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Hospital Admissions for Chest Pain Associated with Cocaine Use in the United States

The outcomes related to chest pain associated with cocaine use and its burden on the healthcare system are not well studied. Methods Data were collected from the Nationwide Inpatient Sample (2001-2012). Subjects were identified by using the International Classification of Diseases, Ninth Revision, Clinical Modification codes. Primary outcome was a composite of mortality, myocardial infarction, […]

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Osteopathic Manipulation in Treatment of Musculoskeletal Chest Pain

Throughout most of my 29 years of practicing clinical cardiology, I was never really satisfied with treatments I employed in the treatment of musculoskeletal chest pain. This was especially true with the recognition of nonsteroidal anti-inflammatory drug complications. Now, at the end of primary clinical practice, I believe I have found a satisfactory treatment. My […]

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Joint Hypermobility Syndrome: Recognizing a Commonly Overlooked Cause of Chronic Pain

Joint hypermobility syndrome, also known as benign hypermobility syndrome, is a connective tissue disease characterized by joint instability, chronic pain, and minor skin changes. It shares many clinical features of Ehlers-Danlos syndrome, Hypermobility Type; enough so that many authorities consider them as one disease process. Approximately 3% of the general population is believed to have […]

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Gastric Crohn’s Disease: A Rare Cause of Intermittent Abdominal Pain and Vomiting

Crohn’s disease is a chronic idiopathic inflammatory disease that may involve any part of the gastrointestinal tract from the mouth to the anus. It most commonly affects the terminal ileum and cecum, and less commonly is isolated to the colon. Crohn’s disease involving the stomach or duodenum is uncommon and described in only 0.5% to 4% of […]

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Foreign Body in External Ear Canal: An Unusual Cause of Chronic Cough

Many cases of earwax impaction (or foreign body presence) and the relationship to chronic cough may go unrecognized. The routine incorporation of examination of the external auditory canal in patients with chronic cough may reveal a number of patients with impacted earwax.1 The literature suggests that 2% to 6% of the general population have impacted earwax.1 Patients […]

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