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Pati Hill Collection Unframed Artwork - General
Get PDFFinding aid for the Pati Hill Collection Unframed Artwork - General at the Arcadia University Archives
Pati Hill Collection Unframed Artwork - Common Objects
Get PDFFinding aid for the Pati Hill Collection Unframed Artwork - Common Objects at the Arcadia University Archives
Evaluating Causes of Sinus Tachycardia in the Pediatrics Population and Managing in a Primary Care Setting
No full textThis article’s goal is to fill a gap in research that compares causes of tachycardia in children by appropriately addressing epidemiology, what is physiologically happening with tachycardia, symptoms that may be associated with it, as well as a differential diagnosis. This review specifically discusses positional orthostatic tachycardia syndrome, anxiety, hyperthyroidism, as well as infection. This is important and needed in order to help providers in diagnosing the cause for this common arrhythmia
Wake Up Call: Recognizing and Treating Narcolepsy
No full textDespite being an essential process for all humans, sleep is often overlooked due to a lack of conscious effort and a lack of information. Sleep plays a crucial role in various physiological processes, from repairing tissues and cells throughout the body to metabolic regulation. A good sleep cycle consists of not only the quantity of sleep but also the quality of sleep. Many pathologies can interrupt good sleep, narcolepsy being one of them. Narcolepsy is a rare neurological disorder that affects the brain’s ability to regulate sleep-wake cycles. Although rare, narcolepsy can impact various aspects of life, such as physical, mental, and emotional health. Often, sleep disorders such as narcolepsy are under-diagnosed due to symptoms being perceived as normal by patients, thus not seeking care, or due to healthcare professionals not being familiar with the symptoms and diagnostic criteria, thus leading to a misdiagnosis. It is essential to recognize and treat this disorder to minimize the negative impact, both short-term and long-term, the disorder can have
Bipolar Disorder Therapies: Navigating Treatment Challenges and Resistant Cases
No full textThe current treatment approach for managing patients with Bipolar Disorder (BD) involves pharmacologic interventions alongside cognitive behavioral therapy and hospitalization as needed. However, over half of patients with BD exhibit resistance to standard treatments, necessitating a shift towards more individualized care approaches. Exploration of alternative medications, such as IV ketamine, is crucial to address the needs of treatment-resistant patients. This assessment emphasizes the necessity for a nuanced understanding of BD management and the exploration of personalized therapeutic strategies to enhance patient outcomes such as pharmacogenetics and integrative medicine
Pathophysiology, Treatment, and Prevention of Necrotizing Enterocolitis
No full textNecrotizing enterocolitis is a life-threatening condition most commonly seen in preterm or low birth weight newborns. It can be difficult to diagnose with relatively vague symptoms that can be easily overlooked. With its high mortality rate, up to 50%, it is essential that providers comprehend the basics of necrotizing enterocolitis, know the signs, and be able to diagnose and treat promptly to avoid complications. This article aims to supply providers with a background about this disease including its pathophysiology, signs, diagnosis, management, and prevention
Preparticipation Screening in Athletes for Prevention of Sudden Cardiac Death
Get PDFSudden cardiac death (SCD) is a rare event that has become more relevant to the general population over the past several years. There appears to be more prevalence in the media, especially in athletes, which increases patients awareness and stress about the event occurring. Although studies on incidence rates are not readily available over the the past decade, previous past data correlates with increasing rates. Athletic competition is readily available to all patient populations, so it is reasonable to believe that incidence rates of SCD are currently increasing. This raises question on how to decrease future incidence through pre-participation screening (PPS). The purpose of this study was to analyze the efficacy of different screening methods from a statistical, cost-effective, and accessibility viewpoint to best establish a standardized screening protocol in athletes of any age. SCD is most commonly caused by hypertrophic cardiomyopathy, along with other cardiac structural, conductive, and genetic causes. The most common method for PPS is a combination of history and physical exam, with electrocardiogram being used sparingly internationally. Statistical data varies greatly across demographics and athletic skill, leading to difficulty establishing routine PPS worldwide. History and physical exam are cost-effective and simple to conduct, while additional workup including ECG, echocardiogram, stress testing and MRI are often inaccurate, expensive, or inaccessible. Routine follow up with a medical care provider is most beneficial for a patient and/or their guardian because it limits unnecessary testing. Additionally, education on SCD presentation and training in Basic Life Support (BLS) will save lives and decrease the overall incidence
Pancreatic Cancer: The Importance of Early Detection
No full textPancreatic cancer is known to be one of the most insidious malignancies due to lack of early symptoms, reliable screening, and diagnostic modalities. Since pancreatic cancer is often found incidentally and at advanced stages the prognosis for many individuals is poor. This CME article will review the symptoms and clinical presentations of pancreatic cancer and touch on the importance of early disease detection and screening in high-risk individuals on outcome and life expectancy. It will also review the current difficulties and lack of reliable screening techniques including the current gold standard screening methods. It will conclude with recommendations for screening and diagnosis based on current research
Narcolepsy Recognition and Management
No full textNarcolepsy is a chronic neurodegenerative condition with variable clinical presentation and severity in which it affects patients. Typical case presentation includes EDS, cataplexy, sleep attacks and paralysis which have devastating psychosocial and mental health consequences. The pathophysiology of NT1 is understood to be caused by a deficit in orexin. Currently, PSG and MSLT are the most widely employed diagnostic tools, in addition to CSF orexin levels. Treatment options are plenty, most commonly being the stimulant modafinil and adding sodium oxybate to target cataplexy
A Case of Osteitis Fibrosa Cystica Following Roux-en-Y Gastric Bypass Surgery
No full text“Osteitis fibrosa cystica is a rare skeletal disorder caused by late-stage hyperparathyroidism that presents with skeletal pain, deformities, and fractures. This article describes a patient who developed a severe form of the disease due to secondary hyperparathyroidism as a consequence of not taking mandatory nutritional supplements after undergoing Roux-en-Y gastric bypass surgery.