Marshall journal of medicine最新文献

Management of Cryptogenic Stroke secondary to large ASD with percutaneous Occluder Device and Antiplatelet drugs. 使用经皮闭塞器和抗血小板药物治疗继发于大 ASD 的隐源性中风。

Marshall journal of medicine Pub Date : 2024-01-30 DOI: 10.33470/2379-9536.1415

Riya Gupta, Naveed Iqbal

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A Case of Occlusive Myocardial Infarction Caused by Nephrotic Syndrome in a 26-Year-Old Type 1 Diabetic 一名 26 岁 1 型糖尿病患者肾病综合征引发的闭塞性心肌梗死病例

Marshall journal of medicine Pub Date : 2024-01-30 DOI: 10.33470/2379-9536.1397

Kyle Admire, Charlotta Jornlid, Chelsea Ryan, Rebecca Pauly

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Ogilvie's Syndrome: Acute Colonic Pseudoobstruction. A Review for Residents. 奥格尔维综合征：急性结肠假性梗阻。住院医师综述。

Marshall journal of medicine Pub Date : 2024-01-30 DOI: 10.33470/2379-9536.1425

Tyler Bayliss, Caleb Clark, Errington C. Thompson

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More Physicians Alone Won’t Solve Rural America’s Health Care Problems 仅靠增加医生数量无法解决美国农村地区的医疗问题

Marshall journal of medicine Pub Date : 2024-01-30 DOI: 10.33470/2379-9536.1437

A. Grover

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Overcoming Communication Challenges: Training Family Medicine Interns Amidst COVID-19 克服沟通挑战：在 COVID-19 中培训家庭医学实习生

Marshall journal of medicine Pub Date : 2024-01-30 DOI: 10.33470/2379-9536.1418

Ny’nika T. McFadden, Connie C. Leeper, Catanya G Stager, Amanda H Wilkerson

引用次数: 0

Perceptions of Diabetes Distress and Counseling During the Pandemic - Rural Provider Perspectives 感知糖尿病的痛苦和咨询期间的大流行-农村供应商的观点

Marshall journal of medicine Pub Date : 2023-10-31 DOI: 10.33470/2379-9536.1412

Ranjita Misra, Brenna O Kirk, William D Lewis

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The Future of Medicine is Behind Us: The Case for a 1912 Case-Based Curricula 医学的未来已离我们远去:1912年以案例为基础的课程

Marshall journal of medicine Pub Date : 2023-10-31 DOI: 10.33470/2379-9536.1431

Aaron McGuffin

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Chronic Exertional Compartment Syndrome: A Case Report about Claudication in a Healthy Adult 慢性劳损室综合征:健康成人跛行1例报告

Marshall journal of medicine Pub Date : 2023-10-31 DOI: 10.33470/2379-9536.1422

Adrienne Mays-Kingston, Jeremy Eckels, Holly Farkosh, Austin Nichols, PARIS JOHNSON, Adam M. Franks

{"title":"Chronic Exertional Compartment Syndrome: A Case Report about Claudication in a Healthy Adult","authors":"Adrienne Mays-Kingston, Jeremy Eckels, Holly Farkosh, Austin Nichols, PARIS JOHNSON, Adam M. Franks","doi":"10.33470/2379-9536.1422","DOIUrl":"https://doi.org/10.33470/2379-9536.1422","url":null,"abstract":"Claudication occurs when the blood supply is insufficient to service the musculature in the body with oxygen and metabolic waste management. A clinical complaint of claudication is commonly seen in primary care among older patients with vascular risk factors. A young and healthy patient presenting with claudication is less common and often results in delayed diagnosis with numerous extraneous diagnostic studies. This case discusses a young, healthy male patient with lower extremity symptoms that got worse with exercise and better with rest. He had normal physical exam findings leading to multiple diagnostic studies and over 12 months between the onset of symptoms and his return to full activity. Claudication can result from rare conditions, such as chronic exertional compartment syndrome, popliteal artery entrapment syndrome, fibromuscular dysplasia, and cystic adventitial disease. Symptomatic individuals with chronic exertional compartment syndrome experience reversible muscular pain from exercise-induced pressure, which increases within the finite spaces of any muscular compartment. Understanding the pathophysiology of exertional compartment syndrome and its related diagnoses allows for an organized diagnostic approach to young, healthy patients with claudication symptoms. This organized approach allows timely care, which is imperative for primary care physicians to reduce the number of tests performed, decrease the time to diagnosis, and reduce both the anxiety and cost for the patient. The approach presented herein can serve as a reminder of a proper work-up in similar patients and allow practitioners to identify the conditions that require intervention to improve outcomes.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928365","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

Addressing Racism in Medicine with Community-Based Doula Services for Black Mothers, a Narrative Review of the Literature and Historical Perspective 以社区为基础的为黑人母亲提供的导乐服务解决医学中的种族主义问题，对文献和历史观点的叙述回顾

Marshall journal of medicine Pub Date : 2023-10-31 DOI: 10.33470/2379-9536.1405

Brianna Roberts Canales, Emily Sloane

引用次数: 0

Successful Surgical Outcome after Traumatic Diaphragmatic Intra-Pericardial Herniation from Blunt Abdominal Injury 钝性腹部损伤后外伤性膈心包内疝成功的手术结果

Marshall journal of medicine Pub Date : 2023-10-31 DOI: 10.33470/2379-9536.1423

Tyler Bayliss, Mark H Cooper, Paul Bown

{"title":"Successful Surgical Outcome after Traumatic Diaphragmatic Intra-Pericardial Herniation from Blunt Abdominal Injury","authors":"Tyler Bayliss, Mark H Cooper, Paul Bown","doi":"10.33470/2379-9536.1423","DOIUrl":"https://doi.org/10.33470/2379-9536.1423","url":null,"abstract":"Intrapericardial diaphragmatic hernia (IPDH) is a rare manifestation of non-hiatal diaphragmatic hernias (NHDH). Intrapericardial diaphragmatic hernia is defined as the prolapse of the abdominal viscera into the pericardium through the diaphragm. Their incidence has increased over the last 50-60 years, secondary to high-speed transport, and constitutes 5% of major thoracic and abdominal trauma today. These injuries can present during the initial workup or months after the initiating injury. These hernias can be caused by both blunt and penetrating trauma with concomitant central tendon rupture and pericardial laceration. We report an interesting case of intrapericardial diaphragmatic hernia with delayed presentation that was successfully reduced via open surgical repair after a laparoscopic repair attempt failed. We present a 77-year-old female admitted to the hospital after a motor vehicle crash. On hospital day 9, the patient developed shortness of breath, which prompted a chest x-ray. The chest x-ray revealed bowel in the patient’s chest. The patient was taken to the operating room, where they underwent an attempted laparoscopic diaphragmatic hernia repair and, ultimately, open repair of the diaphragmatic hernia. The patient did well after surgery and was discharged on post-injury day 22.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":"45 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928195","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