ObjectiveSeveral previous studies have shown a suboptimal level of understanding of COPD among different population groups. Students in their final year of Medicine constitute a population that has yet to be explored. The evaluation of their understanding provides an opportunity to establish strategies to improve teaching processes. The objective of the present study is to determine the current level of understanding of COPD among said population.MethodsA cross-sectional observational study was done using digital surveys given to medical students in their final year at the Universidad de Sevilla. Those surveyed were asked about demographic data, smoking habits as well as the clinical manifestation, diagnosis and treatment of COPD.ResultsOf the 338 students contacted, responses were collected from 211 of them (62.4%). Only 25.2% had an accurate idea about the concept of the disease. The study found that 24.0% of students were familiar with the three main symptoms of COPD. Tobacco use was not considered a main risk factor for COPD by 1.5% of students. Of those surveyed, 22.8% did not know how to spirometrically diagnose COPD. Inhaled corticosteroids were believed to be part of the main treatment for this disease among 51.0% of the students. Results show that 36.4% of respondents believed that home oxygen therapy does not help COPD patients live longer. Only 15.0% considered the Body-mass index, airflow Obstruction, Dyspnea, and Exercise (BODE) index to be an important parameter for measuring the severity of COPD. Giving up smoking was not believed to prevent worsening COPD among 3.4% of students surveyed. Almost half of students (47.1%) did not recommend that those suffering from COPD undertake exercise.ConclusionThe moderate level of understanding among the population of medical students in their final year shows some strengths and some shortcomings. Teaching intervention is required to reinforce solid knowledge among this population.
Background Phlebosclerotic colitis is a rare condition with a high mortality. It has been seen almost exclusively in Asian patients who are ≥ 60 years old, with a slight male predominance. Although it predominantly affects the right colon and seems to be related in some cases to using natural herbal medicines, neither its etiology nor its pathogenesis are known. Case presentation We present an extremely rare case of a 62-year-old Spanish white man patient of non-Asian ethnicity with no history of using natural medications, who was diagnosed with phlebosclerotic colitis of submucosal veins. Conclusion To date, this is the only case reported in Spain, and only the second reported for Europe, in the literature. Due to the nonspecific symptoms and insidious radiological findings of this disease (both in early and mild stages) as well as exclusive submucosal involvement presented here, it is necessary that the treating physician has a high level of suspicion for its diagnosis.
We report a 31-year-old male with a history of left forearm neuroma surgically removed, consulting for a supraclavicular bultoma congruent with the supradiaphragmatic lymphoproliferative syndrome in computed tomography (CT) scan. [ 18 F]FDG PET/CT images helped to establish the most diagnostic yield lesion for the biopsy, and allowed an accurate staging of the neurofibromatosis (NF) disease, leading to the most appropriate therapeutic option for the patient.
Eine 48-jährige chinesische Frau hatte in der Vergangenheit zwei Fehlgeburten erlitten und litt unter arterieller Hypertonie, die intermittierend behandelt wurde. Die Patientin trug seit 2002 ein Intrauterinpessar und hatte keine thrombotischen Vorerkrankungen oder Koagulopathien. Es gab keine weitere relevante familiäre oder persönliche Vorgeschichte.Im September 2020 stellte sich die Patientin in der rheumatologischen Abteilung mit Polyarthralgie, beidseitiger Karpal-Synovitis, beidseitigen Missempfindungen in der Malleolarregion, Alopezie und seit 2 Monaten andauernder Xerostomie vor. Die körperliche Untersuchung ergab eine Arthritis des linken Ellenbogens, beider Handwurzelknochen, des proximalen Metacarpophalangealgelenks und des Interphalangealgelenks sowie eine Livedo reticularis der unteren Extremitäten. Blutuntersuchungen ergaben mikrozytäre Anämie, polyklonale Hypergammaglobulinämie, ANA 1/320, Anti-Ro und Anti-La-Antikörper, positiven Rheumafaktor. Anti-neutrophile zytoplasmatische und Anti-DNA-Antikörper waren nicht nachweisbar.
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