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Thumbing through your inbox charts, you see your next patient is a 19-year-old who began use of oral contraceptives (OCs) about six months ago. When you talk with her in the examination room, however, you find that she has discontinued use of the Pill after she began to gain weight.
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The utility of inflammatory markers in acute pericarditis is not well understood. Thus, these investigators from Italy prospectively evaluated serial high sensitivity C-reactive protein (hs-CRP) serum levels in patients with acute pericarditis followed for 24 months on average.
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In a cohort of mechanically ventilated patients admitted with a variety of acute diagnoses, those diagnosed with COPD (but not in exacerbation) had higher ICU mortality but no difference in risk for ventilator-associated pneumonia as compared to patients without the diagnosis of COPD.
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This observational study noted that critically ill patients provided with clinical psychological support during their ICU stay had less anxiety, depression, and post-traumatic stress disorder at one year post-discharge compared to historical controls.
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Frontal lobe dysfunction may predispose people to have psychogenic nonepileptic seizures; this dysfunction can be measured by analyzing a brief period of the awake EEG.
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Hypertension is usually asymptomatic, so adherence to drug therapy is an issue, especially if the drugs used cause symptoms.
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Cerebrovascular events (CVE), including stroke and transient ischemic attack (TIA), are recognized complications of percutaneous coronary intervention (PCI).
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The authors performed a descriptive analysis of all cases of desquamative inflammatory vaginitis (DIV), defined as symptomatic vaginitis (discharge, dyspareunia, pruritus, burning, or irritation) associated with vaginal inflammation (such as focal or linear erosions), a vaginal pH higher than 4.5, and saline microscopy showing an increase in parabasal and inflammatory cells in the absence of an infectious etiology (such as trichomonas, candida, or bacterial vaginosis).
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Understanding sexual pain remains limited. with multiple etiologies and lack of evidence-based outcomes research, future investigations should focus on evaluating the intimacy of the couple, the partner relationship, and biomedical sources of pain such as the pelvic floor muscles.