Case of the Issue

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3268657cid=c_1_37_ffid=38282url=http://www.diagnosticimaging.com/display/article/113619/1522661?CID=rss Case of the Issue /abrA 60-year-old woman, diagnosed with lung adenocarcinoma, sought medical relief for intense back pain. (Source: Diagnostic Imaging) br

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Doctors seek primary source of mystery cancers

Doctors seek primary source of mystery cancers
Charity tries to save the 10,000 patients a year whose carcinomas are of unknown originJo Symons was 46 when her cancer was diagnosed. Medical scans showed that her back pain, coughing and a lump in her neck were caused by tumours that had spread to her chest, lymph nodes and other parts of her body.The primary cancer that caused these tumours, however, was never traced. Like 10,000 other individuals diagnosed in Britain each year with carcinomas of unknown primary, or CUP, the original source of her condition could not be pinpointed. As a result, doctors could not direct their treatments precisely. Despite their efforts, she died eight months later, in September 2006.But now British scientists are to launch a project aimed at tackling this problem by developing techniques for pinpointing …

Spinal tuberculosis in post-liver transplantation patients: case reports

Spinal tuberculosis in post-liver transplantation patients: case reports
We report 3 cases of spinal TB in Chinese recipients of orthotopic liver transplant whose first complaint was back pain. These 3 cases were diagnosed by magnetic resonance imaging and percutaneous biopsy. After treatment with isoniazid, rifampicin, streptomycin, and ethambutol for >1 year, symptoms of 2 patients improved noticeably, but 1 patient died of liver failure and severe mixed pulmonary infection. Diagnosis and treatment regimens of spinal TB are discussed. (Source: Transplant Infectious Disease)

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The Nordic back pain subpopulation program - individual patterns of low back pain established by means of text messaging: a longitudinal pilot study

The Nordic back pain subpopulation program - individual patterns of low back pain established by means of text messaging: a longitudinal pilot study
Conclusions: Patients with nonspecific LBP were shown to have a number of different course-patterns. The next step is to explore whether the identified patterns relate to different LBP diagnoses. (Source: Chiropractic & Osteopathy)

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Vertebral fracture rare cause of low back pain

Vertebral fracture rare cause of low back pain
Vertebral fracture is the most common serious undiagnosed condition among patients with acute low back pain, Australian study findings show. (Source: MedWire News - Bone Health)

Serious Pathology Uncommon in Low Back Pain Patients

Serious Pathology Uncommon in Low Back Pain Patients
In patients presenting to primary care settings with acute low back pain, previously undiagnosed serious spinal pathology is rare, and commonly asked "red flag" screening questions may not identify it, according to a study in the October issue of Arthritis & Rheumatism. (Source: Modern Medicine)

PCPs are front line defense in diagnosing serious illness in patients with acute lower back pain

PCPs are front line defense in diagnosing serious illness in patients with acute lower back pain
(Wiley-Blackwell) A study by researchers at the George Institute for International Health in Australia found that it is rare for patients presenting to PCPs with acute lower back pain to have previously undiagnosed serious diseases. The most common serious disease cause documented was vertebral fracture, with half of the cases identified at the time of initial consultation. Full findings appear in the October issue of Arthritis & Rheumatism, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology. (Source: EurekAlert! - Medicine and Health)

For Patients With Acute Lower Back Pain, PCPs Are Front Line Defense In Diagnosing Serious Illness

For Patients With Acute Lower Back Pain, PCPs Are Front Line Defense In Diagnosing Serious Illness
A study by researchers at The George Institute for International Health in Australia found that it is rare for patients presenting to PCPs with acute lower back pain to have previously undiagnosed serious diseases. The most common serious disease cause documented was vertebral fracture, with half of the cases identified at the time of initial consultation. (Source: Health News from Medical News Today)

Perineural (Tarlov) cysts mimicking adnexal masses: a report of three cases.

Perineural (Tarlov) cysts mimicking adnexal masses: a report of three cases.
Authors: H’ng MW, Wanigasiri UI, Ong CL Perineural (Tarlov) cysts are usually incidental findings during magnetic resonance imaging (MRI) performed for low back pain. However, in a tertiary women’s hospital, they may present as incidental findings on gynecological ultrasound imaging. Approximately 40 000 pelvic scans are performed annually in our department. Tarlov cysts were identified in three women between August 2007 and September 2008. In two patients (Cases 1 and 3), these cysts were initially misdiagnosed as hydrosalpinges on ultrasound examination, the latter having a differential diagnosis of an ovarian cyst. Two patients (Cases 1 and 2) were symptomatic, although Case 2 had symptoms that could not entirely be accounted for by the location of the cyst. Although asymptomatic, C…

CT-guided sacroplasty for the treatment of zone II sacral insufficiency fractures

CT-guided sacroplasty for the treatment of zone II sacral insufficiency fractures
Sacral insufficiency fractures are a relatively common cause of low back pain in the elderly. Osteoporosis is the leading cause, most commonly affecting elderly women. Other causes include chronic steroid use, radiation exposure, and arthritis. Patients typically present with severe low back pain, which in some cases results in immobility with its associated complications. However, sacral insufficiency fractures are commonly underdiagnosed due to difficulty in visualizing the fracture line on radiographs. However, other imaging methods, such as computed tomography (CT), magnetic resonance imaging (MRI), and bone scintigraphy, can accurately diagnose this condition. (Source: Clinical Radiology)

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