South Dakota medicine : the journal of the South Dakota State Medical Association最新文献_第6页

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

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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

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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}

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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

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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

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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

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Congenital CMV in the Neonate: A Primer. 新生儿先天性巨细胞病毒：初级读本。

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

Tiffany Bender, Jamuna Buchanan, Pradeeksha Mukuntharaj, Suzanne Reuter

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Brief Provider Education is Associated with Decreased ED Visits by Super-utilizers. 简短的医疗服务提供者教育可减少超级用药者的急诊就诊次数。

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

Kjerstin Hensley, Benjamin Aaker

{"title":"Brief Provider Education is Associated with Decreased ED Visits by Super-utilizers.","authors":"Kjerstin Hensley, Benjamin Aaker","doi":"","DOIUrl":"","url":null,"abstract":"Background: Millions of adult visits to emergency departments (EDs) each year are opioid-related, and those who visit with chronic pain are more likely to be super-utilizers (SUs) of the ED. Although SUs comprise 5% of the general population, they account for 50% of health care expenditure.Objective: Determine whether brief provider opioid education results in decreased number of SUs and total ED visits by SUs.Methods: The American Academy of Emergency Medicine's ED Opioid Prescribing Guidelines were presented to five EDs (estimated total 70,000 ED annual patient volume). ICD-10 codes from visits one year before and after the education were evaluated for painful diagnoses and identified patients who fit the definition of SU. Statistical analysis was performed on the data using McNemar's test and Z-scores.Results: A statistically significant decrease (p=0.0006) in patients who visited the ED more than once after the education compared to prior to the education (n=304) was found. A statistically significant decrease (p=0.0017) in total number of visits after the education (n=268) by SU patients was found. No statistically significant change in visits made by non-SU patients (p=1.9983), nor average number of visits made by SUs (p=0.2320) was found.Conclusion: Providing opioid education to ED providers was associated with a significant reduction in number of SUs visiting the ED and number of visits made by SUs. Based on average costs of ED visits by SUs, this decrease in visits can be correlated to an estimated savings of over $1 million across five EDs.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 3","pages":"108-111"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591607","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}

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Pillar 2: A Steep Hike With a Worthy Payoff. 支柱 2：陡峭的攀登，值得的回报。

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

Alan Sazama

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South Dakota Dermatology: Urban vs Rural Wait Times and Dermatologist Density. 南达科他州皮肤科：城市与农村的候诊时间和皮肤科医生密度。

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

Colby Felts, Lauren Ochoa, Marcus Frohm

{"title":"South Dakota Dermatology: Urban vs Rural Wait Times and Dermatologist Density.","authors":"Colby Felts, Lauren Ochoa, Marcus Frohm","doi":"","DOIUrl":"","url":null,"abstract":"Background: As of 2019, South Dakota had only 32 registered dermatologists, one per 27,569 people. Wait times for dermatologic care are affected by factors such as socioeconomic status, provider distribution, and patient to provider ratios. This inaccessibility to care or prolonged wait times may lead to diagnosis and treatment delays as well as disease progression. We hypothesized wait times to see a dermatologist would be longer in rural areas than urban areas in South Dakota.Methods: Dermatology clinics throughout South Dakota were contacted to obtain wait times. An internet search was conducted to develop a list of dermatology providers. A population of 50,000 or greater defined an urban area and a ratio of four dermatologists per 100,000 people was used as an ideal patient to provider ratio.Results: Overall, 75% of South Dakota's dermatology clinics participated with an equal rural to urban distribution. There was no difference in wait times for new (p=0.787) or established patients (p=0.461) comparing rural and urban clinics. All South Dakota cities with clinics met the goal patient to dermatologist ratio except for Dakota Dunes (included as part of the Sioux City, Iowa, metro population).Conclusions: The data does not support the hypothesis that wait times for dermatologists would be longer in rural locations than urban locations. Despite adequate dermatologist to patient ratios throughout most of South Dakota, wait times of over six weeks were found at both urban and rural locations, indicating the need for future studies to assess potential solutions for improving timely access to dermatologic care.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 3","pages":"113-118"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591620","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