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Contusion

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221. Myocardial Contusion

Myocardial Contusion Myocardial Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Myocardial Contusion Myocardial Contusion (...) Aka: Myocardial Contusion From Related Chapters II. Causes Chest III. History Bent stearing wheel in a IV. Signs Anterior chest wall injury signs Sternal tenderness Sternal deformity V. Labs Serial levels Serum myoglobin Serum VI. Diagnostics Telemetry monitoring Serial Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Myocardial Contusion." Click on the image (or right click) to open the source website in a new browser window

2018 FP Notebook

222. Pulmonary Contusion

SnomedCT 157522006 , 10050004 English Contusion of chest wall , Contusion, chest wall , Superfic bruising chest wall , Contusion of chest , Bruising of chest , contusion of chest (physical finding) , contusion of chest , bruising chest , bruised chest , contusion chest wall , chest contusion , chest wall contusion , Superficial bruising of chest wall , Contusion of chest (disorder) Dutch blauwe plek op borst , borstkaskneuzing French Ecchymose de la poitrine , Contusion de la paroi thoracique German (...) Pulmonary Contusion Pulmonary Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pulmonary Contusion Pulmonary Contusion Aka

2018 FP Notebook

223. Cardiac Contusion

Trip Database) Ontology: Contusion to heart (C0273112) Definition (NCI_FDA) A bruise to the heart. Definition (NCI) A bruise to the heart. Concepts Injury or Poisoning ( T037 ) ICD10 SnomedCT 210054006 , 17414004 English Myocardial Contusion , myocardial contusion (diagnosis) , myocardial contusion , cardiac contusions , cardiac contusion , contusion heart , contusions heart , heart contusion , CONTUSION, MYOCARDIAL , MYOCARDIAL CONTUSION , CARDIAC CONTUSION , CONTUSION, CARDIAC , Cardiac contusion (...) Cardiac Contusion Cardiac Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cardiac Contusion Cardiac Contusion Aka: Cardiac

2018 FP Notebook

224. Quadriceps Contusion

Portuguese Contusão da coxa Spanish Cardenales en el muslo , Contusión de muslo , contusión de muslo , contusión de muslo (trastorno) , contusión del muslo (trastorno) , contusión del muslo Japanese 大腿の挫傷 , 大腿部の挫傷 , ダイタイノザショウ , ダイタイブノザショウ English thigh tissue injury contusion , Contusion of thigh , Bruising of thigh , contusion of thigh , contusion of thigh (physical finding) , bruised thighs , contusions thigh , bruised thigh , thigh contusion , thigh bruising , Thigh bruise , Thigh - bruise (...) , Contusion, thigh , Superficial bruising of thigh , Contusion of thigh (disorder) , contusion; quadriceps femoris Czech Zhmoždění stehna , Kontuze stehna Korean 넓적다리의 타박상 Hungarian A comb zúzódása , Véraláfutás a combon Derived from the NIH UMLS ( ) Related Topics in Hip Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty

2018 FP Notebook

225. Interested in concussion CPD? Level up with this #MOOC (Full text)

Interested in concussion CPD? Level up with this #MOOC Interested in concussion CPD? Level up with this #MOOC | BJSM blog - social media's leading SEM voice by We are excited to share with you that registration for the second iteration of the MOOC in concussion course is now open and will be available until October 19, 2020! The course starts on September 28, 2020 and runs until Nov 23, 2020 and is free. This course is intended for any stakeholder with an interest in concussion! Concussions (...) continue to be an important public health problem. A Massive Open Online Course (MOOC) is a freely available course that anyone can register for. In April of 2019, the University of Calgary in collaboration with the Université Laval, launched a MOOC in concussion and 8,519 individuals enrolled in the course and 36% of individuals completed the final exam and received a “Certificate of Achievement” for the course. The MOOC in concussion will cover a range of topics that are relevant to concussion

2020 British Journal of Sports Medicine Blog PubMed abstract

226. Sport-related concussion: Evaluation and management

Sport-related concussion: Evaluation and management Concussion is a common injury among children and adolescents participating in organized sports and recreational activities. Any child or youth who sustains a concussion should be removed from play immediately and medically evaluated as soon as possible. Cognitive and physical rest are recommended to allow symptoms to resolve. Cognitive rest may require temporary school absence and/or a modified class work or homework load. After symptoms have (...) completely resolved at rest and a full return to school is achieved, the student can progress through a medically supervised, stepwise exertion protocol to return to play. Everyone involved in child and youth sports must recognize the signs and symptoms of concussion, and ensure that any child or adolescent suspected of sustaining a concussion is properly evaluated and managed by qualified medical personnel. The present statement replaces a previous Canadian Paediatric Society position statement

2014 Canadian Paediatric Society

227. Pain and Bruising Levels After Lip Augmentation: A Comparison of Anterograde and Retrograde Techniques Using an Automated Motorized Injection Device. A Blinded, Prospective, Randomized, Parallel Within-Subject Trial. (Abstract)

Pain and Bruising Levels After Lip Augmentation: A Comparison of Anterograde and Retrograde Techniques Using an Automated Motorized Injection Device. A Blinded, Prospective, Randomized, Parallel Within-Subject Trial. Dermal fillers for lip augmentation can be injected using various techniques. Although all seem to provide acceptable results, it is not clear which technique is safer, less painful, and provides greater patient comfort.To compare patients' self-reported pain intensity during (...) intensity was self-assessed using a 100-mm visual analog scale. Presence and severity of bruising were recorded.Forty-four women (mean age 30.3 years) were randomized. Mean self-reported pain score was 53.1% lower with the anterograde technique than with the retrograde (p < .0001). The anterograde technique had lower rates of site reactions, showed a faster recovery time, and 68.2% of patients favored this technique.This study demonstrated that the anterograde technique was less painful, and led

2019 Dermatologic Surgery Controlled trial quality: uncertain

228. Children with Attention-Deficit/Hyperactivity Disorder Perform Differently on Pediatric Concussion Assessment. (Abstract)

Children with Attention-Deficit/Hyperactivity Disorder Perform Differently on Pediatric Concussion Assessment. To compare Child Sport Concussion Assessment Tool Fifth Edition (Child SCAT5) performance between uninjured children with attention-deficit/hyperactivity disorder (ADHD) and precisely matched controls without ADHD.A nested case-control study was conducted within a cohort of middle school athletes (age 11-12 years) who completed preseason testing. Students with ADHD were individually (...) matched to students without ADHD based on age, sex, language spoken at home, number of prior concussions, sport, and school they attended. The final sample included 54 students (27 with ADHD and 27 controls), 38 (70.4%) boys and 16 (29.6%) girls (average age: 11.7 years, SD = 0.5).Children with ADHD reported more symptoms (M = 13.33, SD = 5.69, P < .001) and greater symptom severity (M = 22.59, SD = 1 1.60, P < .001) compared with controls (total symptoms: M = 6.44, SD = 4.96; symptom severity: M

2019 Journal of Pediatrics

229. Recommendations for the Emergency Department Prevention of Sport-Related Concussion. (Full text)

Recommendations for the Emergency Department Prevention of Sport-Related Concussion. Sport-related concussion refers to the subset of concussive injuries occurring during sport activities. Similar to concussion from nonsport mechanisms, sport-related concussion is associated with significant morbidity, including migrainous headaches, disruption in normal daily activities, and long-term depression and cognitive deficits. Unlike nonsport concussions, sport-related concussion may be uniquely (...) amenable to prevention efforts to mitigate these problems. The emergency department (ED) visit for sport-related concussion represents an opportunity to reduce morbidity by timely diagnosis and management using best practices, and through education and counseling to prevent a subsequent sport-related concussion. This article provides recommendations to reduce sport-related concussion disability through primary, secondary, and tertiary preventive strategies enacted during the ED visit. Although many

2019 Annals of Emergency Medicine PubMed abstract

230. Acute elevation of serum inflammatory markers predicts symptom recovery after concussion. (Full text)

Acute elevation of serum inflammatory markers predicts symptom recovery after concussion. To test the hypothesis that acute elevations in serum inflammatory markers predict symptom recovery after sport-related concussion (SRC).High school and collegiate football players (n = 857) were prospectively enrolled. Forty-one athletes with concussion and 43 matched control athletes met inclusion criteria. Serum levels of interleukin (IL)-6, IL-1β, IL-10, tumor necrosis factor, C-reactive protein (...) , interferon-γ, and IL-1 receptor antagonist and Sport Concussion Assessment Tool, 3rd edition (SCAT3) symptom severity scores were collected at a preinjury baseline, 6 and 24-48 hours postinjury, and approximately 8, 15, and 45 days following concussion. The number of days that athletes were symptomatic following SRC (i.e., duration of symptoms) was the primary outcome variable.IL-6 and IL-1RA were significantly elevated in athletes with concussion at 6 hours relative to preinjury and other postinjury

2019 Neurology PubMed abstract

231. Changes in volumetric and metabolic parameters relate to differences in exposure to sub-concussive head impacts. (Full text)

Changes in volumetric and metabolic parameters relate to differences in exposure to sub-concussive head impacts. Structural and calibrated magnetic resonance imaging data were acquired on 44 collegiate football players prior to the season (PRE), following the first four weeks in-season (PTC) and one month after the last game (POST). Exposure data collected from g-Force accelerometers mounted to the helmet of each player were used to split participants into HIGH (N = 22) and LOW (N = 22 (...) ) exposure groups, based on the frequency of impacts sustained by each athlete. Significant decreases in grey-matter volume specific to the HIGH group were documented at POST (P = 0.009), compared to baseline. Changes in resting cerebral blood flow (CBF0), corrected for partial volume effects, were observed within the HIGH group, throughout the season (P < 0.0001), suggesting that alterations in perfusion may follow exposure to sub-concussive collisions. Co-localized significant increases in cerebral

2019 Journal of Cerebral Blood Flow and Metabolism PubMed abstract

232. Association of Concussion Symptoms With Testosterone Levels and Erectile Dysfunction in Former Professional US-Style Football Players. (Full text)

Association of Concussion Symptoms With Testosterone Levels and Erectile Dysfunction in Former Professional US-Style Football Players. Small studies suggest that head trauma in men may be associated with low testosterone levels and sexual dysfunction through mechanisms that likely include hypopituitarism secondary to ischemic injury and pituitary axonal tract damage. Athletes in contact sports may be at risk for pituitary insufficiencies or erectile dysfunction (ED) because of the high number (...) of head traumas experienced during their careers. Whether multiple symptomatic concussive events are associated with later indicators of low testosterone levels and ED is unknown.To explore the associations between concussion symptom history and participant-reported indicators of low testosterone levels and ED.This cross-sectional study of former professional US-style football players was conducted in Boston, Massachusetts, from January 2015 to March 2017. Surveys on past football exposures

2019 JAMA neurology PubMed abstract

233. A New Game Plan for Concussion Education. (Abstract)

A New Game Plan for Concussion Education. Despite state laws requiring concussion education for youth sport stakeholders and a proliferation of educational programs, there has been little demonstrated impact on concussion reporting behaviors. We propose that this is because of four key limitations to existing approaches to concussion education: (1) deliberative decision making by the injured athlete is assumed, (2) interventions are often targeted at individuals rather than social systems, (3 (...) ) education occurs once during preseason and is forgotten, and (4) dissemination challenges exacerbate health inequalities. Addressing these limitations, we propose a novel theoretic framework that situates individual behavior within a sport system's culture and their broader structural context. Concussion education programs should seek to facilitate safety-supportive interpersonal communication within and between stakeholder groups and influence attributes of groups that drive behavior, including shared

2019 Health Education & Behavior

234. Randomized Evaluation of the National Collegiate Athletic Association's Concussion Education Fact Sheet for Coaches. (Abstract)

Randomized Evaluation of the National Collegiate Athletic Association's Concussion Education Fact Sheet for Coaches. Background. Concussion education for coaches is being increasingly recommended by leading sports organizations, yet the effectiveness of available materials has not often been assessed. This study evaluated the impact of the National Collegiate Athletic Association's (2017) publication: "Concussion safety: What coaches need to know" (the "NCAA Fact Sheet for Coaches (...) ") on participants' concussion knowledge and safety supportive intentions. Method. NCAA head coaches (n = 779) were randomized to view the NCAA Fact Sheet for Coaches either before (intervention condition) or after (control condition) responding to questions assessing concussion knowledge and intentions to engage in three behaviors (talk to team about concussion safety; allow symptomatic athlete to continue play; encourage medical staff to return athlete as quickly as possible). Results. Knowledge scores were

2019 Health Education & Behavior

235. The Indirect Influence of Organizational Safety Climate on Football Players' Concussion Reporting Intentions. (Abstract)

The Indirect Influence of Organizational Safety Climate on Football Players' Concussion Reporting Intentions. Most of the health interventions designed to increase athletes' reporting of potential concussion symptoms have focused only on the individual athlete. Unfortunately, interventions targeted at athletes' knowledge and understanding of concussion risk has not reliably increased their reporting behavior, leading to increased calls for "changing the culture of concussion reporting." To date (...) , no studies have examined the role of organizational safety climate has on concussion-symptom reporting behavior. We hypothesized that players' perception of organizational safety climate would be indirectly related to their concussion symptom reporting intentions, via the influence of safety culture on supportive social norms and self-efficacy, two well-known predictors of concussion reporting intentions. We used structural equation modeling techniques to create robust latent measures of our model

2019 Health Education & Behavior

236. Bleeding and bruising in Osteogenesis Imperfecta: International Society on Thrombosis and Haemostasis bleeding assessment tool and haemostasis laboratory assessment in 22 individuals. (Abstract)

Bleeding and bruising in Osteogenesis Imperfecta: International Society on Thrombosis and Haemostasis bleeding assessment tool and haemostasis laboratory assessment in 22 individuals. Osteogenesis imperfecta (OI) is characterized by susceptibility to bone fractures. Other symptoms, such as easy bruising and bleeding complications during surgery necessitating transfusions, have also been reported. The aim of the cross-sectional pilot study was to assess the bleeding and bruising tendency in OI

2019 British journal of haematology

237. Investigation into repetitive concussion in sport (RECOS): study protocol of a prospective, exploratory, observational cohort study. (Full text)

Investigation into repetitive concussion in sport (RECOS): study protocol of a prospective, exploratory, observational cohort study. Sport-related concussion management remains a diagnostic dilemma to clinicians in all strata of care, coaching staff and players alike. The lack of objective diagnostic and prognostic biomarkers and over-reliance on subjective clinical assessments carries a significant health risk of undiagnosed concussive episodes and early return to play before full recovery (...) increasing the risk of sustaining additional concussion, and leading to long-term sequelae and/or unfavourable outcome.To identify a set of parameters (neuroimaging with neurophysiological, biological and neuropsychological tests) that may support pitch-side and outpatient clinical decision-making in order to objectively diagnose concussion, determine the severity of injury, guide a safe return to play and identify the potential predictors of the long-term sequelae of concussion.An exploratory

2019 BMJ open PubMed abstract

238. A Technology Enabled Concussion Care Pathway Reduces Costs and Enhances Care. (Abstract)

A Technology Enabled Concussion Care Pathway Reduces Costs and Enhances Care. The standardization of care along disease lines is recommended to improve outcomes and reduce healthcare costs. The multiple disciplines involved in concussion management often results in fragmented and disparate care. A fundamental gap exists in the effective utilization of rehabilitation services for individuals with concussion.The purpose of this project was to (1) characterize changes in healthcare utilization (...) following implementation of a concussion carepath, and (2) present an economic evaluation of patient charges following carepath implementation.This was a retrospective cohort study.A review of electronic medical and financial records was conducted of individuals (N = 3937), ages 18-45, with primary diagnosis of concussion who sought care in the outpatient or emergency department settings over a 7-year period (2010-2016). Outcomes including encounter length, resource utilization, and charges were

2019 Physical therapy

239. Underlying Ehlers-Danlos syndrome discovered during neuro-ophthalmic evaluation of concussion patients: a case series. (Full text)

Underlying Ehlers-Danlos syndrome discovered during neuro-ophthalmic evaluation of concussion patients: a case series. The Ehlers-Danlos syndromes are a heterogenous group of diseases that cause connective tissue defects. At present, there are no published reports focusing upon the neuro-ophthalmic symptoms that might occur in EDS patients after mild traumatic brain injury. The demographics and clinical course of seven patients with subclinical EDS and mild traumatic brain injury

2019 BMC Ophthalmology PubMed abstract

240. Differences in corpus callosum injury between cerebral concussion and diffuse axonal injury. (Full text)

Differences in corpus callosum injury between cerebral concussion and diffuse axonal injury. We investigated differences in corpus callosum (CC) injuries between patients with concussion and those with diffuse axonal injury (DAI) by using diffusion tensor tractography (DTT).Twenty-nine patients with concussion, 21 patients with DAI, and 25 control subjects were recruited. We reconstructed the whole CC and 5 regions of the CC after applying Hofer classification (I, II, III, IV, and V). The whole (...) CC and each region of the CC were analyzed to measure DTT parameters (fractional anisotropy [FA], apparent diffusion coefficient [ADC], and fiber number [FN]).In the whole CC, significant differences were observed in all DTT parameters between the concussion and control groups and the DAI and control groups (P < .05). Among the 5 regions of the CC, significant differences were observed in FA and ADC between the concussion and control groups and the DAI and control groups (P < .05). Significant

2019 Medicine PubMed abstract

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