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Www.bmj
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15

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 5 years ago
Www.bmj
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8

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 5 years ago
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2

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 5 years ago
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4

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 5 years ago
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17

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 5 years ago
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Cigarette warning labels may be more effective with imagery

Young adults are more likely to appreciate the dangers of smoking when warnings are presented in images as well as text, according to a new study. The labels used in the study emphasized negative consequences of smoking associated with lung cancer, heart disease and stroke, impotence, eye disease, neck, throat and mouth cancers, and vascular disease.  
sciencedaily.com
almost 5 years ago
Sinaiem dark
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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 5 years ago
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16

HUNGARIAN APNOEIC OXYGENATION

Apnoeic oxygenation in anaesthesia is the concept of providing oxygenation without ventilation. The idea is that even without lung expansion, oxygen will passively be dragged into the alveoli along the oxygen gradient caused by alveolar oxygen being transported away by the bloodstream. Hope that makes sense. If not, theres a better explanation at LITFL.  In theory, and in experimental conditions, the apnoeic patient will remain oxygenated indefinitely, given that the FiO2 in the pharynx is high enough and given that the airway is perfectly patent. The problem is rather hypercapnia and acidosis building up.  
scancrit.com
almost 5 years ago
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6

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 5 years ago
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Flexible Printed Throat Implants Save Three Infants |

Researchers from University of Michigan, Ann Arbor have developed a 3D printed implant that saved the lives of three young boys with tracheobronchomalacia  
medgadget.com
over 4 years ago
Cochrane logo 400
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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 4 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 4 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 4 years ago
92e75aa95f2fe324f53d875466ded4a8?s=200&ts=1457703341
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Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.

A completely healthy 39 year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her throat.  It resolved after about 5 minutes, but then recurred and was sustained for over an hour.  She called 911. EMS recorded these ECGs:Time 0:In V2-V4, there is ST elevation that……  
prehospitalmed.com
over 4 years ago
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Virtual reality training for improving the skills needed for performing surgery of the ear, nose or throat | Cochrane

This review evaluated whether surgeons trained in virtual reality simulation achieved outcomes for their patients that were equivalent to, or better than, those obtained through conventional training methods. It also evaluated whether virtual reality training helped surgeons acquire equivalent (or better) technical skills required to achieve good surgical outcomes, or the non-technical skills to make good decisions and lead the operating room team. Another consideration evaluated was the level of experience of participants in the trials, given that some of the study participants were surgeons in training, while others were medical students.  
cochrane.org
over 4 years ago
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0

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 4 years ago
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2

What's Causing a Boy's Fever, Limp, and Conjunctivitis?

A boy is brought to the ER with numerous ailments: a 6-day fever, a limp, ocular conjunctivitis, dry and cracked lips, a red throat, and other symptoms. What is the condition at the root of this boy's troubles?  
medscape.com
over 4 years ago
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Steroids for the common cold | Cochrane

Common colds are experienced by over half a billion patients annually in the USA alone and result in significant loss of productivity. Although there are a number of medications used to help improve the symptoms of the common cold, none have good evidence of benefit. Steroids (corticosteroids) have been shown to help relieve symptoms in other types of upper respiratory tract infections by reducing the inflammation of the lining of the nose and throat, which means they might also improve the symptoms of the common cold.  
cochrane.org
over 4 years ago
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10

Meningitis (bacterial) and meningococcal septicaemia in under 16s: recognition, diagnosis and management | Guidance and guidelines | NICE

We checked this guideline and decided that it should not be updated at this time. For details, see the update decision and the process for deciding if an update is needed. We have also removed reference to throat swabs from recommendation 1.3.14, to bring it into line with Public Health England’s Guidance for public health management of meningococcal disease in the UK.  
nice.org.uk
about 4 years ago