South Dakota medicine : the journal of the South Dakota State Medical Association最新文献

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Pseudogout in Primary Care Practice: An Approach to Diagnosis and Treatment. 初级保健实践中的伪out:一种诊断和治疗方法。
Tinotendad Me Sekeramayi, Thabuna Sivaprakasam, Joseph Fanciullo
{"title":"Pseudogout in Primary Care Practice: An Approach to Diagnosis and Treatment.","authors":"Tinotendad Me Sekeramayi, Thabuna Sivaprakasam, Joseph Fanciullo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pseudogout refers to an autoinflammatory arthritis associated with the appearance of calcium pyrophosphate dihydrate crystals in the joint fluid. In acute pseudogout attacks patients typically endorse rapid onset of pain and swelling, at times following mechanical trauma to the joint. Physical exam reveals warmth, swelling with effusion, tenderness, and limited range of motion of the involved joint(s) which can mimic gout flares and an overlying soft tissue infection so maintaining a broad differential is important in the workup of pseudogout attacks. Risk factors for pseudogout include advancing age, osteoarthritis, mechanical joint trauma or history of meniscectomy, and primary hyperparathyroidism. Diagnosis requires synovial fluid analysis with direct visualization of rhomboid shaped calcium pyrophosphate crystals. Acute attacks are managed with low-dose colchicine, non-steroidal anti-inflammatory drugs, or corticosteroids (either intra-articular injection or systemic therapy). The ideal approach combines pharmacologic and supportive measures such as application of ice or cooling packs and temporary joint rest with weight restriction along with analgesic medications. Currently there are no long-term therapies that prevent calcium pyrophosphate crystal formation; however, research is underway for agents such as probenecid, phosphocitrate, methotrexate, and interleukin-1 antagonists.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 4","pages":"177-181"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327108","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: Salmonella Infection of a Prosthetic Shoulder Joint Requiring Long-term Antibiotic Suppression. 病例报告:需要长期抗生素抑制的假肩关节沙门氏菌感染。
Becky Davies, Andrew Nerland, Chester Samuelson
{"title":"Case Report: Salmonella Infection of a Prosthetic Shoulder Joint Requiring Long-term Antibiotic Suppression.","authors":"Becky Davies, Andrew Nerland, Chester Samuelson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Salmonella infection most frequently presents as gastroenteritis in developed countries, while septic arthritis represents a much rarer occurrence. Salmonella septic arthritis most commonly occurs in the hip joint, while existing reports of Salmonella infection of the shoulder joint are limited to the pediatric population. Here we report a case of an immunocompetent elderly male presenting with Salmonella septic arthritis to the left shoulder joint status post total shoulder arthroplasty three years prior. The definitive source of infection remains unclear, though potential etiologies include preceding gastroenteritis and iatrogenic inoculation. Treatment was complicated by an inability to completely remove and replace the prosthetic hardware and therefore consisted of left shoulder incision and drainage with debridement, antibiotic bead placement, surgical revision, and long-term oral antibiotics. This paper explores the incidence and diagnosis of Salmonella joint infections and demonstrates a treatment plan when curative surgery is not available.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 4","pages":"160-165"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327104","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 Case Report of Group B Streptococcus Septic Arthritis in a 37-day-old Male. 37日龄男性B群链球菌感染性关节炎1例报告。
Nadya Ekhteraee-Sanaee, Andrew Nerland, Connie Taylor, Casey Swenson, Peter Pc Lim
{"title":"A Case Report of Group B Streptococcus Septic Arthritis in a 37-day-old Male.","authors":"Nadya Ekhteraee-Sanaee, Andrew Nerland, Connie Taylor, Casey Swenson, Peter Pc Lim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Septic arthritis is an unusual clinical presentation of group B Streptococcus infection in neonates. The authors report a case of septic arthritis caused by late-onset group B Streptococcus infection in a 37 day-old-male who presented to family medicine clinic with a limp right upper extremity.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 4","pages":"150-152"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327103","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
Hair Matters: Psychosocial Impact of Receding Hairline in College-Aged Men. 头发问题:大学年龄男性发际线后退的社会心理影响。
Alyssa L Reinschmidt, Rachel Van Gorp, Oluwafunke Oluwatosin Ogunremi, John Samuel Vassar, Brant Hannahs, Jazmin Newton, Brianne Haskell Hanisch, Marcus L Frohm
{"title":"Hair Matters: Psychosocial Impact of Receding Hairline in College-Aged Men.","authors":"Alyssa L Reinschmidt, Rachel Van Gorp, Oluwafunke Oluwatosin Ogunremi, John Samuel Vassar, Brant Hannahs, Jazmin Newton, Brianne Haskell Hanisch, Marcus L Frohm","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Androgenetic alopecia, or male pattern baldness, is a common condition that causes progressive hair loss on the scalp. The psychosocial effects of male pattern baldness may be underestimated, especially in younger men. The purpose of this study was to better understand the implications of hair thinning and receding hairlines on the psyche of college-aged men.</p><p><strong>Methods: </strong>A 30-question online survey consisting of closed and open-ended questions was distributed to email addresses and social media accounts affiliated with undergraduate student organizations representing South Dakota universities from October to November 2023. Male university students aged 18-40 were included. Data were anonymously collected and stored in the Qualtrics database. Descriptive statistics were used to analyze quantitative data, while thematic analysis was used for qualitative data.</p><p><strong>Results: </strong>71 male students completed the survey. 82% of participants reported a full head of hair, 40% reported hair thinning, 44% reported a receding hairline, and 14% reported a bald spot. About one third of participants (32%) reported that the current state of their hair bothers them. More than half of the participants would consider taking treatments for hair loss indefinitely.</p><p><strong>Conclusions: </strong>The psychosocial impact of male pattern hair loss and hair thinning affects young males at South Dakota universities, making it vital for healthcare providers to address treatment options and education among college-aged men. Open discussions regarding hair loss may improve confidence while reducing distress among patients.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 4","pages":"154-159"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327105","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
Healthcare in Turmoil. 动荡的医疗保健。
Muhammad Khan
{"title":"Healthcare in Turmoil.","authors":"Muhammad Khan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 3","pages":"133-135"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973052","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
Consumption vs. Discernment. 消费vs.洞察力。
Jason J Kemnitz
{"title":"Consumption vs. Discernment.","authors":"Jason J Kemnitz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 3","pages":"99"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327160","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
Low Grade Laryngeal Chondrosarcoma of the Cricoid Cartilage: A Case Report. 环状软骨低级别喉软骨肉瘤1例报告。
Colton D Carlson, Gaven Bowman, Aaron Amundson, William C Spanos
{"title":"Low Grade Laryngeal Chondrosarcoma of the Cricoid Cartilage: A Case Report.","authors":"Colton D Carlson, Gaven Bowman, Aaron Amundson, William C Spanos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Laryngeal chondrosarcomas are a rare class of laryngeal tumor arising from the various cartilages in the larynx. Despite their generally benign nature, removal of laryngeal chondrosarcomas is essential as the tumor often obstructs the larynx resulting in vocal defects and can impede breathing in advanced cases. In this case, we present a 61-yearold male with a low-grade laryngeal chondrosarcoma arising from the cricoid cartilage. The patient presented with a long history of hoarseness accompanied by normal physical exam and lab findings. After CT imaging showed a laryngeal mass, biopsy and histological examination were performed and confirmed a diagnosis of low-grade laryngeal chondrosarcoma arising from the cricoid cartilage. The patient was primarily treated via an anterior commissure laryngoscope with thulium laser resection and further debulking was able to be performed multiple months after the initial procedure during another unrelated neck surgery. The eight-month follow up course resulted in retention of laryngeal function and no recurrence on CT scan. This case provides a thorough look into a chondrosarcoma arising from the larynx with a discussion of workup for these rare airway related tumors.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 3","pages":"104-108"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327164","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
Delayed Diagnosis of Subungual Acral Lentiginous Melanoma. 足跖下肢端黄斑性黑色素瘤的延迟诊断。
Robert Van Demark, Vanessa Richardson, Dylan Beeler, Cole D Tessendorf, Ben VanBockern, Victoria Durkin, Andrew Erie, Hao Li
{"title":"Delayed Diagnosis of Subungual Acral Lentiginous Melanoma.","authors":"Robert Van Demark, Vanessa Richardson, Dylan Beeler, Cole D Tessendorf, Ben VanBockern, Victoria Durkin, Andrew Erie, Hao Li","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a 62-year-old, Hispanic male who presented to a rural medical provider who noted dark nail discoloration to the left thumb. Several weeks later, he presented to a rural emergency department with left thumb subungual hematoma and paronychia attributed to recent trauma. After evacuation and oral antibiotics, the provider discussed the prospect of melanoma given presence of longitudinal melanonychia and positive Hutchinson's sign. After 2.5 years, the patient re-presented to the same provider who noted increased pain and scarring of the left thumbnail. Referral to an orthopedic hand surgeon led to an MRI, which demonstrated findings most consistent with a benign glomus tumor. A left thumb mass excision and partial matrixectomy was performed with pathology revealing subungual amelanotic melanoma. The patient underwent left distal phalanx amputation of the thumb through the interphalangeal joint. Appropriate imaging and sentinel axillary lymph nodes were negative for metastasis. He continues to follow with medical oncology.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 3","pages":"120-125"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327161","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
Examining the Relationships between Work Environment and Stress Coping Mechanisms with Burnout in Medical Students. 医学生工作环境、压力应对机制与职业倦怠的关系研究。
Oluwafunke Oluwatosin Ogunremi, Ethan Noble, Valeriy Kozmenko
{"title":"Examining the Relationships between Work Environment and Stress Coping Mechanisms with Burnout in Medical Students.","authors":"Oluwafunke Oluwatosin Ogunremi, Ethan Noble, Valeriy Kozmenko","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Throughout the duration of medical training, learners are oftentimes overworked and faced with high levels of stress and pressure; this can decrease quality of life for many individuals. The goal of this study was to gain an understanding of how work environments and stress coping mechanisms play a role in the amount of burnout experienced by medical students.</p><p><strong>Methods: </strong>Data was collected from medical students at the University of South Dakota Sanford School of Medicine by using a 22 question Qualtrics survey. The survey remained open until a 50% response rate was achieved from the student body. The results of the survey were analyzed by using 2 sample t-tests and ANOVA tests as appropriate.</p><p><strong>Results: </strong>No statistically significant differences were found in total burnout ratings, coping mechanisms, and perception of the work environment between the different cohorts of medical students. Students who had healthier behaviors, such as following CDC recommendations on sleep, exercise, and fruit and vegetable consumption or practicing meditation and mindfulness, had lower levels of burnout compared to those who did not. Students who stated on the survey that they were experiencing burnout had a lower overall score on the survey, indicating higher levels of burnout.</p><p><strong>Conclusion: </strong>Some medical students may recognize when they are burning out, so providing resources to help them incorporate healthier behaviors into their lifestyles may help aid in burnout recovery. Finding effective ways to help students deal with stressors and develop coping mechanisms improves their own quality of life and can hence improve patient outcomes.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 3","pages":"114-119"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327162","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
Managing Congestive Heart Failure at Home by Transitioning From Intravenous Furosemide to a Subcutaneous Route. 从静脉滴注速尿过渡到皮下注射治疗家庭充血性心力衰竭。
Muhammad Asif, Wahab J Khan, Awais Aslam, Hammad S Chaudhry, Daud Shehzad
{"title":"Managing Congestive Heart Failure at Home by Transitioning From Intravenous Furosemide to a Subcutaneous Route.","authors":"Muhammad Asif, Wahab J Khan, Awais Aslam, Hammad S Chaudhry, Daud Shehzad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Heart failure is one of the leading chronic conditions affecting millions of individuals in the U.S. and across the globe. Congestive heart failure (CHF) is one of the leading diagnoses resulting in acute hospitalizations for administration of intravenous (IV) diuretics, hence putting significant direct economic costs from in-hospital treatment and indirect due to loss of work being hospitalized. With the ever-increasing strain on hospital beds and staffing from a variety of acute illnesses, there has been an urge to treat patients in outpatient settings as much as possible, providing highquality care and using hospitalization only as a last resort. Recently, there have been successful attempts to treat patients with subcutaneous furosemide and achieve results similar to conventional IV diuresis. In this article, we highlight some of the details and outcomes of these studies and summarize the important considerations about the utility of subcutaneous furosemide in treating CHF exacerbation.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 3","pages":"127-131"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327102","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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