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The Difficult Pain Patient

Feb 26, 2018 by in Uncategorized Comments Off on The Difficult Pain Patient

Type Identifying features Treatment strategies Dependent clinger Escalating need for reassurance and over time becomes more helpless Set limits with realistic expectations Entitled demanders Initially present as needy but soon…

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Torsades de Pointes After Methadone Treatment

Feb 26, 2018 by in Uncategorized Comments Off on Torsades de Pointes After Methadone Treatment

Inhibitors Inducers Quinidine Phenobarbital Cimetidine St. John’s wort Ketoconazole Phenytoin Fluconazole Carbamazepine Metronidazole Rifampin Grapefruit juice Cigarette smoking Erythromycin Pioglitazone Paroxetine Oxcarbazepine Fluoxetine  Amiodarone  Simvastatin  5.2.3 Safety Warnings In 2006,…

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A Case of Serotonin Syndrome in a Patient Receiving Epidural Steroid Injection for Chronic Low Back Pain

Feb 26, 2018 by in Uncategorized Comments Off on A Case of Serotonin Syndrome in a Patient Receiving Epidural Steroid Injection for Chronic Low Back Pain

Mechanism of action Drug category Drug Reuptake inhibition Antidepressant  • SSRI Fluoxetine, paroxetine, sertraline, citalopram, escitalopram • SNRI Venlafaxine, desvenlafaxine, duloxetine • DNRI Bupropion • TCA Amitriptyline, nortriptyline, clomipramine, desipramine, doxepin • Serotonin modulator Trazodone…

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Vertebral Augmentation

Jan 7, 2018 by in Uncategorized Comments Off on Vertebral Augmentation

CHAPTER 39 Vertebral Augmentation Ramsin Benyamin, Ricardo Vallejo, Atiq Rehman, and Allen Burton INTRODUCTION The aging population gives us cause for great concern especially in those suffering from osteoporosis. Rates…

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Tendon Injections

Jan 7, 2018 by in Uncategorized Comments Off on Tendon Injections

CHAPTER 56 Tendon Injections Robert Balch III INDICATIONS •   The indications for tendon or ligament injections can fall into 1 of 2 categories: diagnostic and therapeutic. Infiltration of local anesthetic along…

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Epidural Lysis of Adhesions

Jan 7, 2018 by in Uncategorized Comments Off on Epidural Lysis of Adhesions

CHAPTER 40 Epidural Lysis of Adhesions Rinoo V. Shah INTRODUCTION Epidural lysis of adhesions refers to a percutaneous spinal procedure for pain relief (Racz procedure). Pain may occur due to…

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