New diagnostic tools and effective treatment for axial spondyloarthritis (axSpA) became available in the last decade. This has raised the need for adequate referral strategies for patients with low back pain suspected of axSpA. However, there is no agreement on which referral strategy is best. Recently, the Assessment of SpondyloArthritis international Society (ASAS) group has published recomme...

Abstract Aims Previous literature provides evidence that in patients with breast pain and a normal examination, the incidence of ipsilateral cancer is approximately equivalent to screening incidence. Isolated not an indication for suspected pathway referral as per NICE guidance. We assessed all clinic referrals one month use appropriate isolated pain, correct primary care management pain. Metho...

introduction: tonsillectomy is one of the most common surgeries in the world and the most common problem is post-tonsillectomy pain and bleeding. the relief of postoperative pain helps increase early food intake and prevent secondary dehydration. one method for relieving pain is peritonsillar injection of epinephrine along with an anesthetic, which has been shown to produce variable results in ...

Patients complaining of pain in tooth bearing regions of the oral cavity may be suffering from a disorder unrelated to pulpal pathology. Unnecessary dental procedures may complicate the diagnosis and aggravate the underlying disorder. Referral of pain to the oral cavity and teeth may easily be explained by the extensive neurological connections of the trigeminal brain stem complex with other cr...

This article reviews the various settings in which infants, children, and adolescents experience pain during acute medical procedures and issues related to referral of children to pain management teams. In addition, self-report, reports by others, physiological monitoring, and direct observation methods of assessment of pain and related constructs are discussed and recommendations are provided....

Three children presenting with pain in the arm and variable neurological signs are described. Each child had several hospital visits before being accurately diagnosed with a soft-tissue sarcoma in the axillary fossa. All presented with increasing pain at rest or on shoulder movement, and with some evidence of neurological dysfunction in the upper limb. Two of the girls had unremitting night pai...

BACKGROUND We attempted to identify patient factors associated with blood pressure (BP) reassessment and to compare health-care provider self-reported reassessment and referral to actual practice in an emergency department (ED) setting. METHODS Provider reassessment and referral practices were determined through systematic review of 1,250 medical records at five EDs. Medical records were incl...

Rectal and perianal pain is a common problem. Most people have experienced it at least once in their lifetime. It usually manifests as mild discomfort, but sometimes the pain can be so severe that it is incapacitating. A 59-year-old woman admitted with a 2-year history of paroxysmal perianal pain underwent a full work-up including proctoscopy, sigmoidoscopy, full colonoscopy, and barium enema t...

Pain-related temporomandibular disorder (TMD) is one of the top three most common chronic pain conditions, along with headaches and back pain. TMD has complex pathophysiology and significant associations with a variety of other chronic pain conditions, eg fibromyalgia, irritable bowel syndrome and migraine. Chronic TMD is associated with a negative impact upon quality of life and high levels of...