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Reversible Cerebral Vasoconstriction Syndrome for the Internist-A Narrative Review.
Am J Med
November 2024
Department of Neurology, Massachusetts General Hospital, Boston, Mass.
Reversible cerebral vasoconstriction syndrome is a common, increasingly recognized cause of thunderclap headache. Most patients have some type of trigger that precedes the onset (e.g.
View Article and Find Full Text PDFManagement of Psychiatric Diagnoses in Reversible Cerebral Vasoconstriction Syndrome: The Dangers of Worsening Pathology with Serotonergic Medications: A Case Report and Literature Review.
J Psychiatr Pract
September 2024
Department of Psychiatry and Psychology, Mayo Clinic College of Medicine and Science, Rochester, MN.
Article Synopsis
- Reversible cerebral vasoconstriction syndrome (RCVS) involves temporary narrowing of brain arteries, often first indicated by a severe "thunderclap" headache.
- Certain psychiatric medications, like stimulants and SSRIs, can exacerbate symptoms and lead to risks like cerebrovascular accidents, prompting their discontinuation upon diagnosis.
- The article aims to provide insights and guidelines for managing psychiatric medications in RCVS patients, addressing the lack of literature on the subject and highlighting the need to balance risks and benefits of treatment.
A New Concept for Reference Change Values-Regression to the Population Mean.
Clin Chem
August 2024
Department of Medical Biochemistry and Pharmacology, Haukeland University Hospital, Bergen, Norway.
Background: Reference change values (RCV) are used to indicate a change in analyte concentration that is unlikely to be due to random variation in the patient or the measurement. Current theory describes RCV relative to a first measurement result (X1). We investigate an alternative view predicting the starting point for RCV calculations from X1 and its location in the reference interval.
View Article and Find Full Text PDFExploring the sociocultural experiences of student veterinary nurses in the clinical learning environment through the lens of situated learning theory.
Vet Rec
June 2024
Bristol Veterinary School, University of Bristol, Langford, UK.
Background: Student veterinary nurses (SVNs) complete significant time in clinical placements and this training can have a positive or negative impact on the development of professional skills and identity.
Methods: A cross-sectional design, using semi-structured interviews, explored 12 SVNs' experiences of clinical placements. Interpretative phenomenological analysis was used to explore each individual participant's experience, prior to the identification of themes across participants' experiences.
Article Synopsis
- Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by severe headaches and temporary narrowing of brain blood vessels, with CT scans often showing complications that can complicate diagnosis.
- A systematic review and meta-analysis were conducted to assess the prevalence of initial CT abnormalities in adult RCVS patients, using data from various medical databases.
- The analysis reviewed 20 studies involving 379 patients, finding that 31% showed abnormalities on initial CT scans, with subarachnoid hemorrhage being the most common at 24%.
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