the relative infant dose and side effect profile, should always be taken into account during the decision-making process.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 4","pages":"172-179"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591622","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

Images in Medicine: Congenital Sucking Blisters. 医学影像：先天性吸吮水疱

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-04-01

Peter Paul Lim, Kate Boos, Maria Talavera-Barber

引用次数: 0

A Rare Case of Axillary Extramammary Paget's Disease with an Underlying Adenocarcinoma. 一例罕见的腋窝乳腺外帕吉特氏病合并腺癌病例

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-04-01

Colby Felts, Victoria Durkin, Amy Kerkvliet

{"title":"A Rare Case of Axillary Extramammary Paget's Disease with an Underlying Adenocarcinoma.","authors":"Colby Felts, Victoria Durkin, Amy Kerkvliet","doi":"","DOIUrl":"","url":null,"abstract":"Extramammary Paget's disease (EMPD) is an uncommon cutaneous neoplasm almost exclusively located in the vulvar, perianal, and male genitalia regions. Evaluation and management are complicated given the average delay in diagnosis is two years and approximately 30% of cases are associated with underlying malignancies. The axilla is a unique location for EMPD. We report a rare case of a 78-year-old male with axillary EMPD associated with an underlying adenocarcinoma. A 1-cm tender and pruritic erythematous plaque with surrounding erythema appeared in the patient's axilla. An irritated seborrheic keratosis secondarily impetiginized along with irritant contact dermatitis was suspected. Treatment of cefdinir and topical hydrocortisone failed and a biopsy was taken. Microscopic and immunohistochemical examination showed ulceration with an underlying proliferation of atypical glands (Figure 2A) and a nested intraepidermal proliferation with pagetoid spread (Figure 2B). The atypical cells were positive for gross cystic disease fluid protein 15 (Figure 2C), epithelial membrane antigen (Figure 2D), cytokeratin 5/6, and cytokeratin 7. These findings were supportive of an apocrine adenocarcinoma arising in association with EMPD. Wide location excision was performed. Screening for associated malignancies or lymphatic spread is the primary goal during evaluation. Outcomes are favorable when the primary neoplasm is of limited distribution. The accepted treatment for primary lesions is wide local excision, although anatomic tissue constraints necessitate further research into other treatment modalities. To our knowledge, this is the 14th reported case of axillary EMPD with an underlying adenocarcinoma which may help with identification and management of future cases.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 4","pages":"152-156"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591621","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

Influenza Cerebellitis in a 3-Year-Old Male. 一名 3 岁男童的流感性小脑炎

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-04-01

Katie Nielson, Meaghan Sievers, Connie Taylor

引用次数: 0

Images in Medicine: Interventricular Mechanical Dyssynchrony Due to Leadless RV Septal Pacing Culminating in Cardiogenic Shock. 医学影像：无导线 RV 间隔起搏导致的心室机械不同步，最终引发心源性休克。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-04-01

Muhammad Saad Shaukat, Luke Merrill, Matt Pohlmann, Orvar Jonsson

引用次数: 0

Extraosseous Ewing Sarcoma Manifesting as an Acute Abdomen in a Young Adult Male: a Case Report. 表现为一名年轻男性急性腹部的骨外尤文肉瘤：病例报告。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-04-01

Mamoon Ahmed, Swaminathan Perinkulam Sathyanarayanan, Kayla Hoerschgen, Randall Lamfers

引用次数: 0

Pericardial Effusion as a Complication of Severe Primary Hypothyroidism. 作为严重原发性甲状腺功能减退症并发症的心包积液

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-04-01

Andrii Maryniak, Patrick Biskupski, Filip Oleszak, Adam Stys

{"title":"Pericardial Effusion as a Complication of Severe Primary Hypothyroidism.","authors":"Andrii Maryniak, Patrick Biskupski, Filip Oleszak, Adam Stys","doi":"","DOIUrl":"","url":null,"abstract":"Large pericardial effusions with associated cardiac tamponade are a rare manifestation of hypothyroidism. We present the case of a 63-year-old female with chronic heart failure and newly diagnosed hypothyroidism, who presented to her primary care physician complaining of progressively worsening dyspnea. Chest radiography showed cardiomegaly and transthoracic echocardiography (TTE) revealed a large pericardial effusion with tamponade physiology. An emergent pericardial window was performed, resulting in an improvement in left ventricular systolic function. Pericardial tissue biopsy was normal. Thyroid function tests were consistent with severe primary hypothyroidism. After inpatient treatment with intravenous levothyroxine and interval resolution of symptoms without recurrence of effusion, the patient was discharged home on oral levothyroxine therapy. Close follow up with surveillance echocardiography was planned. While metabolic disorders are seldom thought of as an etiology, it is imperative for clinicians to recognize hypothyroidism as a cause of the pericardial effusion. It is one of the few reversible causes and delay in treatment can result in fatal sequelae.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 4","pages":"166-170"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591627","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

Overgrowth Disorders: A Case of Sotos Syndrome and Overview of Related Disorders. 过度生长症：索托斯综合征病例及相关疾病概述。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-03-01

Joseph Rath, Kennedy Forest, Allison Hemmer, Matthew Simmons

引用次数: 0

Auditory and Visual Hallucinations in a Congenitally Deaf Patient with Schizophrenia: A Case Report and Brief Literature Review. 一名患有精神分裂症的先天性耳聋患者的听觉和视觉幻觉：病例报告和简要文献综述。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-03-01

Cole Edwards, Jay Weatherill

引用次数: 0

MIS-C vs Incomplete Kawasaki's Disease in a 12-year-old Female: A Case Study. 一名 12 岁女性的 MIS-C 与不完全川崎病：病例研究

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-03-01

Kahlen R Morris, Allison M Hemmer, Meaghan E Sievers, Mitchell B VanKalsbeek, Peter J Reynen

引用次数: 0