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(focused history and physical examination)
1,149 results
  • Genetic Hair Disorders: A Review. [Review]
    Dermatol Ther (Heidelb) 2019Ahmed A, Almohanna H, … Tosti A
  • Hair loss in early childhood represents a broad differential diagnosis which can be a diagnostic and therapeutic challenge for a physician. It is important to consider the diagnosis of a genetic hair disorder. Genetic hair disorders are a large group of inherited disorders, many of which are rare. Genetic hair abnormalities in children can be an isolated phenomenon or part of genetic syndromes. H…
  • Primary Angioplasty: A Practical Guide: Medications in Cardiogenic Shock [BOOK]
    Springer: SingaporeWatson TJ, Ong PJL, … Tcheng JEWang MT, Hung CC, … Huang WCBOOK
  • Shock is circulatory failure with inadequate cellular oxygen utilization. Four potential pathophysiological mechanisms result in shock, including hypovolemic, cardiogenic, obstructive, and distributive factors. Cardiogenic shock (CS) decreases myocardial contractility and is the most common cause of death in patients with acute myocardial infarction (AMI). To differentiate the type and cause of s…
  • Clinical Toxicology and Overdose of Psychiatric Medications. [Journal Article]
    East Asian Arch Psychiatry 2019; 29(2):57-62Chan YC
  • This article reviews the poisoning epidemiology in Hong Kong, assessment and treatment of acute poisoning, and management of acute psychiatric medication overdose. In 2016, nearly 4000 poisoning cases involving approximately 6000 poisons were reported to Hong Kong Poison Information Centre. About 25% of the poisons involved were psychiatric-related medications. The initial medical assessment on p…
  • Nutritional Laboratory Markers in Malnutrition. [Review]
    J Clin Med 2019; 8(6)Keller U
  • Serum visceral proteins such as albumin and prealbumin have traditionally been used as markers of the nutritional status of patients. Prealbumin is nowadays often preferred over albumin due to its shorter half live, reflecting more rapid changes of the nutritional state. However, recent focus has been on an appropriate nutrition-focused physical examination and on the patient's history for diagno…
  • Unilateral Vocal Fold Immobility in Children. [Review]
    Otolaryngol Clin North Am 2019; 52(4):681-692Graham ME, Smith ME
  • Unilateral vocal fold paralysis (UVFP) in children may cause dysfunction in voice, swallowing, and breathing, thus influencing all components of laryngeal function. UVFP in children is usually the result of iatrogenic injury. The approach to patients with suspected UVFP should involve a detailed patient history, a focused physical examination with flexible nasopharyngoscopy, and relevant imaging …
  • Boat noise affects the early life history of two damselfishes. [Journal Article]
    Mar Pollut Bull 2019; 141:493-500Fakan EP, McCormick MI
  • Anthropogenic noise can have a negative effect on the physiology and survival of marine fishes. Most research has focused on later life-stages, and few studies have investigated the effects of human-induced noise on embryogenesis. The current study investigated whether playback of motorboat noise affected the embryogenesis of the coral reef damselfishes, Amphiprion melanopus and Acanthochromis po…
  • The Thunderclap Headache: Approach and Management in the Emergency Department. [Journal Article]
    J Emerg Med 2019; 56(6):633-641Long D, Koyfman A, Long B
  • CONCLUSIONS: TCH is a symptom associated with several significant diseases. The most common diagnosed condition is subarachnoid hemorrhage (SAH). Other diagnoses include reversible cerebral vasoconstriction syndrome, cerebral venous thrombosis, cervical artery dissection, posterior reversible encephalopathy syndrome, spontaneous intracranial hypotension, and several others. Patients with TCH require history and physical examination, with a focus on the neurologic system, evaluating for these conditions, including SAH. Further testing often includes head computed tomography (CT) without contrast, CT angiography of the head and neck, and lumbar puncture. Evaluation must take into account history, examination, and the presence of any red flags or signs suggestive of a specific etiology. An algorithm is provided for guidance within this review incorporating these modalities. Management focuses on the specific diagnosis. If testing is negative for a serious condition and the patient improves, discharge home may be appropriate with follow-up.Patients presenting with TCH require diagnostic evaluation. History and examination are vital in assessing for risk factors for various conditions. Focused testing can assist with diagnosis, with management tailored to the specific diagnosis.
  • The Anterolateral Ligament (ALL) The New Ligament? [Historical Article]
    Bull Hosp Jt Dis (2013) 2019; 77(1):64-69Capogna BM, Kester BS, … Alaia MJ
  • CONCLUSIONS: After the storm of media coverage surrounding the "new ligament" known as the ALL, much attention was focused on cadaveric dissection, biomechanical analysis, and reconstruction of this structure. Several techniques have been described, and currently studies are being performed both retrospectively and prospectively to evaluate the added benefit of ALL reconstruction to the rotational stability of the knee and outcomes after ACL reconstruction.The ALL is a lateral-based structure that provides rotational stability to the knee in the presence of ACL deficiency. Reconstruction of this ligament may provide added benefit to stability and outcomes following ACL reconstruction in certain patient populations. Further randomized controlled trials are needed to elucidate the true benefit of ALL reconstruction and those patients who should undergo this added procedure.
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