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Antibiotics to prevent infection of the brain coverings (meningitis) in patients with basilar skull fracture | Cochrane

Basilar skull fracture (7% to 15.8% of all skull fractures) places the central nervous system in contact with bacteria from the nose and throat and may be associated with cerebrospinal fluid leakage (occurring in 2% to 20.8% of patients). Blood or watery discharge from the nose or ears, bruising behind the ear or around the eyes, hearing loss, inability to perceive odours or facial asymmetry may lead physicians to the diagnosis of basilar skull fracture. Patients with a basilar skull fracture may develop meningitis and some doctors give antibiotics in an attempt to reduce this risk.  
cochrane.org
over 5 years ago
Www.bmj
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16

An unusual finding on a pelvic radiograph

A 74 year old man presented to the ear, nose, and throat department with breathlessness on exertion, intermittent voice hoarseness, and a sensation of catarrh in his throat. After a laryngoscopy with biopsy was performed, he was diagnosed as having a low grade chondrosarcoma of the larynx. Before surgical debulking of the lesion was carried out he underwent computed tomography of the chest, abdomen, and pelvis. This confirmed the presence of a subglottic mass in the larynx but also showed a mixed lytic and sclerotic expansile lesion (5.8 cm (longitudinal)×1.6 cm (axial)×4.5 cm) in the left iliac blade of the pelvis. The pelvic lesion was well corticated, with internal ossified septae and calcification. Expansion of the left iliac wing was noted, with no breach in the cortex.  
feeds.bmj.com
almost 6 years ago
Www.bmj
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A persisting puzzling pneumonia in a young man

A 23 year old immunocompetent man with a history of childhood asthma was referred to the respiratory physicians with a four week history of productive cough, painful throat, fever, rigors, generalised myalgia, and vague discomfort in his left chest. He also had slight abdominal tenderness in the left upper quadrant.  
feeds.bmj.com
almost 6 years ago
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New research shows possibility of cure for HPV positive throat cancer patients

Patients with cancer of the throat caused by the Human Papilloma virus (HPV+) have a better prognosis than those who are negative for the virus (HPV-).  
medicalnewstoday.com
almost 6 years ago
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Could an HIV drug beat strep throat, flesh-eating bacteria?

With antibiotic resistance on the rise, scientists are looking for innovative ways to combat bacterial infections.  
medicalnewstoday.com
almost 6 years ago
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When Chronic Hoarseness Isn't Reflux Disease

Chronic hoarseness, throat clearing, and other vocal behaviors don't always signal reflux disease. Think habituation, says Dr David Johnson, and help the patient learn to break the harmful cycle.  
medscape.com
almost 6 years ago
Sinaiem dark
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20

lump-in-my-throat

A 19-year-old-male with no known past medical history, presents in progressive respiratory distress shortly after undergoing a tooth extraction about 6 hours prior to presentation. Symptoms began initially as “a lump in his throat” and difficulty swallowing, but eventually progressed to mild dyspnea after 1-2 hours. Denies FB or allergies. On arrival he appears anxious and is breathing at 18 breaths per minute with an O2 saturation of 100%. There is no stridor at presentation. There is no intra-oral, facial, or obvious neck swelling. There is no skin involvement or abdominal pain, nausea, vomiting or diarrhea. You suspect allergic reaction and give IM epi, IV steroids, benadryl and pepcid. ENT is consulted for scope.  
sinaiem.org
almost 6 years ago
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Amber's Story: How Two Kidneys Saved My Life - Nebraska Medicine

When Amber Tennell was 7-years-old, she had strep throat almost every two weeks. Doctors wanted to remove her tonsils. When she went in for surgery, her bloo...  
youtube.com
almost 6 years ago
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4

Lab Case 60

A 65 year old man presents to your ED with an altered mental state. He has a history of throat cancer with metastases to his brain.  
emergucate.com
over 5 years ago
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7

Antibiotics for preventing recurrent sore throat | Cochrane

Recurrent sore throat is an inflammation of the throat occurring three or more times per year. Sore throat has many causes, including bacteria, viruses, fungi (uncommonly) and non-infective causes. It causes throat pain, redness, swelling, swollen lymph nodes and symptoms of other accompanying respiratory infections. Antibiotics are sometimes used to prevent recurrent sore throat on the basis that sore throats can be caused by bacteria. However, frequent use of antibiotics has been linked to the development of antibiotic resistance. We looked for studies (randomised controlled trials) that investigated the effectiveness of antibiotics for preventing recurrent sore throat in adults and children.  
cochrane.org
over 5 years ago
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Surgery Boosts Survival Chances for Advanced Throat Cancer

Surgery significantly improves survival among patients with advanced oropharyngeal and hypopharyngeal cancers, registry data show.  
medscape.com
over 5 years ago