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Deep vein thrombosis: clinical implications for the chiropractor. A single case study with retrospective analysis of risk factors for a patient with fatal complications 深静脉血栓:指压治疗师的临床意义。对致死性并发症患者的危险因素进行回顾性分析的单例研究
The British Journal of Chiropractic
Pub Date : 2002-01-01 DOI: 10.1016/S1466-2108(02)90015-X
Laura Waterhouse DC, MCC

Deep vein thrombosis (DVT) offers a significant diagnostic challenge to the primary health care practitioner. It is a common complaint with multiple risk factors and the potential for serious or fatal complications, yet an estimated 80% of DVTs are clinically asymptomatic. A further challenge, particularly to physical specialists, is that the 20% that do present with symptoms can mimic musculoskeletal pain.

This case outlines the presentation of a young female patient who presented with a history of posterior calf pain and of investigation for DVT. She was treated with apparent success, yet died shortly afterward from a pulmonary embolism, the commonest complication from a DVT. The diagnostic and investigative considerations are discussed along with risk factors for this condition.

深静脉血栓形成(DVT)提供了一个显著的诊断挑战，初级卫生保健从业者。这是一种常见的主诉，有多种危险因素和潜在的严重或致命的并发症，但估计80%的深静脉血栓患者临床无症状。一个进一步的挑战，特别是对物理专家来说，是20%的症状可以模仿肌肉骨骼疼痛。本病例概述了一位年轻女性患者的表现，她有小腿后部疼痛史，并接受了深静脉血栓的调查。她的治疗取得了明显的成功，但不久就死于肺栓塞，这是深静脉血栓最常见的并发症。诊断和调查考虑与危险因素一起讨论这种情况。
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引用次数: 1
Chiropractic: to evidence-base or not? An inaugural lecture 脊椎指压疗法:是否以证据为基础?就职演讲
The British Journal of Chiropractic
Pub Date : 2002-01-01 DOI: 10.1016/S1466-2108(02)90019-7
Jenni Bolton PhD (Professor)
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引用次数: 2
Chiropractic radiology: case challenge 捏脊放射学:病例挑战
The British Journal of Chiropractic
Pub Date : 2002-01-01 DOI: 10.1016/S1466-2108(02)90018-5
Michelle Wessely BSc(Chiropractic), DC, DACBR, Kathleen L. Linaker BSc, DC, DACBR
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引用次数: 0
Chiropractic management of chronic illness behaviour 慢性疾病行为的脊医管理
The British Journal of Chiropractic
Pub Date : 2002-01-01 DOI: 10.1016/S1466-2108(02)90014-8
Gilbert Méal DC, FCC
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引用次数: 0
Chiropractic radiology: case challenge Muscle energy techniques 捏脊放射学:案例挑战肌肉能量技术
The British Journal of Chiropractic
Pub Date : 2002-01-01 DOI: 10.1016/S1466-2108(02)90016-1
Michelle Wessely BSc (Chiropractic), DC, DACBR, Kathleen L. Linaker BSc, DC, DACBR, Gilbert Méal DC, FCC
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引用次数: 0
Low force chiropractic adjustment and post-isometric muscle relaxation for the ageing cervical spine: a case study and literature review 低力捏脊调整和后等距肌肉放松对老化颈椎:一个案例研究和文献回顾
The British Journal of Chiropractic
Pub Date : 2002-01-01 DOI: 10.1016/S1466-2108(02)90020-3
Ian Johnson BSc(Anat), BSc(Chiropractic), DC, PhD(Neuro), MCC

An elderly gentleman with chronic neck pain presented with several relative contraindications to chiroprattic treatment, including hypertension and previous cancer. The patient was treated for one month using post-isometric muscle relaxation methods prior to low force chiropractic adjustment of the spine. One month after starting treatment, cervical lateral flexion and rotation increased between 200% and 300% and the neck disability index improved from moderate disability to mild disability. These improvements were largely maintained at three- and six- month follow-up visits, and were associated with improvements in the physical functioning and social functioning components of the medical outcomes short form 36 (SF 36) questionnaire. This conservative approach may prove useful for treating the ageing cervical spine.

一位患有慢性颈部疼痛的老年绅士提出了几个相对的脊椎矫正治疗禁忌症，包括高血压和以前的癌症。患者接受了一个月的后等距肌肉放松治疗，然后进行了脊柱的低力整脊调整。治疗1个月后，颈侧屈曲和旋转增加200% ~ 300%，颈部残疾指数由中度残疾改善为轻度残疾。这些改善在3个月和6个月的随访中基本上保持不变，并且与医疗结果简短表格36 (SF 36)问卷中身体功能和社会功能部分的改善有关。这种保守的方法对于治疗老化的颈椎可能是有用的。
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引用次数: 5
Skeletal radiology: Atlas of the spine and extremities 骨骼放射学:脊柱和四肢图谱
The British Journal of Chiropractic
Pub Date : 2002-01-01 DOI: 10.1016/S1466-2108(02)90017-3
Michelle Wessely BSc (Chiropractic), DC, DACBR
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引用次数: 0
Differentiation between osteoid osteoma and Brodie's abcess in a case of undiagnosed knee pain: radiological findings in a single case study 一例未确诊膝关节疼痛的骨样骨瘤和布罗迪脓肿的鉴别:单个病例研究的影像学表现
The British Journal of Chiropractic
Pub Date : 2001-01-01 DOI: 10.1016/S1466-2108(01)80007-3
Nienke Floor BSc (Hons), MSc, Michelle Wessely BSc (Chiropractic), DC, DACBR

Osteoid osteoma is a benign skeletal neoplasm characterised by nocturnal pain that is relieved dramatically by salicylates. Brodie's abscess is the main differential diagnosis for osteoid osteoma, presenting with both clinical and radiological similarities. This report describes a 19-year-old female with a nine-year history of knee pain. Early investigations included plain radiographs, Magnetic Resonance Imaging (MRI) and arthroscopy, which were all identified as normal. The plain radiographs, MRI and Computed Tomography findings are discussed in relation to osteoid osteoma and Brodie's abscess and the need for diagnostic confirmation by biopsy.

骨样骨瘤是一种以夜间疼痛为特征的良性骨骼肿瘤，水杨酸可显著缓解夜间疼痛。Brodie’s脓肿是骨样骨瘤的主要鉴别诊断，其临床和影像学表现相似。本报告描述了一名19岁的女性，有9年的膝盖疼痛史。早期检查包括平片，磁共振成像(MRI)和关节镜检查，均确认为正常。本文讨论了骨样骨瘤和Brodie脓肿的x线平片、MRI和ct表现，以及活检诊断的必要性。
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引用次数: 0
CPD national & international events CPD国内和国际活动
The British Journal of Chiropractic
Pub Date : 2001-01-01 DOI: 10.1016/S1466-2108(01)80002-4
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引用次数: 0
Chiropractic radiology: case challenge 捏脊放射学:病例挑战
The British Journal of Chiropractic
Pub Date : 2001-01-01 DOI: 10.1016/S1466-2108(01)80012-7
Michelle Wessely BSc (Chiropractic), DC, DACBR, Gertjan van Koert BSc (Hons), MSc (Chiropractic)
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引用次数: 1
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