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Related Concept Videos

Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...

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Related Experiment Videos

Adjuvant analgesics.

Helena Knotkova1, Marco Pappagallo

  • 1Department of Pain Medicine and Palliative Care, 353 E 17th Street, Gilman Hall, Unit 4C, Beth Israel Medical Center, New York, NY 10003, USA. HKnotkov@chpnet.org

The Medical Clinics of North America
|December 14, 2006
PubMed
Summary
This summary is machine-generated.

Managing complex chronic pain requires a multifaceted approach beyond simple formulas. An interdisciplinary strategy incorporating rehabilitation, psychosocial support, and interventions is crucial for effective treatment.

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Area of Science:

  • Pain Management
  • Pharmacology
  • Interdisciplinary Healthcare

Background:

  • Chronic pain often involves multiple mechanisms, complicating treatment.
  • Simple formulas are insufficient for managing complex chronic pain states.

Purpose of the Study:

  • To outline a comprehensive algorithm for managing difficult-to-treat chronic pain.
  • To detail pharmacological interventions and the role of adjuvant therapies.

Main Methods:

  • Summarizes a pharmacological algorithm for chronic pain management.
  • Discusses the use of gabapentinoids, antidepressants, and opioids.
  • Highlights the consideration of adjuvant therapies for specific symptoms and scenarios.

Main Results:

  • A structured pharmacological approach is proposed, including first-line and alternative medication options.
  • Adjuvant therapies are recommended when primary analgesics reach toxic limits, plateau, or are contraindicated.
  • Addresses the management of non-painful symptoms like insomnia, depression, and anxiety.

Conclusions:

  • Effective chronic pain management necessitates an interdisciplinary approach.
  • Pharmacological strategies should be tailored, often incorporating adjuvant therapies.
  • Addressing psychosocial factors and non-painful symptoms is vital for improving function and quality of life.