South Dakota medicine : the journal of the South Dakota State Medical Association最新文献_第2页

Inter-institutional Analysis of Skin of Color Representation in Dermatological Lecture Content at MD and DO Medical Schools. 医学博士和医学博士医学院皮肤科讲座内容中有色人种代表性的机构间分析。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-08-01

Oluwafunke O Ogunremi, Blake Fredericksen, John Komas, Sana Ismail, Siri Knutsen-Larson, Valeriy Kozmenko, Afia Albin

{"title":"Inter-institutional Analysis of Skin of Color Representation in Dermatological Lecture Content at MD and DO Medical Schools.","authors":"Oluwafunke O Ogunremi, Blake Fredericksen, John Komas, Sana Ismail, Siri Knutsen-Larson, Valeriy Kozmenko, Afia Albin","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The purpose of this study was to analyze the lecture materials provided in medical schools through a diversity lens. Skin pathologies manifest distinctively on various shades of skin and physicians must be equipped with the proper knowledge to identify and diagnose these conditions accurately and promptly. For most medical students, images in prominent textbooks and lecture slides are their first encounter with disease presentations. Therefore, it is important to analyze the diversity of skin tones in the content that is being delivered. Specifically, the use of images featuring darker skin tones compared to those depicting lighter skin tones.Methods: This study analyzed lecture materials from two allopathic and two osteopathic medical schools. The analysis was limited to lectures given during the Skin/MSK block or dermatology block. The skin pathologies were organized into five categories: Inflammatory Disorders, Infectious Skin Disorders, Pigmented Disorders, Non-Pigmented Disorders, and Blistering Disorders. Images were classified as dark skin tones, light skin tones, and indeterminate based on the Fitzpatrick Scale.Results: The results showed that of the 560 images analyzed: 96 images, or 17.14%, were representative of dark skin tones, 78.04% were representative of light skin tones, and 4.82% were classified as indeterminate.Conclusions: A potential outcome of this study involves bolstering medical education in the United States by exposing medical students to a more diverse set of exemplary images during their didactic education. In doing so, medical students will be better prepared to provide high quality healthcare to all patients regardless of ethnicity.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 suppl 8","pages":"s22"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297695","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

AMA and SDSMA Membership After Graduation. 毕业后成为 AMA 和 SDSMA 会员。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-08-01

Sydney Payne, Keith Hansen, Susan Puumala

{"title":"AMA and SDSMA Membership After Graduation.","authors":"Sydney Payne, Keith Hansen, Susan Puumala","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: One way to foster collaboration and continuing education is medical students' participation in medical associations. However, it isn't clear if being a student member leads to continued membership. In this study, the primary goal is to determine if student membership increases membership in the South Dakota State Medical Association (SDSMA) and American Medical Association (AMA) after graduation.Methods: After validation with 10 physicians through a pilot study, the finalized survey was emailed by the South Dakota Board of Medical and Osteopathic Examiners to every South Dakota licensed physician. The survey included questions about membership in AMA, SDSMA, and other medical organizations. Descriptive data was assessed using counts and percentages. Comparisons were made based on Chi-square tests.Results: In total, 438 individuals consented and participated. Overall, 296 (67.6%) indicated membership in a medical association in medical school; 101 only AMA, 38 only SDSMA, 133 both, and 24 only other. For the 234 with a student AMA membership, 71 (30.3%) continued. Of the 171 with a student SDSMA membership, 88 (51.5%) continued. Comparing those with and without a student AMA membership, 22.6% without joined after graduation and 30.3% with continued (p = 0.07). For SDSMA memberships, 28.5% without joined after graduation, while 51.5% of those with continued. Common reasons for maintaining included professional advocacy (n = 44) and educational opportunities (n = 32), for AMA and professional advocacy (n = 58) and networking (n = 45), for SDSMA. Common reasons for non-continuation in both AMA and SDSMA, were lack of specialty representation and political disagreement.Conclusions: Those who were members of SDSMA as students were more likely to maintain their membership. This difference was less pronounced for AMA. Networking was a common reason for maintaining SDSMA. Focusing on this aspect may be beneficial for retaining members.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 suppl 8","pages":"s17"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297691","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

Acute Arthritis Presentations of Gonorrhea and Syphilis - A Concise Update. 淋病和梅毒的急性关节炎表现--简明更新。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-08-01

Randall Lamfers, Rachael Fanciullo

引用次数: 0

Early Sepsis Response System Does Not Correlate with Pediatric Early Warning Score in Sepsis Recognition. 脓毒症早期反应系统与儿科早期预警评分在脓毒症识别方面并不相关。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-08-01

Jody Huber, Shelley Feng, Amber Veldman, Ashley Sandeen, David Sturdevant, Gokhan Olgun

{"title":"Early Sepsis Response System Does Not Correlate with Pediatric Early Warning Score in Sepsis Recognition.","authors":"Jody Huber, Shelley Feng, Amber Veldman, Ashley Sandeen, David Sturdevant, Gokhan Olgun","doi":"","DOIUrl":"","url":null,"abstract":"Sepsis is a leading cause of pediatric morbidity and mortality worldwide with early recognition and management improving patient outcomes. Early recognition warning systems, utilizing the electronic medical record (EMR), are recommended for children's hospitals. Validated pediatric early warning score (PEWS) recognize hospitalized children at risk for worsening and need for higher level of care. The goal of this study was to develop a novel pediatric sepsis early response warning system and compare this tool with the existing generic PEWS system in recognizing sepsis. A novel early sepsis warning system was integrated into the EMR of a tertiary pediatric children's hospital. In patients meeting criteria a best practice alert (BPA) triggers and children with a sepsis BPA trigger were evaluated from December, 2018 through May, 2020. BPA data was analyzed and identified children meeting sepsis criteria. Subjects identified as having sepsis were then correlated with PEWS scores at the time of the BPA. The BPA triggered in 736 pediatric subjects, with 181 in the emergency department, 275 in the pediatric inpatient floor and 280 in the pediatric intensive care unit. Pediatric sepsis criteria identified 524 of 736 (71%) as having sepsis. PEWS scores identified only 66 (13%) of the 524 subjects who had sepsis. Implementation of a sepsis trigger tool into EMR is feasible. Best practice alerts identify subjects with early sepsis and can be implemented to electronic medical record.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 8","pages":"350-356"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297686","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

Renal Cell Carcinoma with a Catastrophic Thrombus: A Case Report. 伴有灾难性血栓的肾细胞癌：病例报告。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-08-01

Logan Johnke, Emmanuel Fohle, Patrick Benjamin

{"title":"Renal Cell Carcinoma with a Catastrophic Thrombus: A Case Report.","authors":"Logan Johnke, Emmanuel Fohle, Patrick Benjamin","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Renal cell carcinoma (RCC) is a common malignancy known for its potential to invade the venous system, particularly the inferior vena cava (IVC), leading to tumor thrombus (TT) formation. While the presence of TT in RCC isn't unique, extension of TT above the diaphragm is rare. This case highlights the challenges encountered in diagnosing and managing RCC with extensive TT involvement.Case report: A 69-year-old man presents with 3-month history of dyspnea and increasing fatigue in the setting of 30 pounds weight loss. Laboratory studies showed anemia and acute kidney injury. CT abdomen and pelvis revealed 6.8cm solid mass within the left perinephric space, enlarged IVC with large thrombus. Kidney biopsy returned positive for clear cell renal carcinoma with metastasis to the liver. Several days into the hospitalization the patient began to experience increased abdominal pain. Repeat ultrasound showed tumor thrombus with extension within the intrahepatic IVC and hepatic veins and reversal of portal venous flow. During the imaging study, the patient suffered a cardiac arrest and expired. Postmortem examination revealed diffuse showering of tumor emboli within the pulmonary arteries, likely contributing to the patient's rapidly progressive respiratory failure, and subsequent cardiovascular collapse.Conclusion: This case illustrates the complexity of treating patients with extensive TT. In patients with RCC associated TT, the risk for thromboembolism is increased substantially, however the full benefit of anticoagulation remains controversial. Understanding the intricacies of TT involvement and its potential complications is crucial in guiding treatment decisions in patients with significant tumor thrombus burden.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 suppl 8","pages":"s20"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297597","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

Atypical Presentation of Severe Bullous Pemphigoid: A Case Report. 严重大疱性类天疱疮的非典型表现：病例报告

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-08-01

Tinotenda Sekeramayi, Sara Ruter

{"title":"Atypical Presentation of Severe Bullous Pemphigoid: A Case Report.","authors":"Tinotenda Sekeramayi, Sara Ruter","doi":"","DOIUrl":"","url":null,"abstract":"Bullous pemphigoid (BP) is the most common autoimmune subepidermal blistering disorder. Typically, patients will present with tense bullae and intense generalized pruritus with a skin biopsy demonstrating subepidermal split with eosinophils and a direct immunofluorescence highlighting autoantibodies against the basement membrane zone. Prognosis varies, and treatment involves an assessment of the severity of disease to determine whether to initiate topical or systemic immunosuppressive agents. We present an atypical presentation of BP that presented as a 3-to-4-week duration of pruritic small vesicular lesions in the upper chest, scabbed circular lesions along the upper extremity and pinnas of bilateral ear. Initially thought to be herpes zoster infection initially treated with valacyclovir for a week following a prior concern of a concomitant superficial skin infection with cephalexin and prednisone. With no clinical improvement, tissue biopsy was performed that confirmed bullous pemphigoid and treatment with steroid taper, doxycycline, and triamcinolone acetonide 0.1% cream was started. The aim of this case report is to present an atypical presentation of BP and to highlight maintaining a high index of suspicion of BP in patients presenting with disseminated significantly pruritic lesions.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 8","pages":"362-364"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297684","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

Case Report: Adult Onset Still Disease in a 26-year-old Male. 病例报告：一名 26 岁男性的成人型静止病。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-08-01

Tayler Modlin, Bailey Pickering, Kaihlen Smith, Nanci Van Peursem

{"title":"Case Report: Adult Onset Still Disease in a 26-year-old Male.","authors":"Tayler Modlin, Bailey Pickering, Kaihlen Smith, Nanci Van Peursem","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Adult onset still's disease (AOSD) is a systemic inflammatory disease of unknown etiology. It is partially a diagnosis of exclusion, which is why making the diagnosis can be difficult.Case report: A previously healthy 26-year-old male presented to the clinic following a five-day course of generalized body pain and daily spiking fevers up to 101˚ F. Of note, he reported similar symptoms along with a pink rash on his lower extremities four months prior. These previous symptoms were less severe and lasted one month before spontaneously resolving. Over the span of the next two weeks, his symptoms worsened and he was hospitalized. Physical exam showed a patient in moderately acute distress due to pain. He had generalized abdominal tenderness with questionable hepatomegaly. He had decreased range of motion and strength due to pain in his bilateral upper and lower extremities. His large joints (bilateral shoulders, hips, and knees) were tender to palpation. He also had a new salmon-colored maculopapular rash on his left thigh. PMH, PSH, and FH was noncontributory. He had no known drug allergies and took no medications. Lab work revealed leukocytosis, elevated ESR, elevated haptoglobin, and elevated CRP. All other lab values were within normal limits. Patient met diagnostic criteria for AOSD and was started on high dose prednisone with good response. He was discharged from the hospital, to follow up with rheumatology and his PCP. At a follow up visit with rheumatology, the patient tapered off of prednisone and started on Canakinumab 4 mg/kg (240 mg) subcutaneous injections every 4 weeks. He continued this treatment for five months and had no recurrent symptoms, and injections were discontinued.Conclusion: In conclusion, AOSD is a rare disease, but should be considered for patients that present with salmon colored maculopapular rash, pharyngitis, arthralgias or arthritis, and fevers.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 suppl 8","pages":"s21"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297693","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

Subcutaneous and Fascial Abdominal Wall Endometriosis in the Setting of Previous Gynecologic Surgeries: Two Case Reports. 曾接受过妇科手术的腹壁皮下和筋膜子宫内膜异位症：两个病例报告

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01

Sena Uzunlar, Alexander Haitham Turaihi, Amity Peterson, Andrew Skattum, Thavam Thambi-Pillai

引用次数: 0

Case Report: Non-ischemic Papillary Muscle Rupture due to MRSA Myocarditis with Concurrent Thromboembolic Myocardial Infarction Secondary to Infective Endocarditis. 病例报告：MRSA心肌炎导致的非缺血性乳头肌断裂，继发于感染性心内膜炎的血栓栓塞性心肌梗死。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01

Andrii Maryniak, Filip Oleszak, Jiannan Huang, David Maziarz, Tomasz Stys, Adam Stys

引用次数: 0

Think Again: Response - Reframing the Narrative. 再想一想：回应--重构叙事。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01

Henry Travers

引用次数: 0