Dm Disease-A-Month最新文献_第7页

Gastrointestinal disorders–Clinical challenges for the primary care clinician: Conclusion 胃肠道疾病-初级保健临床医生的临床挑战：结论。

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/j.disamonth.2024.101827

Robin B. McFee DO, MPH, FACPM, FAACT

引用次数: 0

Gastrointestinal disorders – Clinical challenges for the primary care clinician An overview 胃肠道疾病-初级保健临床医生的临床挑战综述。

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/j.disamonth.2024.101829

Robin McFee DO, MPH, FACPM, FAACT (Medical Director) , Jerrold B. Leikin MD, FACOEM, FACP, FACEP, FACMT, FAACT, FASAM (Senior Editor)

引用次数: 0

C2: Editorial Board C2：编委会

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/S0011-5029(24)00161-5

引用次数: 0

Navigating mesenteric vasculitis: A comprehensive review of literature 肠系膜血管炎导航：文献综述。

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/j.disamonth.2024.101830

Fizza Zulfiqar MD , Muhammad Bilal MD , Yash Shah MD , Steele Morgan , Rida Fatima MD , Bryanna Singh , Sneha Annie Sebastian , Bashar Roumia , Parjanya Bhatt MD , Vinay Kumar Thallapally MD , Geetha Krishnamoorthy MD , Syed Ali Muttaqi Hussain MD

{"title":"Navigating mesenteric vasculitis: A comprehensive review of literature","authors":"Fizza Zulfiqar MD , Muhammad Bilal MD , Yash Shah MD , Steele Morgan , Rida Fatima MD , Bryanna Singh , Sneha Annie Sebastian , Bashar Roumia , Parjanya Bhatt MD , Vinay Kumar Thallapally MD , Geetha Krishnamoorthy MD , Syed Ali Muttaqi Hussain MD","doi":"10.1016/j.disamonth.2024.101830","DOIUrl":"10.1016/j.disamonth.2024.101830","url":null,"abstract":"<div><div>Vasculitides are diseases marked by inflammation of the blood vessel walls across various organ systems. The mesenteric vasculitis (MV) affects localized mesenteric vessels of the gastrointestinal tract. It usually occurs as part of a systemic inflammatory process but could also present in isolation. There are very few published reports of isolated mesenteric artery vasculitis. Presenting symptoms often include nausea, vomiting, diarrhea, abdominal pain, rectal bleeding, often complicating the diagnostic process. Diagnosing MV as the cause of abdominal pain can be challenging, and failure to diagnose can result in significant morbidity and mortality. A timely and accurate diagnosis of MV is essential for administering the appropriate immunosuppressive therapy and preventing unnecessary surgical interventions. This review aims to provide a comprehensive discussion of MV, including its clinical presentation, diagnostic approaches, and treatment options, with a focus on achieving early diagnosis to enhance outcomes and prevent complications. Furthermore, this review addresses the diagnostic challenges associated with MV, including the lack of specific criteria and symptom overlap with other gastrointestinal disorders such as atherosclerotic mesenteric ischemia, infections, malignancies, adverse medication effects, and other vessel occlusive processes. It also emphasizes the gaps in current literature regarding optimal diagnostic strategies and the necessity for standardized treatment protocols. By addressing these gaps and challenges, we aim to optimize patient care and improve prognosis for individuals affected by MV.</div></div>","PeriodicalId":51017,"journal":{"name":"Dm Disease-A-Month","volume":"70 12","pages":"Article 101830"},"PeriodicalIF":3.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cannabinoid Hyperemesis Syndrome (CHS) - An emerging gastrointestinal disorder and clinical challenge 大麻素呕吐综合征——一种新兴的胃肠道疾病和临床挑战。

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/j.disamonth.2024.101832

R.B. McFee DO, MPH, FACPM, FAACT

{"title":"Cannabinoid Hyperemesis Syndrome (CHS) - An emerging gastrointestinal disorder and clinical challenge","authors":"R.B. McFee DO, MPH, FACPM, FAACT","doi":"10.1016/j.disamonth.2024.101832","DOIUrl":"10.1016/j.disamonth.2024.101832","url":null,"abstract":"<div><div>Nausea and vomiting are not uncommon symptoms resulting in emergency department (ED) or primary care visits. One of the emerging etiologies – Cannabinoid Hyperemesis Syndrome (CHS) remains significantly under-diagnosed, often resulting in unnecessary repeat ED visits and testing. This is in part due to lack of experience with and knowledge about CHS by health care professionals. Characterized by cyclic vomiting, often severe and intractable, it is frequently associated with a form of self-treatment; the compulsive need to take hot showers, and in the context of chronic cannabis use. With increased legalization and resultant accessibility to cannabis containing products, the risk of adverse events is significantly rising. Lack of clinical familiarity with the range of potential deleterious physical and mental health effects associated with cannabis leads to delays in appropriate diagnosis and effective treatment of CHS. Moreover, commonly utilized anti-emetics, such as ondansetron, and similar 5 HT drugs may not fully attenuate symptoms of CHS, and other interventions may be necessary; ultimately abstinence being the most effective long term clinical preventive approach. The objective of this review article is to assist the clinician in identifying the specific clinical characteristics of CHS, distinguishing it from other causes of CVS or nausea and vomiting, to facilitate more rapid, effective interventions. Collaboration with substance use professionals should also be considered during CHS treatment.</div></div>","PeriodicalId":51017,"journal":{"name":"Dm Disease-A-Month","volume":"70 12","pages":"Article 101832"},"PeriodicalIF":3.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lactose Intolerance – A practical approach, Part 2 An approach to foods 乳糖不耐症-一个实用的方法，第2部分：食物的方法。

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/j.disamonth.2024.101824

Michael Mallary PhD, FIEEE

引用次数: 0

Information for Readers 读者资讯

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/S0011-5029(24)00163-9

引用次数: 0

Lactose intolerance – A practical approach, Part 1 乳糖不耐症-一个实用的方法，第1部分。

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/j.disamonth.2024.101823

RB McFee DO, MPH, FACPM, FAACT

引用次数: 0

Gastrointestinal disorders – Clinical challenges for the primary care clinician 胃肠道疾病-初级保健临床医生的临床挑战。

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/j.disamonth.2024.101828

Robin B. McFee DO, MPH, FACPM, FAACT

{"title":"Gastrointestinal disorders – Clinical challenges for the primary care clinician","authors":"Robin B. McFee DO, MPH, FACPM, FAACT","doi":"10.1016/j.disamonth.2024.101828","DOIUrl":"10.1016/j.disamonth.2024.101828","url":null,"abstract":"<div><div>Gastrointestinal (GI) associated symptoms are among the most common medical concerns resulting in visits to primary and specialty care. Especially challenging is the wide range of causative disorders and exposures associated with symptoms ranging from mild to life threatening - from within the GI tract as well as extra-gastrointestinal. Some of these are well described, and common, including infections, while others are newly emerging, such as cannabinoid hyperemesis syndrome. Others are well known but clinical success can remain elusive, such as food associated GI disorders - lactose intolerance and related. Although entire references have been written to address gastrointestinal diseases, in this edition of Disease a Month we will address some of the more challenging GI disorders; some of which are common but often difficult to control - food associated for example, and emerging GI illnesses such as radiation or cannabinoid hyperemesis, that lead patients to the Emergency Department, primary care clinician or specialty referral. What follows is a discussion of diverse but clinically important GI disorders, and the newer therapeutic strategies to help patients better manage their symptoms, and improve their quality of life.</div></div>","PeriodicalId":51017,"journal":{"name":"Dm Disease-A-Month","volume":"70 12","pages":"Article 101828"},"PeriodicalIF":3.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nausea and vomiting – General considerations 恶心和呕吐——一般注意事项。

IF 3.8 3区医学

Dm Disease-A-Month Pub Date : 2024-12-01 DOI: 10.1016/j.disamonth.2024.101831

Robin B. McFee D.O., M.P.H., FACPM, FAACT , George G. Abdelsayed M.D., FACP, FACG, CHCQM

引用次数: 0