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"description": "Quels sont les principaux facteurs de risque ?\nL'âge influence-t-il le risque de dissection ?\nLes maladies génétiques augmentent-elles le risque ?\nLe stress a-t-il un impact sur le risque ?\nLes antécédents de migraines sont-ils un facteur de risque ?",
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"@type": "Question",
"name": "Comment diagnostiquer une dissection vertébrale ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un examen par imagerie, comme l'IRM ou l'angioscanner, est essentiel pour le diagnostic."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour confirmer une dissection ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'angiographie et l'IRM sont les tests les plus courants pour confirmer la dissection."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent une dissection vertébrale ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs cervicales, des vertiges ou des déficits neurologiques peuvent indiquer une dissection."
}
},
{
"@type": "Question",
"name": "La dissection vertébrale est-elle visible à l'échographie ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'échographie peut parfois montrer des anomalies, mais l'IRM est plus précise."
}
},
{
"@type": "Question",
"name": "Quels sont les critères de risque pour le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents de traumatismes ou de migraines peuvent augmenter le risque de dissection."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants d'une dissection vertébrale ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des douleurs au cou, des maux de tête et des troubles de la vision."
}
},
{
"@type": "Question",
"name": "La dissection vertébrale cause-t-elle des vertiges ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les vertiges sont fréquents en raison de l'irrigation sanguine altérée du cerveau."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des symptômes neurologiques ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des symptômes comme des engourdissements ou des faiblesses peuvent survenir."
}
},
{
"@type": "Question",
"name": "Les douleurs sont-elles toujours présentes ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, certaines personnes peuvent ne pas ressentir de douleur au début de la dissection."
}
},
{
"@type": "Question",
"name": "Les symptômes peuvent-ils varier d'une personne à l'autre ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent varier en fonction de la gravité et de la localisation de la dissection."
}
},
{
"@type": "Question",
"name": "Comment prévenir une dissection vertébrale ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les traumatismes au cou et gérer les facteurs de risque comme l'hypertension."
}
},
{
"@type": "Question",
"name": "Les activités sportives augmentent-elles le risque ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines activités à risque, comme le rugby, peuvent augmenter le risque de dissection."
}
},
{
"@type": "Question",
"name": "Le tabagisme influence-t-il le risque ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme est un facteur de risque connu pour les maladies vasculaires."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de maladies vasculaires peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Faut-il surveiller la santé cardiovasculaire ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un suivi régulier de la santé cardiovasculaire est essentiel pour prévenir les complications."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal pour une dissection vertébrale ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal inclut des anticoagulants pour prévenir les caillots sanguins."
}
},
{
"@type": "Question",
"name": "La chirurgie est-elle nécessaire pour traiter une dissection ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est rare et réservée aux cas graves avec complications significatives."
}
},
{
"@type": "Question",
"name": "Combien de temps dure le traitement médicamenteux ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement médicamenteux peut durer plusieurs mois, selon l'évolution de la condition."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements non médicamenteux ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La rééducation physique peut être recommandée pour améliorer la fonction après la dissection."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont utilisés en cas de douleur ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques comme le paracétamol ou les anti-inflammatoires peuvent être prescrits."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une dissection vertébrale ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent les AVC, les déficits neurologiques et la douleur chronique."
}
},
{
"@type": "Question",
"name": "La dissection peut-elle entraîner un AVC ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une dissection vertébrale peut provoquer un AVC ischémique en raison d'un caillot."
}
},
{
"@type": "Question",
"name": "Les déficits neurologiques sont-ils réversibles ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cela dépend de la gravité de la dissection et du temps de traitement; certains peuvent être réversibles."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des douleurs chroniques après une dissection ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des douleurs chroniques au cou ou à la tête peuvent persister après la guérison."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de récidive ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il existe un risque de récidive, surtout si les facteurs de risque ne sont pas contrôlés."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'hypertension, le tabagisme, et des antécédents de traumatismes."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque de dissection ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge, surtout chez les personnes de plus de 50 ans."
}
},
{
"@type": "Question",
"name": "Les maladies génétiques augmentent-elles le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines maladies génétiques, comme le syndrome d'Ehlers-Danlos, augmentent le risque."
}
},
{
"@type": "Question",
"name": "Le stress a-t-il un impact sur le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress chronique peut contribuer à des problèmes vasculaires, augmentant le risque."
}
},
{
"@type": "Question",
"name": "Les antécédents de migraines sont-ils un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes ayant des antécédents de migraines peuvent avoir un risque accru."
}
}
]
}
]
}
Thrombosis is a major clinical complication of COVID-19 infection. COVID-19 patients show changes in coagulation factors that indicate an important role for the coagulation system in the pathogenesis ...
Requisite to the application of clinical databases for observational research in hidradenitis suppurativa (HS) is the identification of an accurate case cohort. There is limited information on the val...
The objective of the study was to assess the validity in utilizing diagnosis codes to establish the HS and CA cohorts from an integrated health system clinical database....
In this retrospective study, we evaluated a case-finding algorithm for HS which included the presence of at least one diagnosis code for HS and no diagnosis codes for CA of the axilla, groin, perineum...
Among 100 HS patients, median age (interquartile range) in the HS cohort was 33 (24.75, 43.25) years. HS patients were predominantly female (82%) and white (70%). Median age among 100 CA patients was ...
The case-finding algorithms employing at least one diagnosis code for HS and CA of the axilla, groin, perineum, or buttock, with the exclusion of the other's diagnosis codes, has good to strong PPV an...
Epidemiological studies of primary subarachnoid hemorrhage (pSAH) frequently include population-based death registries for case finding. The positive predictive value of pSAH diagnoses in death regist...
This cross-sectional study identified all people in Ontario, Canada with pSAH listed as a cause of death between 2013 and 2017. pSAH was classified as "very likely" if diagnosis of pSAH was confirmed ...
1,613 deaths attributed to pSAH were identified (mean 322/year). pSAH classification frequencies were as follows: very likely 528 (32.7%); very unlikely 433 (26.8%); and status unknown 652 (40.4%)....
We found that a quarter of pSAH cases in our province's death registry were very unlikely to be true pSAH while 40% had unknown veracity. These data should be considered when using death registries fo...
To determine the negative predictive value (NPV) of the FebriDx point-of-care host response device in patients presenting with symptoms suggestive of COVID-19 infection in a mostly immunised Australia...
Observational diagnostic accuracy study comparing FebriDx point-of-care test to SARS-CoV-2 PCR....
An ED in Melbourne, Australia, with 63 000 annual presentations in 2021....
Patients aged 16 and over who met the Victorian Department of Health case definition for suspected COVID-19 infection PCR testing. Patients meeting any of the following criteria were excluded: <16 yea...
COVID-19 PCR results (detected, not detected) and FebriDx results (bacterial positive, viral negative, viral positive)....
94 participants were enrolled (female: 46; male: 48), 34% of participants (tested positive for COVID-19 according to PCR results, with a background incidence among all adult ED attenders of 2.5%. The ...
In the context of a population with low COVID-19 infection rates, an evolved variant of COVID-19 and a very high community COVID-19 vaccination rate, FebriDx demonstrated reduced sensitivity and NPV r...
ACTRN12620001029987 (Australian Clinical Trials)....
Laryngoscopy corresponding with laryngeal electromyography (LEMG) is essential in diagnosing vocal fold paresis. However, baseline asymmetry or other diseases oftentimes confound the exam, making diag...
We performed a retrospective review of patients with laryngeal asymmetry on laryngoscopy. Patients were divided into two groups: those with consistent paresis triad findings across all pitches and int...
Twelve patients met inclusion criteria (age 50 +/-15, 7F:5M). Nine had the paresis triad. Three had an inconsistent triad. All patients with the paresis triad had LEMG findings consistent with neurolo...
Our findings suggest the proposed laryngoscopic paresis triad may be useful objective criteria to diagnose paresis without the need for LEMG. Further prospective studies should examine a larger series...
4 Laryngoscope, 133:1712-1716, 2023....
The purpose of this study was to validate the humeral fracture diagnoses for adults in the Danish National Patient Registry (DNPR)....
This was a population-based validity study, including adult patients (≥ 18 years) with a humeral fracture referred to the emergency department of hospitals in three Danish regions from March 2017 to F...
In total, 661 patients were sampled between all available diagnosis codes. Overall, the PPV for humeral fracture was 89.3% (95% CI: 86.6-91.4%). PPVs for the subdivision codes were 91.0% (95% CI: 84.0...
The validity of the humeral fracture diagnosis and the classifications of proximal and diaphyseal fractures in the DNPR is high, and the DNPR may therefore be used in registry research. Diagnosis of d...
none....
not relevant....
To analyze the predictive value of hyperglycemia on the extrapancreatic infection (EPI) and infected pancreatic necrosis (IPN) of severe patients with acute pancreatitis (AP). We enrolled 234 patients...
This study was undertaken to assess the most sensitive combination of tests to detect peripersonal unilateral neglect (UN) after stroke....
The present study is a secondary analysis of a previously reported multicentric study of 203 individuals with right hemisphere damage (RHD), mainly subacute stroke, 11 weeks postonset on average, and ...
A combination of four z-scores based on the following three tests provided good discrimination of patients with RHD from matched healthy controls: the starting point and the difference between the num...
The most sensitive and parsimonious combination of tests to detect UN after stroke relies on four scores from three simple tests (bells test, line bisection, and reading). Future study is warranted to...
Stone size and location are key factors in predicting spontaneous stone passage (SSP), but little attention has been paid to the influence of radiological signs of stone impaction (RSSI). This researc...
To calculate the predictive value and thus the clinical usefulness of transvaginal ultrasound (US) imaging for the management of deep endometriosis, knowing that the positive predictive value (PPV) va...
After registration on PROSPERO (CRD42022366323), PubMed was searched for all reports describing the diagnostic accuracy of US imaging for deep endometriosis published between January 1, 2000, and Octo...
The 536 articles on "endometriosis AND US And diagnosis" were hand searched, and 30 reports describing sensitivity and specificity of deep endometriosis were found. Besides sensitivity and specificity...
Prevalences of deep endometriosis were reported only twice as 12% and 32% by ultrasonographers. In women undergoing surgery, prevalences vary between 40% and 100% because of the variable inclusion cri...
The reported sensitivities and specificities of transvaginal US are not only those of imaging but include symptoms and clinical examinations. In referral centers, the reported PPVs are high (94%-100%)...