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Acute Vision Loss

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41. The Collaborative Assessment, OTCA12, on “C-reactive protein point-of-care testing (CRP POCT) to guide antibiotic prescribing in primary care settings for acute respiratory tract infections (RTIs)

The Collaborative Assessment, OTCA12, on “C-reactive protein point-of-care testing (CRP POCT) to guide antibiotic prescribing in primary care settings for acute respiratory tract infections (RTIs) Dec2015 © EUnetHTA, 2015. Reproduction is authorised provided EUnetHTA is explicitly acknowledged 1 EUnetHTA Joint Action 3 WP4 Version 1.4, +31 January 2019] Rapid assessment of other technologies using the HTA Core Model ® for Rapid Relative Effectiveness Assessment C-REACTIVE PROTEIN POINT-OF-CARE (...) TESTING (CRP POCT) TO GUIDE ANTIBIOTIC PRESCRIBING IN PRIMARY CARE SETTINGS FOR ACUTE RESPIRATORY TRACT INFECTIONS (RTIS) Project ID: OTCA012 C-reactive protein point-of-care testing to guide antibiotic prescribing for acute respiratory tract infections in primary care EUnetHTA Joint Action 3 WP4 2 DOCUMENT HISTORY AND CONTRIBUTORS Version Date Description V1.0 26/10/2018 First draft. V1.1 03/12/2018 Input from co-author has been processed. V1.2 03/12/2018 Input from dedicated reviewers has been

2019 EUnetHTA

42. Peripapillary neovascular membrane: A rare cause of acute vision loss in pediatric idiopathic intracranial hypertension. (PubMed)

Peripapillary neovascular membrane: A rare cause of acute vision loss in pediatric idiopathic intracranial hypertension. We report a 14-year-old boy who presented with vision loss secondary to peripapillary neovascular membrane (PPNVM) as the initial and only symptom of papilledema secondary to idiopathic intracranial hypertension. After one lumbar puncture, visual acuity progressively recovered during the course of 1 week and further improved with the administration of oral acetazolamide. One (...) year after the onset of vision loss, the patient's visual acuity had recovered to baseline measurements. The previously active PPNVM had involuted into a residual peripapillary fibrotic scar. To our knowledge, this is the first report of PPNVM complicating idiopathic intracranial hypertension in a child.Copyright © 2011 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

2011 JAAPOS - Journal of the American Association for Pediatric Ophthalmology and Strabismus

43. Acute neck and back pain: preventive interventions - Effects of physical training, manual treatment and cognitive behavioral interventions

an episode of back and neck pain. Although only ten per cent of all cases persist, this is one of the greatest health issues of our time. If it were possible to prevent an acute episode from becoming chronic, this would improve the chances of the individual patient avoiding dis­ ability and poorer quality of life. Chronic pain is also associated with higher health and medical costs and loss of production due to absence from work on sick leave. Thus prevention offers major economic advan ­ tages for both (...) training, manual treatment and cognitive behavioral interventions february 2016 | www.sbu.se/245e2 acute neck and back pain: preventive interventions Neck pain and whiplash-related problems With respect to whiplash­ related problems, the report includes a study which showed that active treatment with physical training of the neck under the super­ vision of a physiotherapist had a greater effect than standard treatment. Positive effects were reported with respect to the pain experienced by the patient

2016 Swedish Council on Technology Assessement

44. Acute Retrobulbar Neuritis of Septic Origin, Resulting in Rapid and Complete Loss of Vision (PubMed)

Acute Retrobulbar Neuritis of Septic Origin, Resulting in Rapid and Complete Loss of Vision 16692461 2006 06 01 2008 11 20 0065-9533 16 1918 Transactions of the American Ophthalmological Society Trans Am Ophthalmol Soc Acute Retrobulbar Neuritis of Septic Origin, Resulting in Rapid and Complete Loss of Vision. 92-106 Lambert W E WE eng Journal Article United States Trans Am Ophthalmol Soc 7506106 0065-9533 1918 1 1 0 0 1918 1 1 0 1 1918 1 1 0 0 ppublish 16692461 PMC1318143

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1918 Transactions of the American Ophthalmological Society

45. Low Back Pain, Adult Acute and Subacute

no effect on pain or function (Chou, 2016). A randomized trial of 269 adults with radicular pain found that patients with acute radiculopathy from a herniated lumbar disk who received a short course of oral steroids had modest improvement in function with no improvement in pain and no reduction in surgery incidence (Goldberg, 2015). Corticosteroids have side effects that patients need to be aware of, including osteonecrosis, mood changes, anxiety, blurred vision, numbness or tingling in the arms or legs (...) Low Back Pain, Adult Acute and Subacute Health Care Guideline: Adult Acute and Subacute Low Back Pain www.icsi.org Copyright © 2017 by Institute for Clinical Systems Improvement 1 Diagnosis Algorithm Text in blue in this algorithm indicates a linked corresponding annotation. Adult patient present with acute or subacute low back pain History and exam: • Pain characteristics • Sensory and strength changes • Prior treatment and response yes Complete assessment tools for pain and function

2018 Institute for Clinical Systems Improvement

46. An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography and Intervention in Acute Coronary Syndrome

major bleeding if there was hypotension or transfusion of at least 2 U of blood) 5. Severe disabling sequelae 6. Intracranial bleeding 7. Intraocular bleeding leading to a significant loss of vision 8. Drop in hemoglobin ≥50 g/L Pseudoaneurysms needing closure, large hematoma (as judged by the investigator), arteriovenous fistula, or an ischemic limb needing surgery 1.4% vs 3.7%; P <0.0001 At 30 d: 1.3% vs 1.5%; P =0.47 3.7% vs 4.0%; P =0.50 0.7% vs 0.9%; P =0.23 MATRIX Multicenter, European centers (...) An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography and Intervention in Acute Coronary Syndrome An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography and Intervention in Acute Coronary Syndrome: A Scientific Statement From the American Heart Association | Circulation: Cardiovascular Interventions Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 February 2019 January 2019

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2018 American Heart Association

47. CRACKCast E177 – Acute Complications of Pregnancy

CRACKCast E177 – Acute Complications of Pregnancy CRACKCast E177 - Acute Complications of Pregnancy - CanadiEM CRACKCast E177 – Acute Complications of Pregnancy In by Adam Thomas May 14, 2018 This episode of CRACKCast covers Rosen’s Chapter 177, Acute Complications of Pregnancy. This chapter covers many acute issues that arise during the unique physiologic state that is pregnancy, from first trimester bleeding to diagnostic challenges and management of other conditions during pregnancy. Also (...) and should always be considered in the differential diagnosis. The history and physical examination of the patient with ectopic pregnancy are insensitive and nonspecific, pelvic ultrasonography and serum hCG levels are essential to locate the pregnancy in any patient who has abdominal pain or vaginal bleeding and a positive pregnancy test result. Bleeding in Late Pregnancy Bleeding during the second trimester (14–24 weeks) is not benign and is associated with a 33% risk of fetal loss. Management

2018 CandiEM

48. Management of Posttraumatic Stress Disorder and Acute Stress Reaction

Management of Posttraumatic Stress Disorder and Acute Stress Reaction VA/DOD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF POSTTRAUMATIC STRESS DISORDER AND ACUTE STRESS DISORDER Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended (...) testing and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 3.0 – 2017 VA/DoD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder June 2017 Page 2 of 200 Prepared by: The Management of Posttraumatic Stress Disorder Work Group

2017 VA/DoD Clinical Practice Guidelines

49. The ACTTION–APS–AAPM Pain Taxonomy (AAAPT) Multidimensional Approach to Classifying Acute Pain Conditions

The ACTTION–APS–AAPM Pain Taxonomy (AAAPT) Multidimensional Approach to Classifying Acute Pain Conditions ACTTION–APS–AAPM Pain Taxonomy (AAAPT) Multidimensional Approach to Classifying Acute Pain Conditions | Pain Medicine | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term (...) Close search filter search input Article Navigation Close mobile search navigation Article Navigation May 2017 Article Contents Article Navigation The ACTTION–APS–AAPM Pain Taxonomy (AAAPT) Multidimensional Approach to Classifying Acute Pain Conditions Michael L. Kent, MD * Department of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, Maryland Search for other works by this author on: Patrick J. Tighe, MD † Departments of Anesthesiology Search for other works by this author

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2017 Publication 4890876

50. Vision and vision-related outcome measures in multiple sclerosis. (PubMed)

Vision and vision-related outcome measures in multiple sclerosis. Visual impairment is a key manifestation of multiple sclerosis. Acute optic neuritis is a common, often presenting manifestation, but visual deficits and structural loss of retinal axonal and neuronal integrity can occur even without a history of optic neuritis. Interest in vision in multiple sclerosis is growing, partially in response to the development of sensitive visual function tests, structural markers such as optical (...) in the development and study of visual outcomes in multiple sclerosis, which had, as its overriding goals, to review the state of the field and identify areas for future research. We review data and principles to help us understand the importance of vision as a model for outcomes assessment in clinical practice and therapeutic trials in multiple sclerosis. © The Author (2014). Published by Oxford University Press on behalf of the Guarantors of Brain.

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2014 Brain

51. Safe staffing for nursing in adult inpatient wards in acute hospitals

Safe staffing for nursing in adult inpatient wards in acute hospitals Safe staffing for nursing in adult inpatient Safe staffing for nursing in adult inpatient wards in acute hospitals wards in acute hospitals Safe staffing guideline Published: 15 July 2014 nice.org.uk/guidance/sg1 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent (...) . Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Safe staffing for nursing in adult inpatient wards in acute hospitals (SG1) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

52. Case report: the role of OCT in examination of a patient with topiramate-induced acute angle closure, acute myopia and macular striae (PubMed)

Case report: the role of OCT in examination of a patient with topiramate-induced acute angle closure, acute myopia and macular striae This work reports on a clinical case of a female who presented with headache, bilateral eye pain and vision loss. Intraocular pressures were 40 mm Hg in the right eye and 45 mm Hg in the left eye. Optical Coherence Tomography examination shows the iridocorneal angle was collapsed and macular striae were also observed. The patient had been on topiramate due (...) to migraines 7 days before presentation. Diagnosis for topiramate-induced acute angle closure was made in both eyes. The patient showed improvement in symptoms a few days after treatment initiation and images confirmed that the iridocorneal angle had been enlarged and macular striae had disappeared.

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2018 Oxford Medical Case Reports

53. Reversible severe bilateral visual loss in an unusual case of bilateral lateral geniculate myelinolysis during acute pancreatitis (PubMed)

Reversible severe bilateral visual loss in an unusual case of bilateral lateral geniculate myelinolysis during acute pancreatitis A 40-year-old man was diagnosed with pancreatitis following cholecystectomy. During hospitalisation, he reported bilateral acute vision loss. His best-corrected visual acuity (BCVA) was counting fingers in the right eye and 20/200 in the left eye. Ocular fundus examination and optical coherence tomography revealed a slight alteration in the retinal nerve fibres

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2015 BMJ case reports

54. MD1003 (High-Dose Pharmaceutical-Grade Biotin) for the Treatment of Chronic Visual Loss Related to Optic Neuritis in Multiple Sclerosis: A Randomized, Double-Blind, Placebo-Controlled Study (PubMed)

MD1003 (High-Dose Pharmaceutical-Grade Biotin) for the Treatment of Chronic Visual Loss Related to Optic Neuritis in Multiple Sclerosis: A Randomized, Double-Blind, Placebo-Controlled Study Chronic visual loss is a disabling feature in patients with multiple sclerosis (MS). It was recently shown that MD1003 (high-dose pharmaceutical-grade biotin or hdPB) may improve disability in patients with progressive MS.The aim of this study was to evaluate whether MD1003 improves vision compared (...) with placebo in MS patients with chronic visual loss.The MS-ON was a 6-month, randomized, double-blind, placebo-controlled study with a 6-month open-label extension phase. Adult patients with MS-related chronic visual loss of at least one eye [visual acuity (VA) below 0.5 decimal chart] were randomized 2:1 to oral MD1003 300 mg/day or placebo. The selected eye had to show worsening of VA within the past 3 years following either acute optic neuritis (AON) or slowly progressive optic neuropathy (PON

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2018 CNS drugs

55. Linking Optic Nerve MRI and the Retinal Axonal Loss After Optic Neuritis

-Ophthalmologists are in need for reliable and robust imaging biomarkers enabling to predict retinal axonal loss and visual disability after clinical episode of optic neuritis (ON). Length of optic nerve lesion measured on MRI may be one of them. The aim of our study is to measure the association between the extent of inflammatory demyelinating process on optic nerve at the acute of ON and the retinal degenerative process following optic nerve injury. The investigators planned to include 50 patients suffering (...) from a recent clinical episode of ON. Extent of demyelinating inflammatory process will be assessed by the length of optic nerve double inversion recovery (DIR) hypersignal at the acute phase of ON. The axonal degenerative process following optic nerve demyelinating injury will be assessed by retinal atrophy measured on optical coherence tomography at 12 months after ON, by visual disability measured on low vision contrast acuity scale and by microstructural quality analysis of optic nerve measured

2018 Clinical Trials

56. Consequence of Unilateral Vestibular Loss on Visual Abilities

sensor, and its extraocular muscles, effectors of the system. The aim of this study is to assess the effects of acute unilateral vestibular loss on visual abilities evaluated by orthoptic balance in patients who presented acute unilateral vestibular loss by surgical deafferentation (removal of vestibular schwannoma, vestibular neurotomy or surgical labyrinthectomy for Meniere's disease), during the early phase and decline of vestibular compensation. Our secondary objective is to evaluate the effect (...) of a pre-existing anomaly of the visual abilities evaluated by orthoptic assessment on the vestibular compensation capacities. All in all, this study seems crucial to improve the management of patients with unilateral vestibular dysfunction and contribute to improving their clinical management. As a standardized management of these patients, an audio-vestibular evaluation will be performed before surgery (-1D), after acute unilateral vestibular loss at the early stage (+7D), and then after vestibular

2018 Clinical Trials

57. Ultrasound assessment of visual loss during severe preeclampsia: a case report (PubMed)

Ultrasound assessment of visual loss during severe preeclampsia: a case report Bilateral retinal detachments and cortical blindness are rare complications of preeclampsia and the association of the two pathologies is exceptional. We report the case of a preeclamptic patient who presented with an acute bilateral vision loss. Besides, her ocular ultrasound revealed bilateral retinal detachments and an elevated optic nerve sheath diameter. The patient underwent an urgent cesarean section

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2018 Critical ultrasound journal

58. Medical Concepts: Acute Angle Closure Glaucoma

Medical Concepts: Acute Angle Closure Glaucoma Acute Angle Closure Glaucoma Review - CanadiEM Medical Concepts: Acute Angle Closure Glaucoma In by Stephanie Cargnelli October 11, 2016 A 62 year old woman presents to your Emergency Department with a chief complaint of severe right eye pain. Upon further questioning, she reveals reduced vision in the affected eye and colored halos around lights. She reports a diffuse headache and two episodes of vomiting. A quick physical exam reveals significant (...) by the Ophthalmologist. Images from Glaucoma RCSI http://www.slideshare.net/hongchiong/glaucoma-rcsi Treatment and Disposition Prompt treatment is required for this condition, as the increased intraocular pressure can lead to optic nerve damage and vision loss. Immediate consultation with an Ophthalmologist is required. Pharmacological treatment options include: Topical Agents Miotics – Pilocarpine is the miotic agent of choice. It acts on the muscarinic receptors of the iris, causing it to contract and leading

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2016 CandiEM

59. Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis

Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis Comparative Effectiveness Review Number 157 Comparative Effectiveness Review Number 157 Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2012-00012-I Prepared (...) . Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis. Comparative Effectiveness Review No. 157. (Prepared by the Brown Evidence-based Practice Center under Contract No. 290-2012-00012-I.) AHRQ Publication No. 15(16)-EHC025-EF. Rockville, MD: Agency for Healthcare Research and Quality; December 2015. www.effectivehealthcare.ahrq.gov/reports/final.cfm .iii Preface The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors

2016 Effective Health Care Program (AHRQ)

60. IDIOPATHIC MULTIFOCAL CHOROIDITIS/PUNCTATE INNER CHOROIDOPATHY WITH ACUTE PHOTORECEPTOR LOSS OR DYSFUNCTION OUT OF PROPORTION TO CLINICALLY VISIBLE LESIONS. (PubMed)

IDIOPATHIC MULTIFOCAL CHOROIDITIS/PUNCTATE INNER CHOROIDOPATHY WITH ACUTE PHOTORECEPTOR LOSS OR DYSFUNCTION OUT OF PROPORTION TO CLINICALLY VISIBLE LESIONS. To report acute/subacute vision loss and paracentral scotomata in patients with idiopathic multifocal choroiditis/punctate inner choroidopathy due to large zones of acute photoreceptor attenuation surrounding the chorioretinal lesions.Multimodal imaging case series.Six women and 2 men were included (mean age, 31.5 ± 5.8 years). Vision (...) cases, associated with decrease in hyperautofluorescence on fundus autofluorescence.Multifocal choroiditis/punctate inner choroidopathy can present with transient or permanent central photoreceptor attenuation/loss. This presentation is likely a variant of multifocal choroiditis/punctate inner choroidopathy with chorioretinal atrophy. Associated changes are best evaluated using multimodal imaging.

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2014 Retina

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