The Experts below are selected from a list of 2565 Experts worldwide ranked by ideXlab platform
Glenn A Bub - One of the best experts on this subject based on the ideXlab platform.
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bladder metastasis presenting as neck arm and Thorax Pain a case report
2016Co-Authors: Clinton J Daniels, Pamela J Wakefield, Glenn A BubAbstract:A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal Pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnostic testing, treatment and chiropractic considerations is discussed. This patient presented in November 2014 with progressive neck, Thorax and upper extremity Pain. Computed tomography revealed a destructive soft tissue mass in the cervical spine and additional lytic lesion of the 1st rib. Prompt referral was made for surgical consultation and medical management. Distant metastasis is rare, but can present as a musculoskeletal complaint. History of carcinoma should alert the treating chiropractic physician to potential for serious disease processes.
Clinton J Daniels - One of the best experts on this subject based on the ideXlab platform.
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bladder metastasis presenting as neck arm and Thorax Pain a case report
2016Co-Authors: Clinton J Daniels, Pamela J Wakefield, Glenn A BubAbstract:A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal Pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnostic testing, treatment and chiropractic considerations is discussed. This patient presented in November 2014 with progressive neck, Thorax and upper extremity Pain. Computed tomography revealed a destructive soft tissue mass in the cervical spine and additional lytic lesion of the 1st rib. Prompt referral was made for surgical consultation and medical management. Distant metastasis is rare, but can present as a musculoskeletal complaint. History of carcinoma should alert the treating chiropractic physician to potential for serious disease processes.
Pamela J Wakefield - One of the best experts on this subject based on the ideXlab platform.
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bladder metastasis presenting as neck arm and Thorax Pain a case report
2016Co-Authors: Clinton J Daniels, Pamela J Wakefield, Glenn A BubAbstract:A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal Pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnostic testing, treatment and chiropractic considerations is discussed. This patient presented in November 2014 with progressive neck, Thorax and upper extremity Pain. Computed tomography revealed a destructive soft tissue mass in the cervical spine and additional lytic lesion of the 1st rib. Prompt referral was made for surgical consultation and medical management. Distant metastasis is rare, but can present as a musculoskeletal complaint. History of carcinoma should alert the treating chiropractic physician to potential for serious disease processes.
Osaku Lis - One of the best experts on this subject based on the ideXlab platform.
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Efast na Sala de Emergência no Diagnóstico de Pneumotórax: Relato de Caso
2016Co-Authors: Shehadeh Imad, Bogdan, Claudio Ricardo Capela, Fernandes, Marcelo Da Silva Pereira, Shehadeh, Fabiane Vieira Berg, Fracasso, Luiz Alfredo Calvo, Osaku LisAbstract:Free air in the pleural space may occur spontaneously or may be acquired. It is a frequent condition in first-aid clinics. People with Thorax trauma may develop pneumoThorax and risky complications. The use of Extended Focused Assessment with Sonography for Trauma (EFAST) triggers progress in the diagnosis of such life-endangering lesions. Current report shows an early diagnosis of pneumoThorax with the use of EFAST in a patient suffering from close Thorax trauma. The 65-year-old male patient was admitted to the emergency room of a University Hospital after a two-day-old car crash. He complained of ventilator-dependent Thorax Pain especially on the left side and dyspnea with great efforts. Vesicular murmur was present at the right hemiThorax but abolished at the third lower part of the left hemiThorax. EFAST revealed left pneumoThorax and a thoracostomy with left pleural drainage was performed without any inter-occurrences and the pneumoThorax was solved. He quitted hospital after 4 days with a satisfactory clinical condition and adequate lung re-expandability. Ultrasonography of the Thorax in trauma victims is not invasive, portable and easily executed. In fact, it proved to be better than X-ray of the Thorax in terms of sensitiveness, and even better than computer tomography regarding time and d exposure of the patient to radiation. Its use should be expanded and applied as a primary assessment of all polytraumatized patients attended at the emergency room.A presença de ar livre no espaço pleural pode ocorrer de maneira espontânea ou adquirida e é uma condição clínica frequente no cotidiano de um pronto socorro. Vítimas de traumas torácicos podem desenvolver pneumotórax e complicações à vida. Uso de EFAST (Extended Focused Assessment with Sonography for Trauma) permitiu avanço no diagnóstico dessas lesões ameaçadoras à vida. Este relato mostra o precoce diagnóstico de pneumotórax, usando EFAST, em paciente vítima de trauma torácico fechado. Paciente masculino, 65 anos, admitido em sala de emergência de um hospital universitário, após colisão automobilística há dois dias. Apresentava dor torácica ventilatório-dependente, principalmente à esquerda, e dispneia aos grandes esforços. O murmúrio vesicular estava presente no hemitórax direito, mas abolido no terço inferior do hemitórax esquerdo. Submetido à EFAST, que mostrou pneumotórax à esquerda. A toracostomia com drenagem pleural à esquerda foi realizada sem intercorrências e o pneumotórax foi resolvido. Recebeu alta após quatro dias de internação, com melhora clínica satisfatória e reexpansibilidade pulmonar adequada. O exame ultrassonográfico do tórax em vítimas de trauma tem a vantagem de ser não invasivo, de imediata avaliação e fácil portabilidade. Tem se mostrado superior ao exame de raios-X de tórax, em termos de sensibilidade, e à tomografia computadorizada do tórax, quanto ao tempo de execução e exposição do paciente à radiação. Seu uso deve ser estendido e aplicado na avaliação primária de todo paciente politraumatizado atendido em sala de emergência
Shehadeh Imad - One of the best experts on this subject based on the ideXlab platform.
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Efast na Sala de Emergência no Diagnóstico de Pneumotórax: Relato de Caso
2016Co-Authors: Shehadeh Imad, Bogdan, Claudio Ricardo Capela, Fernandes, Marcelo Da Silva Pereira, Shehadeh, Fabiane Vieira Berg, Fracasso, Luiz Alfredo Calvo, Osaku LisAbstract:Free air in the pleural space may occur spontaneously or may be acquired. It is a frequent condition in first-aid clinics. People with Thorax trauma may develop pneumoThorax and risky complications. The use of Extended Focused Assessment with Sonography for Trauma (EFAST) triggers progress in the diagnosis of such life-endangering lesions. Current report shows an early diagnosis of pneumoThorax with the use of EFAST in a patient suffering from close Thorax trauma. The 65-year-old male patient was admitted to the emergency room of a University Hospital after a two-day-old car crash. He complained of ventilator-dependent Thorax Pain especially on the left side and dyspnea with great efforts. Vesicular murmur was present at the right hemiThorax but abolished at the third lower part of the left hemiThorax. EFAST revealed left pneumoThorax and a thoracostomy with left pleural drainage was performed without any inter-occurrences and the pneumoThorax was solved. He quitted hospital after 4 days with a satisfactory clinical condition and adequate lung re-expandability. Ultrasonography of the Thorax in trauma victims is not invasive, portable and easily executed. In fact, it proved to be better than X-ray of the Thorax in terms of sensitiveness, and even better than computer tomography regarding time and d exposure of the patient to radiation. Its use should be expanded and applied as a primary assessment of all polytraumatized patients attended at the emergency room.A presença de ar livre no espaço pleural pode ocorrer de maneira espontânea ou adquirida e é uma condição clínica frequente no cotidiano de um pronto socorro. Vítimas de traumas torácicos podem desenvolver pneumotórax e complicações à vida. Uso de EFAST (Extended Focused Assessment with Sonography for Trauma) permitiu avanço no diagnóstico dessas lesões ameaçadoras à vida. Este relato mostra o precoce diagnóstico de pneumotórax, usando EFAST, em paciente vítima de trauma torácico fechado. Paciente masculino, 65 anos, admitido em sala de emergência de um hospital universitário, após colisão automobilística há dois dias. Apresentava dor torácica ventilatório-dependente, principalmente à esquerda, e dispneia aos grandes esforços. O murmúrio vesicular estava presente no hemitórax direito, mas abolido no terço inferior do hemitórax esquerdo. Submetido à EFAST, que mostrou pneumotórax à esquerda. A toracostomia com drenagem pleural à esquerda foi realizada sem intercorrências e o pneumotórax foi resolvido. Recebeu alta após quatro dias de internação, com melhora clínica satisfatória e reexpansibilidade pulmonar adequada. O exame ultrassonográfico do tórax em vítimas de trauma tem a vantagem de ser não invasivo, de imediata avaliação e fácil portabilidade. Tem se mostrado superior ao exame de raios-X de tórax, em termos de sensibilidade, e à tomografia computadorizada do tórax, quanto ao tempo de execução e exposição do paciente à radiação. Seu uso deve ser estendido e aplicado na avaliação primária de todo paciente politraumatizado atendido em sala de emergência