Mayo Clinic proceedings
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Mayo Clinic proceedings · Jul 2005
Review Case ReportsSinus headache: a neurology, otolaryngology, allergy, and primary care consensus on diagnosis and treatment.
Sinus headache is a widely accepted clinical diagnosis, although many medical specialists consider it an uncommon cause of recurrent headaches. The inappropriate diagnosis of sinus headache can lead to unnecessary diagnostic studies, surgical interventions, and medical treatments. ⋯ This committee reviewed available scientific evidence from multiple disciplines and concluded that considerable research and clinical study are required to further understand and delineate the role of nasal pathology and autonomic activation in migraine and headaches of rhinogenic origin. However, this group agreed that greater diagnostic and therapeutic attention needs to be given to patients with sinus headaches.
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To define the demographic, clinical, and radiological features of patients with cough-induced rib fractures and to assess potential risk factors. ⋯ Cough-induced rib fractures occur primarily in women with chronic cough. Middle ribs along the lateral aspect of the rib cage are affected most commonly. Although reduced bone density is likely a risk factor, cough-induced rib fractures can occur in the presence of normal bone density.
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Mayo Clinic proceedings · Jul 2005
Comment Letter Case ReportsMycobacterium avium complex lung disease and panhypopituitarism.
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Mayo Clinic proceedings · Jun 2005
Biography Historical ArticleDoyle, Holmes, and Watson--a "special" trinity.
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Mayo Clinic proceedings · Jun 2005
ReviewOutcomes after ventricular fibrillation out-of-hospital cardiac arrest: expanding the chain of survival.
Coronary heart disease is the most common cause of death in the United States, with ventricular fibrillation (VF) the most common initial rhythm when cardiac disease causes arrest. Survival after VF out-of-hospital cardiac arrest (OHCA) depends on a sequence of events called the chain of survival, which Includes rapid access to emergency medical services, cardiopulmonary resuscitation, defibrillation, and advanced care. Because of widespread implementation of defibrillation programs, more patients survive VF OHCAs, making subsequent care of these patients important. ⋯ These cohorts may have the greatest response to short-term and long-term therapies for cardiac rehabilitation. With these approaches, long-term survival and quality of life after VF OHCA are favorable. Broadening the focus of the chain of survival to include in-hospital and long-term care will further improve favorable outcomes achieved in an early defibrillation program.