Rhode Island Medical Journal

Subjective Cognitive Impairment
The commentary Troglodyte by Joseph H. Friedman, MD, is a humorous reflection on memory deficits inspired by peer reviewing a paper on Subjective Cognitive Impairment (SCI, as it’s known in the trade).http://rimed.org/rimedicaljournal/2023/08/2023-08-65-commentary-friedman.pdf

Cardiogenic Rhinorrhea: Evidence for an Unrecognized Heart Failure Symptom - PubMed There have been anecdotal observations of rhinorrhea as an isolated symptom indicating volume overload and impending congestive heart failure (CHF). We present a case of apparent cardiogenic rhinorrhea presaging acute systolic CHF, with hemodynamics supported by thoracic impedance data (Medtronic Op...

Diplopia after Sleeve Gastrectomy: The Canary in the Coal Mine - PubMed Wernicke's encephalopathy (WE) is a neurologic emergency requiring timely intravenous thiamine supplementation to prevent permanent neurologic deficits. Historically, the WE diagnosis was limited to individuals with alcohol use disorder. However, it is now widely recognized to occur in patients who....

Kaposi Sarcoma Associated with Tofacitinib Use in a Patient with Rheumatoid Arthritis - PubMed Kaposi sarcoma is a rare vascular malignancy associated with HHV-8 infection. Four variants of Kaposi sarcoma have been described: Classic, African, HIV-associated, and iatrogenic. Iatrogenic Kaposi sarcoma is typically associated with immunosuppression and organ transplantation. We present a case o...

Dysmorphic Cells of Anaplastic Plasma Cell Leukemia - PubMed Dysmorphic Cells of Anaplastic Plasma Cell Leukemia

The Effect of Surgical Duration on Complications and Patient Reported Outcomes in Total Hip Replacement as Evaluated Through Multi-Surgeon Pooled FORCE Registry Data from a Tertiary Care Referral Total Joint Center - PubMed This study showed that among THA patients, operative times were significantly associated with patient-reported outcomes at 12 months post-operatively, but is one of many surgeon and patient-related factors with effect on THA outcome.

Trends in Initiate Pediatric Opioid Prescriptions in Rhode Island: 2017-2021 - PubMed Initiate pediatric opioid prescriptions have decreased in Rhode Island in recent years. However, there remain opportunities to educate prescribers on reducing opioid exposure to vulnerable populations, including the use of alternate analgesics.