Articles: middle-aged.
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The pathogenesis and management of lateral epicondylalgia, or tennis elbow, a common ailment affecting middle-aged subjects of both genders continue to provoke controversy. Currently it is thought to be due to local tendon pathology, pain system changes, and motor system impairment. Its diagnosis is usually clinical, based on a classical history, as well as symptoms and signs. ⋯ Different treatment modalities have been described, including the use of orthotics, non-steroidal anti-inflammatory drugs, steroid injections, topical glyceryl trinitrate, exercise therapy, manual therapy, ultrasound therapy, laser therapy, extracorporeal shockwave therapy, acupuncture, taping, platelet-rich plasma injections, hyaluronan gel injections, botulinum toxin injections, and surgery. Nevertheless, evidence to select the best treatment is lacking and the choice of therapy depends on the experience of the management team, availability of the equipment and expertise, and patient response. This article provides a snapshot of current medical practice for lateral epicondylalgia management.
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Ocular trauma is recognized as the leading cause of unilateral blindness. However, few studies to date have focused on the clinical features of hospital-based ocular emergencies. Effectiveness of trauma centers in treating ocular emergencies was compared with treatment in traditional community hospital emergency departments. Demographics, causes, and nature of ocular emergencies, as well as visual outcome in community hospitals emergency departments and trauma centers, were also examined. ⋯ The middle-aged, white men are more vulnerable to ocular injuries caused mainly by motor vehicle accidents. The ability of trauma centers to provide comparable increases in vision outcomes, despite treating more severe ocular emergencies, demonstrates the effectiveness of trauma centers. Patients diagnosed as having orbital contusions or who have fall injuries deserve careful evaluation because they are more likely to have more severe sight-threatening injuries.
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OSA & COPD PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Several studies have suggested that Sleep apnea Syndrome is frequent in the elderly. In Spain, Apnea hypopnea syndrome during sleep affects 2-6% of the middle-aged population and 15-20% of individual between 70 and 100 years of age, representing millions of people in our country. Because this disease is so prevalent, it is essential to study the differential characteristics of SAHS in the elderly. Objective: Analyse the differential characteristics of sleep apnea syndrome in older patients. ⋯ The following authors have nothing to disclose: Paola Arrieta Narvaez, Eva Mañas Baena, Rosa Mirambeaux Villalona, Carolina Gotera, Carolina Jurkojc Mohremberger, Deisy Barrios Barreto, Patricia Lazo Meneses, Patricia Castro Acosta, Maria Galarza Jimenez, Maria Salazar, Sagrario Mayoralas Alises, Salvador Diaz Lobato, Esteban Perez Rodriguez, Jonathan Cámara FernándezNo Product/Research Disclosure Information.
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ILD Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Isolated extra-pulmonary manifestations of sarcoidosis occur in only 10% of cases. Exclusive splenic involvement is extremely rare; a review revealed only 5 prior cases reported in the literature. We report the case of a middle-aged female incidentally found to have splenomegaly on physical exam after presenting with non-specific constitutional symptoms. After extensive work-up, splenic resection confirmed sarcoidosis. One year follow-up revealed no development of pulmonary manifestations. ⋯ This case illustrates the importance of including sarcoidosis in the differential diagnosis of patients presenting with isolated splenomegaly and no pulmonary symptoms.Reference #1: Giovinale M, Fonnesu C, Soriano A, et al. European Review for Medical and Pharmacological Sciences 2009; 13(Suppl 1): 37-44.Reference #2: Zia H, Zemon H, Brody F. Journal of Laparoendoscopic & Advanced Surgical Techniques. April 2005, 15(2): 160-162.Reference #3: Warshauer DM, Lee JKT. AJR 2004; 182: 15-28DISCLOSURE: The following authors have nothing to disclose: Abhay Vakil, Hineshkumar Upadhyay, Khalid Sherani, Kelly Cervellione, Alan FeinNo Product/Research Disclosure Information.
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Surgery Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Congenital anomalies of the lower respiratory tract are rare. Bronchopulmonary sequestration (BPS) is estimated to comprise 0.15 to 6.4% of all congenital pulmonary malformations, making it an extremely rare disorder. In several reports, even tertiary care referral centers diagnose less than one case per year. We report a rare congenital malformation known as BPS in an uncommon age range, middle aged adult. ⋯ Due to the relatively small prevalence and often asymptomatic presentation of this disease entity, one must have a heightened awareness of this process even in older adults. While it was not the case in our patient, this entity may be the unrecognized cause of recurrent pneumonias, abscesses, hemoptysis, and heart failure from persistent left-to-right shunting.Reference #1: Pryce DM. Lower accessory pulmonary artery with intralobar sequestration of lung: a report of seven cases. J Pathol Bacteriol.1946;58:457-467Reference #2: Gustafson, et al. Intralobar sequestration: a missed diagnosis. Ann Thorac Surg. 1989;47:841-84DISCLOSURE: The following authors have nothing to disclose: Anita Rajagopal, Edward Mintz, Anthony AsciotiNo Product/Research Disclosure Information.