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What are the adverse effects of prolonged opioid use in patients with chronic pain?
(Family Physicians Inquiries Network, 2011)
(SOR: B, 2 observational studies). Prolonged use of opioids also may increase sensitivity to pain (SOR: C, review of case reports and case series). (This review does not address drug seeking or drug escalating.) Patients on long-term methadone...
Lupus with Grave's disease : overlap disease vs drug induced lupus : a case report
(2017)
in the pediatric population. This case report suggests that pediatric patients with thyroid disease or systemic lupus erythematous should be evaluated for one another on the presentation of either....
A rare case of tension pneumocephalus in a patient diagnosed with nasopharyngeal squamous cell carcinoma (NPC)
(2014)
Tension pneumocephalus occurs when air is trapped within the cranial cavity. It is associated with neurosurgical procedures, trauma and meningitis. Here, we report a rare case of tension pneumocephalus in a patient diagnosed with NPC after...
Eliminating the Gap: Insights From A School of Poverty that Changed Achievement for All Students
(2006-03)
This report presents the improvement in student achievement in the 7th and 8th graders at Freeport Intermediate, a school where 77% of its students are economically disadvantaged....
Case of the month : cocaine induced Moyamoya
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2010-08)
Moyamoya is a disease that was first reported in Japan, in the 1960s. It is a rare and progressive disorder that affects the arteries at the base of the brain, leading to the occlusion of the distal internal carotids and their major branches...
Acute esotropia in the setting of heroin withdrawal
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
Acute onset of concomitant esotropia presenting with diplopia can be seen in the setting of heroin withdrawal. We report a case of acute esotropia in a young white male during heroin withdrawal. A sudden onset of eye deviation is usually considered...
Neoadjuvant treatment of Dermatofibrosarcoma Protuberans of pancreas with Imatinib: case report and systematic review of literature
(2014-08-06)
tumors are characterized by translocation 17:22 leading to overexpression of tyrosine kinase PDGFB which can be targeted with tyrosine kinase inhibitor, Imatinib. We describe the first case of unresectable pancreatic metastases from DFSP treated...
Case analysis : Ethical issues in predictive genetic testing of minors for adult-onset hereditary conditions
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
Introduction: Predictive genetic testing for adult-onset conditions in children is an issue that has initiated ethical discussions and polarized views. Case Presentation: A genetic counselor is contacted by a mother requesting predictive genetic...
Incidental Portal Vein Aneurysm Found in a Patient with a Diaphragmatic Hernia and Evolving Gastric Volvulus
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
been estimated to be 0.06[percent] and fewer than 200 cases have been described in the literature1,4. We describe an incidental and asymptomatic PVA found in an 80-year-old Caucasian male presenting with evolving gastric volvulus in the context of a...
Gabapentin and buprenorphine nasal insufflation in a patient on buprenorphine for opiod use disorder
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-04)
Upon introduction into the market, gabapentin was not thought to be a drug with abuse potential. Newer research is showing this to be possible, especially in the population of patients with a history of opioid addiction. ...
A new health emergency : monkeypox outbreak
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01)
Monkeypox, caused by a double-stranded DNA Orthopox virus has recently increased in non-endemic countries outside of Africa. At the time of this writing, 80,850 cases have been reported globally and 29,248 cases in the USA. Endemic countries have...
Two encephalopathic patients with COVID-19 and elevated intracranial pressure
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
COVID-19, the disease caused by infection with SARS-Cov-2, has proven capable of affecting the central nervous system. Encephalopathy is a well-described phenomenon among COVID-19 patients, but there are few cases in the medical literature...
Case of the month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-07)
Islands in 2008, he had been living in Missouri over the past year. He denied sick contacts, recent tick bites or significant exposure to animals. He re-ported smoking 5 cigarettes per day. Initial labs revealed a WBC of 4100, with normal Hgb, Hct...
Anti-NMDA receptor encephalopathy secondary to an ovarian teratoma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-01)
The following case highlights the diagnosis and treatment course of a previously healthy female adult patient who was treated initially for presumptive psychosis and later found to have anti-NMDAR encephalitis...
Solitary fibrous tumors of the nasal cavity [abstract]
(2010)
in the nasal cavity and paranasal sinuses have been reported. We present a case report of a 49-year-old female with a solitary fibrous tumor of the left nasal cavity, as well as a review of the literature with recommendations of peri-operative management....
Impact of Privacy Exemptions in Open Records Laws on Computer-‐assisted Reporting
(University of Missouri--Columbia, 2013)
As more and more personal data are collected and digitized by the government, the more restrictions there are on what reporters can access through open records laws. Every year sees new bills introduced restricting the public access to data...
Rural crime in Missouri : A case study of four Missouri counties with suggestions for crime prevention measures
(University of Missouri--Columbia. Extension Division, 1980)
of Investigation show that the rate of crime in rural areas has increased more rapidly since 1968 than the rate in urban areas. The rural crime rate as reported by the FBI from its Uniform Crime Report data provided by law enforcement agencies was 779 per 100...