A15-year-old girl was referred to a pediatric endocrinologist for evaluation of hyperthyroidism. Her primary concerns were intermittent increases in heart rate and appetite (with a weight gain of 7 kg within the past year), feeling hot at night even in winter, persistent lower extremity edema that had been present since age 4 years, and difficulty in concentrating. She denied having diarrhea, sweating, fatigue, breathing difficulties, hair loss, or changes in hair texture.
For 3 days, a 7-year-old girl had severe, generalized abdominal pain. The patient described the pain as sharp and achy without radiation; she denied any relieving or aggravating factors. She also reported decreased appetite and energy for the past week.
The rash on this 4-week-old girl had appeared 5 days earlier on her face as thickened scales on an erythematous base and subsequently spread to the scalp, shoulder, chest, abdomen, and extremities. A few bullae were noted on the neck and hands. Initial treatment with cephalexin failed to control the rash, and the infant was admitted to the hospital for further evaluation.
A 23-year-old woman presents to the emergency department (ED) with left-sided burning chest pain that radiates to the epigastrium. The pain, which woke her from sleep 12 hours earlier, is intermittent and is not associated with eating or exertion. She had a single bout of nausea and emesis. More »
A 71-year-old African American man presented to the emergency department (ED) with chest pain, dyspnea, and hemoptysis. He had had a few ED visits for similar symptoms within the previous 4 weeks. More »
anagement of low back pain (LBP) includes a variety of approaches. The clinician should involve patients in the discussion and encourage them to become active participants. Bed rest has many deleterious effects; remaining active is more effective for patients with acute or subacute LBP. More »
Shoulder pain is a complex clinical condition, making the diagnosis difficult for even experienced clinicians. The most common causes of chronic shoulder pain are rotator cuff disorders and osteoarthritis of the glenohumeral joint. More »
Low back pain is extremely common in Western society.1 It is second only to upper respiratory illness as a symptom-related reason for visits to the doctor. More »
More than two-thirds of surveyed patients with gout described the pain of an attack as “miserable,” but one-fourth suggested that persons who do not have gout perceive them as overreacting to attacks and two-thirds think that others do not take the condition seriously. More »
Close to three-fourths of women who have rheumatoid arthritis (RA) experience pain on a daily basis, even though three-fourths receive medication for pain relief, according to a new study presented at the 2010 Annual Congress of the European League Against Rheumatism (EULAR), held recently in Rome. More »
Children with lacerations that require suturing are typically afraid and uncooperative. The pain of a local lidocaine injection will increase their fear and lack of cooperation. More »
Given that migrainewithprolongedaura is difficult to differentiate from acute stroke on first presentation these patients should be imaged ...Migrainewithaura and migrainewithoutaura: an epidemiological study. Cephalalgia 1992;12:221–228; discussion 186. ...
urban and rural oncology practices involved in the Indiana CancerPain and Depression (INCPAD) trial. ... trial and our primary care– based Stepped Care for Affective disorders and MusculoskeletalPain (SCAMP) trial. ...
Lumbar Spine MRI for LowBackPain: Indications and Yield Bahman Roudsari1 2 and Jeffrey G. Jarvik1 2 3 4 ...Lowbackpain is one of the most common causes of physician visits in the United States with an enormous socioeconomic burden. ...
Protocol for Work place adjusted Intelligent physical exercise reducing Musculoskeletalpain in Shoulder and neck (VIMS): a cluster randomized controlled trial ...pain [10]. One study showed effectiveness of a home exercise program in reducing shoulderpain in construction workers ...
Abstract Background Current evidence supports the use of exercise-based treatment for chronic lowbackpain that encourages the patient to assume an active role ...backpain as well as giving advice on how to deal with an attack of backpain the nature of chronic...
urban and rural oncology practices involved in the Indiana CancerPain and Depression (INCPAD) trial. ... trial and our primary care– based Stepped Care for Affective disorders and MusculoskeletalPain (SCAMP) trial. ...
Protocol for Work place adjusted Intelligent physical exercise reducing Musculoskeletalpain in Shoulder and neck (VIMS): a cluster randomized controlled trial ...pain [10]. One study showed effectiveness of a home exercise program in reducing shoulderpain in construction workers ...
Cognitive behavioural therapy shown to be an effective and low cost treatment for subacute and chronic low-backpain improving pain... Back Skills Training Trial investigators. Group cognitive behavioural treatment for low-backpain in primary care: a randomised controlled trial and cost-effectiveness analysis. ...
Lowbackpain symptoms show a similar pattern of improvement following a wide range of primary care treatments: a systematic ... To assess overall responses to treatments among non-specific lowbackpain (NSLBP) patients in clinical trials to examine ...
population and is often refractory to standard pharmacologic treatment. Patients with chronicpain have reported using smoked cannabis to relieve pain... followed by a nine-day washout period. Daily average pain intensity was measured using an 11-point numeric rating scale. ...
There has been an increase in the number of chronicpain clinical trials in which the treatments being evaluated did ... There is substantial variability among chronicpain clinical trials with respect to important research design considerations ...
alternative for the long-term management of select patients with intractablepain associated with various disease states including those of noncancer origin. ... guidelines aimed at optimizing the selection of patients with noncancer pain for intrathecal therapy. In conclusion complete assessment of a patient's ...