South Dakota medicine : the journal of the South Dakota State Medical Association最新文献_第7页

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

Antibiotic Stewardship in Chorioamnionitis Exposed Neonates, A Quality Improvement Project. 绒毛膜羊膜炎新生儿的抗生素管理，质量改进项目。

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

Jacquelyn Em Grev, Mallary Van Tol, Brooke Welker, Bette Schumacher, Lori Mulder, Andrea Dykstra, Laurie Richards

{"title":"Antibiotic Stewardship in Chorioamnionitis Exposed Neonates, A Quality Improvement Project.","authors":"Jacquelyn Em Grev, Mallary Van Tol, Brooke Welker, Bette Schumacher, Lori Mulder, Andrea Dykstra, Laurie Richards","doi":"","DOIUrl":"","url":null,"abstract":"Background: Rates of neonatal early onset sepsis (EOS) in term infants have recently decreased. The 2018 AAP guidelines for the management of infants at risk for early onset sepsis allows for using a multivariate risk assessment to determine need for empiric antibiotics in infants 35 weeks or greater, including those exposed to chorioamnionitis.Methods: A quality improvement (QI) project was undertaken to implement use of EOS calculator in chorioamnionitis exposed infants with an aim to safely decrease antibiotic exposure. Multiple Plan-Do-Study-Act (PDSA) cycles occurred to implement the change. Data regarding antibiotics, labs, length of stay and safety metrics were collected.Results: Implementing the EOS calculator's use in chorioamnionitis exposed neonates decreased antibiotic exposure from 100% to 75%, and decreased average duration of antibiotics from 68 to 40 hours. Implementation decreased prolonged courses of antibiotics, lumbar punctures, length of stay and laboratory tests. No cases of early culture confirmed EOS were missed, and none occurred in this well appearing population.Conclusions: Quality improvement initiatives to implement evidence-based tools can safely and appropriately decrease antibiotic exposure in neonates.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"300-303"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628003","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

A Map to Learning? 学习地图？

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

Jason J Kemnitz

引用次数: 0

Scoping Out Arthroscopy: A Concise Review of the Development and Other Important Principles in Orthopaedic Arthroscopy. 关节镜的范围：骨科关节镜手术的发展及其他重要原则的简明评述》（Scoping Out Arthroscopy: A Concise Review of the Development and Other Important Principles in Orthopaedic Arthroscopy）。

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

Cole D Tessendorf, Nathan W Skelley

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Think Again: Response. 再想一想：回应。

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

Henry Travers

引用次数: 0

Think Again: Science as Subjectivism. 再想一想：作为主观主义的科学。

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

Wendell W Hoffman

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Acute Osmotic Central Pontine Demyelination in an Alcoholic Patient With Normal Sodium Levels and a Vitamin B6 Deficiency. 一名钠含量正常且缺乏维生素 B6 的酒精中毒患者的急性渗透性中枢神经髓鞘脱髓鞘病变

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

Cole D Tessendorf, Jared F Hueser, Brendan Wechsler, Nessim N Amin

引用次数: 0