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Is Frailty a Predictor of Outcomes in Elderly Inpatients with Acute Kidney Injury? A Prospective Cohort Study

Frailty and acute kidney injury are independently associated with an increased risk of morbidity and mortality. The degree of frailty can be assessed by the Clinical Frailty Score (CFS). This study assessed whether an individual’s CFS was associated with acute kidney injury in acute elderly medical admissions and recorded the short-term outcomes. Methods This was […]

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(A) Simple pelvic radiology showed a pubic diastasis visualizing ill-defined bone margins without fracture lines. (B) The tomography showed the presence of bone destruction, a consequence of the pubic symphysis osteomyelitis. Also, a retroperitoneal abscess was found, approximately 30 cm long, with muscle involvement of the psoas and ipsilateral ileopsoas.

Psoas Abscess Associated with Pubic Symphysis Osteomyelitis

Infectious osteitis pubis is often diagnosed as sterile osteitis pubis, so this diagnosis requires a high level of suspicion. The following case is about a 56-year-old woman with a personal history of diabetes mellitus and secondary complications related to her illness, due to poor glycemic control. The patient went to the Emergency Department as a […]

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Reformatted consecutive sagittal computed tomography images of the cervical spine. There are small calcifications at the insertion of the longus colli, adjacent to the cortical margin of the anterior arch of C1.

Acute Calcific Tendinitis of the Longus Colli Muscle

A 47-year-old healthy woman presented with sudden-onset, severe neck pain and stiffness associated with odynophagia, dysphagia, and low-grade fever (37.8°C). She described it as severe neck pain extending into the deep neck and radiating upward to the occiput and vertex of the head. She also complained of difficulty in opening her jaw and swallowing due […]

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(A) Computed tomography showing an ill-defined and erosive lesion in the L4 facet joint. (B) Magnetic resonance imaging T1-weighted images showing disseminated and extensive hypointense foci on L3-5 facet joints and pedicles. (C) Magnetic resonance imaging T2 fat saturation image showing numerous hyperintense and oval masses within sacrospinal muscle. (D) Homogeneous peripheral enhancement after the intravenous administration of gadolinium for the masses. (E) Plain radiograph of tophaceous enthesopathy of the left foot. (F) Plain radiograph of tophaceous enthesopathy of the bilateral anterior inferior iliac spine, greater trochanter, and lesser trochanter. (The arrows denote the lesions.)

Tophaceous Gout of Lumbar Spine with Fever Mimicking Infection

A 56-year-old man was admitted with complaints of low back pain and fever lasting for about 2 months. He had a 10-year history of intermittent gouty arthritis in his feet, which was being treated with colchicine, with the most recent attack occurring 12 months before. Assessment On physical examination, his body temperature was 38.5°C. His […]

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Effectiveness and Safety of Rivaroxaban Versus Warfarin in Frail Patients with Venous Thromboembolism (video)

Frailty predicts poorer outcomes in patients receiving anticoagulation. We assessed the effectiveness and safety of rivaroxaban vs warfarin in frail patients experiencing venous thromboembolism. Methods Using US MarketScan claims data from January 2012-December 2016, we identified frail patients (using the Johns Hopkins Claims-Based Frailty Indicator score) who had ≥1 primary hospitalization/emergency department visit diagnosis codes […]

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Bone Density Testing Is the Best Way to Monitor Osteoporosis Treatment

Bone mineral density assessment by dual-energy X-ray absorptiometry is the most widely available and best validated clinical tool to diagnose osteoporosis, assess fracture risk, and monitor the skeletal effects of medications that reduce fracture risk.1 However, dual-energy X-ray absorptiometry testing remains underused with osteoporosis undertreated. This treatment gap has reached crisis proportions,2 with recent disturbing evidence that […]

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