Lung ultrasound is a point-of-care imaging tool that is routinely used in acute care medicine. Traditionally, radiology physicians were the primary practitioners of diagnostic ultrasound, but with the recognition of its importance in intensive care medicine, critical care physicians have also adopted this practice. Within the intensive care unit inter-professional team is the respiratory th…
Insidensi masalah medis kompleks diantara populasi obstetrik semakin meningkat, dan anestesia untuk pasien parturient rentan terhadap kompleksitas ini. USG memberikan visualisasi yang akurat terhadap struktur anatomis internal yang bisa membantu asesmen kondisi klinis dan meningkatkan keamanan intervensi terapeutik. Prosedur USG dalam anestesi obstetrik telah digunakan dalam memandu blokade neu…
Over the past 30 years there have been many complementary therapies developed to achieve glycemic control and have an impact on cardiovascular outcomes, as well as reduce the risk of microvascular disease. The 2 most notable new entries have been the sodium–glucose cotransporter 2 (SGLT2) inhibitors and the glucagon-like peptide-1 (GLP-1) agonists. Both these classes of agents have demonstra…
Type 2 diabetes (T2D) is associated with an increased risk of diabetic kidney disease (DKD), cardiovascular disease, and heart failure, in part through activation of the renin-angiotensin-aldosterone system (RAAS). Although recent cardiovascular outcome trials have identified newer therapeutic agents such as sodium-glucose cotransporter-2 (SGLT-2) inhibitors and glucagon-like peptide-1 (GLP-1)-…
The prevalence of type 2 diabetes is catalyzing a pandemic in kidney disease, with ensuing cardiovascular complications. The effort to identify antidiabetic agents capable of promoting benefits that go beyond the bounds of glucose control has produced remarkable outcomes in recent cardiovascular outcomes trials in patients with type 2 diabetes mellitus, many of whom have diabetic kidney disease.
Placental abruption (PA) is one of the worst possible manifestations of injury in the pregnant trauma patient with ultrasound as the current initial imaging examination of choice, despite its known limitations in placental evaluation. Pregnant patients who undergo computed tomography (CT) for evaluation of potential maternal injuries provide an additional source of imaging for placental evalua…
The incidence of placenta abruptio in the colony was 15.7/1000 births. In the abruptio placentae group, male fetuses had lower placental disk length and increased femur length compared with female fetuses. The feto-pacental ratio and fetal weight were lower in the male fetuses in the abruption group compared with those in the stillbirth group without abruption placentae.
AP developed in 2649 (0.90%) women. The prevalence of AP (6.7% among women who gave birth at GW 30–33) sharply decreased with advancing GW at delivery to 0.9% for GW 37 and 0.1% for GW 42. The highest prospective risk of AP, 9 per 1000 women at GW 30, decreased linearly with advancing gestation to 1 per 1000 women at GW 42. AP accounted for 4.7% (1591/33 725) of all preterm births at GW
The objective of the North American Spine Society (NASS) Clinical Guideline for the Diagnosis and Treatment of Cervical Radiculopathy from Degenerative Disorders is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of cervical radiculopathy from degenerative disorders
The clinical manifestations of the cervical root syndrome may mimic the symptoms of coronary artery disease so closely that errors in diagnosis are common. Complaint of pain in the left side of the chest and arm is insufficient grounds for making a diagnosis of coronary artery disease.