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84,532 results
  • Techniques for preventing hypotension during spinal anaesthesia for caesarean section. [Review]
    Cochrane Database Syst Rev. 2020 Jul 01; 7:CD002251.Chooi C, Cox JJ, … Cyna AM
  • CONCLUSIONS: While interventions such as crystalloids, colloids, ephedrine, phenylephrine, ondansetron, or lower leg compression can reduce the incidence of hypotension, none have been shown to eliminate the need to treat maternal hypotension in some women. We cannot draw any conclusions regarding rare adverse effects associated with use of the interventions (for example colloids) due to the relatively small numbers of women studied.
  • The effectiveness of an oral opioid rescue medication algorithm for postoperative pain management compared to PCIA : A cohort analysis. [Journal Article]
    Anaesthesist. 2020 Jul 02 [Online ahead of print]Erlenwein J, Emons MI, … Przemeck M
  • CONCLUSIONS: In this study PCIA provided a better reduction of pain intensity, when compared to a standardized protocol with oral opioid rescue medication. This effect was associated with increased opioid consumption. There were no differences in frequencies of opioid side effects. This study was a retrospective analysis of two cohorts of a major project. As with all retrospective studies, our analysis has several limitations to consider. Data can only represent the observation of clinical practice. It cannot reflect the quality of a statement of a randomized controlled trial. Observational studies do not permit conclusions on causal relationships.
  • Esophageal perforation in eosinophilic esophagitis: five cases in children. [Case Reports]
    Endosc Int Open. 2020 Jul; 8(7):E830-E833.Donnet C, Destombe S, … Patural H
  • Background and study aims  Eosinophilic esophagitis (EoE) is a chronic immune disease with increasing incidence. It is clinically defined by symptoms of esophageal dysfunction and histologically by eosinophilic polynuclear cell infiltration of the esophageal mucosa. Symptoms are not specific and include gastroesophageal reflux disease (GERD), dysphagia, vomiting or dietary blockages. Chronic infl…
  • A Ligamentous Agony: Median Arcuate Ligament Syndrome as an Under-Recognized Cause of Abdominal Pain. [Case Reports]
    Cureus. 2020 Jun 27; 12(6):e8865.Manogna D, Gupta A, Seetharaman M
  • Median arcuate ligament (MAL) syndrome (MALS) is a rare clinical entity characterized by chronic abdominal pain resulting from compression of the celiac artery by the MAL. We present a case of MALS with imaging evidence of anterior compression of the celiac artery on expiration, which was relieved on inspiration. A 33-year-old woman presented with intermittent upper abdominal pain since three mon…
  • Internal hernia of the stomach through the lateral space of the colostomy: a case report. [Case Reports]
    J Surg Case Rep. 2020 Jun; 2020(6):rjaa124.Shinohara K, Suzuki M, … Mizukami Y
  • An 81-year-old woman had undergone laparoscopic abdominoperineal resection for rectal cancer. A permanent colostomy was created through an intraperitoneal route. Three months after the surgery, the patient presented with lower abdominal pain and vomiting. Computed tomography showed gastric incarceration through the lateral space of the lifted sigmoid colostomy. Although the herniated stomach was …
  • Goblet Cell Carcinoid (GCC) of the Appendix presenting as a Small Bowel Obstruction. [Case Reports]
    Radiol Case Rep. 2020 Aug; 15(8):1339-1343.Singhal S, Hirsch R, … Fisher M
  • A 68 year old male presented to our Emergency Department with a one-day history of right sided abdominal pain, distention and vomiting on a background of no previous abdominal surgery. Abdominal CT demonstrated a high grade, closed loop small bowel obstruction involving the terminal segment of the ileum. Also of significance was alow-density appendiceal nodule. A subsequent laparoscopy revealed t…
  • Neurologic alterations in an HIV adult patient with pertussis: a case report. [Journal Article]
    BMC Infect Dis. 2020 Jul 02; 20(1):471.Arango-Granados MC, Trompa IM
  • CONCLUSIONS: This case illustrates the biological plausibility of neurologic complications of pertussis in adults, which, albeit rare, can cause important morbidities. Future research should explore whether there are differences in the clinical presentation, risk factors and pathophysiology of the disease among adults or interventions aimed at preventing or treating pertussis encephalopathy.
  • A case of possible atypical demyelinating event of the central nervous system following COVID-19. [Case Reports]
    Mult Scler Relat Disord. 2020 Jun 24; 44:102324.Zoghi A, Ramezani M, … Sahraian MA
  • After the novel coronavirus disease outbreak first began in Wuhan, China, in December 2019, the viral epidemic has quickly spread across the world, and it is now a major public health concern. Here we present a 21-year-old male with encephalomyelitis following intermittent vomiting and malaise for 4 days. He reported upper respiratory signs and symptoms 2 weeks before this presentation. Two cereb…
  • Cholera outbreak in Addis Ababa, Ethiopia: A case-control study. [Journal Article]
    PLoS One. 2020; 15(7):e0235440.Dinede G, Abagero A, Tolosa T
  • CONCLUSIONS: Our findings demonstrated cholera foodborne transmission via consumption of raw vegetables, and its waterborne transmission via consumption of contaminated holy water. Washing hands with soap after visiting latrine was protective. We recommended cooking of vegetables and promoting hand washing.
  • Management of Cannabinoid Hyperemesis Syndrome: Focus on Capsaicin. [Journal Article]
    J Pharm Pract. 2020 Jul 02 [Online ahead of print]Stumpf JL, Williams LD
  • Cannabinoid hyperemesis syndrome is a condition characterized by cyclic severe nausea, vomiting, and abdominal pain associated with frequent, long-term marijuana use. The condition resolves with cessation of cannabis but may be temporarily relieved by bathing in hot water. Topical capsaicin cream may also alleviate symptoms, perhaps through antiemetic effects produced by activation of TRPV1 recep…
  • Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute Appendicitis. [Case Reports]
    Case Rep Oncol Med. 2020; 2020:8569426.Rahmani N, Daneshbod Y, … Shirian S
  • CONCLUSIONS: Patients with appendiceal PTCL commonly present with signs and symptoms of acute appendicitis due to luminal obstruction by the tumor. Therefore, appendiceal tumors such as PTCL should be considered in the differential diagnosis of patients presenting as acute appendicitis. In addition, since there is no standard chemotherapy regimen for cytotoxic PTCL, this and other case reports hopefully help in providing the clinical evidence needed for establishing appropriate treatment guidelines.
  • Recent Advances in the Definition and Management of Functional Dyspepsia. [Journal Article]
    Keio J Med. 2020 Jul 01 [Online ahead of print]Suzuki H
  • In 2016, the Rome criteria were updated as Rome IV, and only minor changes were introduced for functional dyspepsia (FD). The major symptoms of FD now include not only postprandial fullness, but also epigastric pain and burning, and early satiation at above the "bothersome" level. Investigations into the effect of meal ingestion on symptom generation have indicated that not only postprandial full…
  • Viral and bacterial coinfection of the respiratory tract in a 10-month-old child. [Journal Article]
    BMJ Case Rep. 2020 Jul 01; 13(7)Govindarajan S, Bivan S
  • A 10-month-old child, immunised appropriately for age, presented with a history of cough, vomiting, diarrhoea, increased work of breathing and eye redness for 1 week. She was treated for suspected bronchiolitis with supportive oxygen and hypertonic saline nebulisation. In view of continuing fever spikes and persistent oxygen requirement, she was evaluated further. Her inflammatory markers were ra…
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