Effectiveness of General Medicine in the Management of Rheumatoid Arthritis in Rural Settings: A Systematic Review and Meta-Ethnography.

Rheumatoid arthritis (RA) is a global autoimmune disease causing significant morbidity, particularly in rural areas with limited rheumatology care access. Primary care plays a crucial role in early RA detection and management. This systematic review evaluates RA management in rural primary care to identify ways to enhance quality of care.

Castleman Disease Presenting as Unexplained Abdominal Pain in a 93-Year-Old Woman: A Case Report.

Castleman disease (CD) is a rare lymphoproliferative disorder that can present with nonspecific symptoms, making diagnosis challenging, particularly in elderly patients. This case report describes a 93-year-old woman who presented with intermittent abdominal pain, which was unresponsive to standard treatments and showed no systemic signs of infection or malignancy. Initial imaging revealed scattered lymphadenopathy, raising concern for a lymphoproliferative disorder.

Pancytopenia and Acute Liver Failure Caused by Mild COVID-19 in an Older Patient: A Case Report.

An 89-year-old woman, living independently, presented to a community hospital with complaints of back pain and anterior chest pain after a fall at home. During her hospitalization, she was infected with COVID-19, and although her fever temporarily resolved with symptomatic treatment, she developed pancytopenia and liver dysfunction along with fever again. Blood tests and imaging studies ruled out acute cholangitis or hepatitis virus infection, and a diagnosis of myelosuppression and liver dysfunction due to multi-system inflammatory syndrome (MIS) was made.

Low Body Mass Index as a Significant Risk Factor for Hypoglycemia in Hospitalized Elderly Patients With Acute Pyelonephritis: A Retrospective Cohort Study.

Introduction Hypoglycemia is a significant clinical concern among hospitalized elderly patients, particularly those with acute illnesses such as pyelonephritis. It is associated with increased morbidity and mortality. Identifying specific risk factors for hypoglycemia in this vulnerable population is crucial to developing targeted interventions and improving patient outcomes.