{"title":"Venous Thromboembolism Prophylaxis in Postoperative Gynecologic Oncology Patients.","authors":"Darrell R Over, Stefanie Rust, Herbert F Fendley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 11","pages":"266-268"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36609963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cory G Couch, Simon C Mears, Paul K Edwards, W Gene Jines, C Lowry Barnes
Periprosthetic joint infection (PJI) leads to increased patient morbidity and mortality. Current literature reveals a strong link between bacteremia and oral procedures, and therefore elevated risk of PJI. However, evidence that dental procedures do not increase risk of PJI and that antibiotic prophylaxis does not decrease PJI risk exists. In Arkansas, we continue to see patients with bacteremic-induced PJI, therefore we recommend routine prophylaxis for all dental pro- cedures for patients who can tolerate the antibiotics during the first year after joint replacement. Antibiotics are associated with known risks, therefore, a discussion between the physician, dentist, and patient is recommended.
{"title":"Dental Antibiotic Prophylaxis: What to do with Current Recommendations..","authors":"Cory G Couch, Simon C Mears, Paul K Edwards, W Gene Jines, C Lowry Barnes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Periprosthetic joint infection (PJI) leads to increased patient morbidity and mortality. Current literature reveals a strong link between bacteremia and oral procedures, and therefore elevated risk of PJI. However, evidence that dental procedures do not increase risk of PJI and that antibiotic prophylaxis does not decrease PJI risk exists. In Arkansas, we continue to see patients with bacteremic-induced PJI, therefore we recommend routine prophylaxis for all dental pro- cedures for patients who can tolerate the antibiotics during the first year after joint replacement. Antibiotics are associated with known risks, therefore, a discussion between the physician, dentist, and patient is recommended.</p>","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 11","pages":"259-261"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36609959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pregnant Women, Babies and Substance Use: Prevention of Neonatal Abstinence Syndrome.","authors":"Jessica L Coker, Alan Mease, Curtis Lowery","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 11","pages":"264-265"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36609961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ypophysitis is a reported compli- cation of ipilimumab, a monoclo- nal antibody which augments T- cell response against tumors. The imaging changes in the pituitary may precede or coincide with the hypopituitarism, but are frequently over- looked due to the subtle alteration in size and en- hancement characteristics. We present a series of 3 patients who developed hypophysitis and pituitary dysfunction subsequent to ipilimumab therapy and describe the MR imaging features and make follow up recommendations.
{"title":"Ipilimumab Induced Hypophysitis: MRI Findings in a Series of 3 Cases.","authors":"Vibhor Wadhwa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>ypophysitis is a reported compli- cation of ipilimumab, a monoclo- nal antibody which augments T- cell response against tumors. The imaging changes in the pituitary may precede or coincide with the hypopituitarism, but are frequently over- looked due to the subtle alteration in size and en- hancement characteristics. We present a series of 3 patients who developed hypophysitis and pituitary dysfunction subsequent to ipilimumab therapy and describe the MR imaging features and make follow up recommendations.</p>","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 11","pages":"270-272"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36609964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding Diversity Based Pain Management: Is Anyone Listening?.","authors":"William Ackerman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 11","pages":"262-263"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36609958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preventing Substance Abuse With Data-Driven Coalitions.","authors":"Kristina Bondurant","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 10","pages":"240-241"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36482635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"American Association of Physicians of Indian Origin (AAPI), Arkansas Chapter.","authors":"Naveen Patil","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 10","pages":"232"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36482633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The State of Public Health in Arkansas in 2016.","authors":"Nathaniel Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 10","pages":"234"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36482634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arkansas Patients: Talk to Your Doctor Before Relying on Celebrity Health Fads, Viral Trends.","authors":"Casey L Penn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 9","pages":"210-211"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36684549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yogita Rochiani, Kevin Kuriakose, Naga Venkata Pothineni, Nikhil Meena
A young Hispanic man in histhirties presented with a two-week history of headaches, fever, and fatigue. Laboratory data revealed anemia, leucocytosis, thrombocytopenia, and elevation of liver enzymes. He was admitted to the hospital with concerns for a tick-borne illness and started on broad-spectrum antibiotics. Further investigations led to discovery of an immune compromised state due to Human Immunodeficiency Virus (HIV). The patient developed rapidly progressive multi-organ system failure, and succumbed to his illness within 72 hours of admission. A diagnosis of disseminated acute cryptococcal infection involving multiple organs (brain, heart, lungs, liver, spleen, pancreas and kidneys) was made on autopsy. The severity of the infection along with the underlying immunocompromised status contributed to his insidious presentation, rapid progression, and ultimately death.
{"title":"Fatal Case of Disseminated Cryptococcosis In a Young Man.","authors":"Yogita Rochiani, Kevin Kuriakose, Naga Venkata Pothineni, Nikhil Meena","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A young Hispanic man in histhirties presented with a two-week history of headaches, fever, and fatigue. Laboratory data revealed anemia, leucocytosis, thrombocytopenia, and elevation of liver enzymes. He was admitted to the hospital with concerns for a tick-borne illness and started on broad-spectrum antibiotics. Further investigations led to discovery of an immune compromised state due to Human Immunodeficiency Virus (HIV). The patient developed rapidly progressive multi-organ system failure, and succumbed to his illness within 72 hours of admission. A diagnosis of disseminated acute cryptococcal infection involving multiple organs (brain, heart, lungs, liver, spleen, pancreas and kidneys) was made on autopsy. The severity of the infection along with the underlying immunocompromised status contributed to his insidious presentation, rapid progression, and ultimately death.</p>","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 9","pages":"218-220"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36684552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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