A Rare Case of Low-Grade Appendiceal Mucinous Neoplasm Presenting As Mucinous Vaginal Discharge.

Appendiceal mucinous neoplasms (AMNs) are rare tumors that often present with non-specific symptoms, posing diagnostic challenges. This report aims to emphasize the importance of considering AMNs in the differential diagnosis of atypical pelvic symptoms, especially when initial evaluations suggest gynecological issues. A 56-year-old female with a past medical history of hyperlipidemia and a total vaginal hysterectomy performed over 20 years prior for abnormal uterine bleeding due to fibroids presented to her gynecologist with a three-week history of vaginal discharge and pelvic pain.

Retrospective Review of the Efficacy of Lumbar Radiofrequency Ablation for Lumbar Facet Arthropathy: The Influence of Gender and Obesity.

Background: Lumbar facet arthropathy is one of the leading causes of back pain. Lumbar radiofrequency lesioning is a therapy for lumbar facet arthropathy that uses heat to ablate the transmission of nerve signals from the medial branches of the spinal nerves associated with the corresponding painful lumbar joints.

Objectives: The present investigation evaluated the outcomes of patients undergoing lumbar radiofrequency ablation at an academic pain program with a special focus on the influence of gender and obesity.

Tramadol Use in Perioperative Care and Current Controversies.

Purpose Of Review: The aim of this review is to discuss the use of tramadol in the perioperative period. There is no doubt that tramadol has revolutionized pain treatment, making it important to understand the pharmacokinetics and pharmacodynamics in order to provide patients with the safest and most effective analgesia.

Recent Findings: Tramadol is a centrally acting synthetic analgesic with a multimode of action used to help treat moderate to severe pain.