Study Design: Descriptive analysis of impairment and disability measures in subjects with neck pain. Objectives: To identify discrete tender points and overall pressure sensitivity and assess relationships among palpation tenderness, active cervical range of motion, visual analog scale pain scores, and Sickness Impact Profile disability scores. Background: Pdlpation tenderness and cervical range of motion are used to evaluate patients with neck pain, but their ability to predict patient-perceived pain and disability is unknown. Methods and Measures: We studied 45 women and 15 men with neck pain (mean age, 35 + 7 years). Croup 1 included 30 persons who had not sought treatment, and group 2 included 30 persons who had just been referred for treatment.Results: Subjects demonstrated low mean pressure pain thresholds of tender points (2.3 + 1.3 kg). Regression analysis showed that only neck flexion predicted pain (R = 0.23), with decreased flexion associated with higher pain levels. Sickness Impact Profile total score was predicted by neck rotation (R = 0.31), group (R = 0.16), tender point pressure pain threshold (R = 0.04), and neck retraction (R = 0.03). Decreased neck rotation, neck retraction, and pressure pain thresholds were associated with higher disability. Conclusions: Neither palpation tenderness nor cervical range of motion were strong predictors of pain and disability in subjects with neck pain. / Orthop Sports Phys Ther2000; 30:13-20.
Primary urinary bladder adenocarcinoma is not a common tumor, it comprises between 0.5 and 2% of all bladder tumors. It has been linked to bladder exstrophy, chronic irritation, and pelvic lipomatosis. Next, the case of a 62-year-old female patient with primary urinary bladder adenocarcinoma and vaginal wall invasion is presented.
La tuberculosis extrapulmonar tiene un cuadro inespecífico que dificulta su diagnóstico. Se presenta el caso de una paciente de 19 años de edad con embarazo de 30.6 semanas de gestación e historia de dolor abdominal tipo cólico, de un día de evolución. Se realizó una laparotomía exploratoria y resección intestinal. El estudio histopatológico reportó enteritis granulomatosa con bacilos ácido alcohol resistentes, consistente con tuberculosis intestinal.
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