Articles related to BONE HEALTH
Testosterone Treatment and Fractures in Men with Hypogonadism
In a rigorously designed trial involving more than 5,000 participants, researchers observed that testosterone treatment in hypogonadal men aged 45-80 was associated with a 1.43 times higher risk of clinical fractures compared to placebo. These findings are crucial in re-evaluating the therapeutic approach to testosterone replacement in this demographic.
Endocrinology, Diabetes, Metabolism January 22nd 2024
Brodie Abscess in an 87-year-old Man
This case study illuminates the risks of delayed diagnosis and treatment of Brodie abscess, particularly in the elderly, and underscores the importance of timely intervention to prevent severe complications.
Geriatrics October 4th 2023
A 58-Year-Old Woman with Fatigue, Abdominal Bloating, and Eosinophilia
Unfolding a Clinical Enigma: From a Tibia Fracture in Congo to Mysterious Symptoms A Case Challenge study of a 58-year-old female who, after sustaining a tibia fracture in the Democratic Republic of Congo (DRC), started experiencing persistent fatigue, abdominal bloating, and elevated eosinophil counts, ignites a journey into the intricacies of infectious disease diagnosis and management. After reading, what’s your diagnosis?
Family Medicine/General Practice June 6th 2023
Clinical Challenge: Headache With Transient Drooling
Navigate the complex world of diagnosing Chiari malformation in this insightful review of a clinical case. To understand Chiari malformation, let’s explore a clinical case. A mid-30s patient with a migraine history came to the ED with a sudden posterior headache. Accompanied by transient total body numbness, loss of coordination, and an inability to swallow with drooling, these symptoms started abruptly after violent sneezing. Although neurological symptoms faded after 20 seconds, the headache persisted. Regarding vital signs and physical examination, everything was normal. The patient had a head CT ordered. Interpreting the clinical picture and CT images with care is crucial in these cases. Even though a sudden onset headache could signify a ruptured berry aneurysm, no blood was detected on the CT cuts, minimizing that concern. Remember, an LP is seldom recommended if the CT is performed within 6 hours and hemoglobin exceeds 10 g/dL. However, the clinical presentation in this case, characterized by headache and drooling, didn’t match a typical migraine. Be mindful that many patients might loosely use the term “migraine” for any severe headache. The CT cut revealed a brainstem compressed by the cerebellum, indicative of a Chiari malformation type 1. Chiari malformation, characterized by an […]
Emergency Medicine May 24th 2023
Acromioclavicular Joint Injury
This deep-dive into acromioclavicular joint injuries unpacks everything a physician needs to know about these prevalent injuries. Acromioclavicular joint (ACJ) injuries, mostly traumatic, can occur across all ages but are more frequent in males aged 20-40, often related to contact sports. Patients usually present with vague shoulder pain and swelling, but visible deformity is rare. Two mechanisms contribute to ACJ injuries: direct, resulting from a direct blow or fall onto the shoulder, and indirect, arising from a fall onto an outstretched hand or elbow. Imaging is crucial for diagnosis. The Rockwood system, among others, categorizes these injuries into six types. Plain radiographs, including an axillary view, generally suffice for accurate grading. However, in certain scenarios, CT or MRI might be necessary. In case of an injury suspicion with initial normal radiographs or contemplating surgical intervention on a type III injury, additional weight-bearing stress views can be beneficial. Indications of ACJ injury on a plain radiograph may include soft tissue swelling, acromioclavicular joint widening, increased coracoclavicular distance, and superior displacement of the distal clavicle. The treatment choice hinges largely on the patient’s age, lifestyle, and injury type. Conservative management typically applies to types I and II injuries, surgical treatment to types […]
Emergency Medicine May 24th 2023