scholarly journals Diagnosis and treatment of DVT and prevention of DVT recurrence and the PTS: bridging the gap between DVT and PTS in the primary care setting or outpatient ward

2017 ◽  
Vol Volume 5 ◽  
pp. 21-34
Author(s):  
Jan Jacques Michiels ◽  
Wim Moosdorff ◽  
Mildred U Lao ◽  
Hanny Maasland ◽  
Janneke M Michiels ◽  
...  
2012 ◽  
Vol 200 (2) ◽  
pp. 95-96 ◽  
Author(s):  
Lynette Hughes ◽  
Gerard Leavey

SummaryWhereas physical sport activity is generally considered a health benefit, extreme exercise may be harmful. Of particular concern in this regard is the considerable variation between doctors in the primary care setting and those working within the sports setting around the diagnosis and treatment of athletes presenting with similar symptoms. Known risk factors for athletes are herein presented to raise awareness of the negative side of sport and to bring attention to the psychological outcomes and needs of athletes. The need for research into the incidence and aetiology of mental illness within elite level sport is also raised.


Author(s):  
Deirdre Caffrey ◽  
Gillian L Sowden

Objective Many patients with bipolar disorder are treated exclusively in primary care settings, and the use of atypical antipsychotics as primary treatment for bipolar depression is increasing. Extrapyramidal symptoms (EPS) are common side effects of antipsychotic medications, and clinicians should actively monitor for these symptoms when prescribing antipsychotic medications. Accurate diagnosis of EPS is especially important as the symptoms can be highly distressing, and in some cases, life threatening. Our aim is to familiarize primary care providers and other clinicians prescribing antipsychotic medications with EPS and to aid in its rapid diagnosis and treatment. Method We describe a case of lurasidone induced dystonia with prominent laryngospasm and oculogyric crisis which was missed for many years in the primary care setting, largely due to misdiagnosis of symptoms as being related to anxiety and panic attacks. Results In addition to summarizing this illustrative case, we present the most common forms of EPS and summarize the primary therapies for each type of EPS. Conclusions With increased management of bipolar disorder in the primary care setting and increased use of atypical antipsychotics as the primary therapy for bipolar disorder, it is essential that all practitioners are prepared to actively monitor for EPS, followed by its rapid diagnosis and treatment.


2010 ◽  
Vol 15 (6) ◽  
pp. 392-400 ◽  
Author(s):  
N Ann Scott ◽  
Carmen Moga ◽  
Christa Harstall

OBJECTIVE: To ascertain knowledge gaps in the diagnosis and treatment of acute and chronic low back pain (LBP) in the primary care setting to prepare a scoping survey for identifying knowledge gaps in LBP management among Alberta’s primary care practitioners, and to identify potential barriers to implementing a multidisciplinary LBP guideline.METHODS: English language studies, published from 1996 to 2008, comparing the clinical practice patterns of primary care practitioners with guideline recommendations were identified by systematically searching literature databases, the websites of various health technology assessment agencies and libraries, and the Internet. Data were synthesized qualitatively.RESULTS: The literature search identified 14 relevant studies. Knowledge gaps were reported among various primary care practitioner groups in the assessment of red flags, use of diagnostic imaging, provision of advice regarding sick leave and continuing activity, administration of some medications (muscle relaxants, oral steroids and opioids) and recommendation of particular treatments (acupuncture, physiotherapy, spinal manipulation, traction, ultrasound, transcutaneous electrical nerve stimulation and spinal mobilization).CONCLUSIONS: A know-do gap clearly exists among primary care practitioners with respect to the diagnosis and treatment of LBP. The information on know-do gaps will be used to construct a survey tool for unearthing the local knowledge gaps extant among Alberta’s primary care practitioners, and to develop a dissemination strategy for a locally produced multidisciplinary LBP guideline, with the aim of ensuring that the know-do gaps inherent within each primary practice discipline are specifically targeted.


2015 ◽  
Vol 125 (10) ◽  
pp. 2266-2272 ◽  
Author(s):  
Melissa A. Pynnonen ◽  
Shana Lynn ◽  
Hayley E. Kern ◽  
Sarah J. Novis ◽  
Sarah R. Akkina ◽  
...  

Obesity ◽  
2012 ◽  
Vol 20 (9) ◽  
pp. 1909-1914 ◽  
Author(s):  
Erika A. Yates ◽  
Alison K. Macpherson ◽  
Jennifer L. Kuk

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