tailieunhanh - Báo cáo y học: "Xiphodynia: A diagnostic conundrum"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Xiphodynia: A diagnostic conundrum. | BioMed Central Chiropractic Osteopathy Case report Xiphodynia A diagnostic conundrum J Keith Simpson 1 and Erin Hawken2 Open Access Address 1Clinic Director Murdoch University Chiropractic Clinic School of Chiropractic Murdoch University Murdoch Western Australia 6150 Australia and 2Private Practice Burswood Health Professionals 21 Harvey Street Burswood Western Australia 6100 Australia Email J Keith Simpson - clevechiro@ Erin Hawken - erinhawken@ Corresponding author Published 15 September 2007 Received 15 July 2007 o ir i- J_. I . p 1- Accepted 15 September 2007 Chiropractic Osteopathy 2007 15 13 doi 1746-1 340-15-13 This article is available from http content 15 1 13 2007 Simpson and Hawken licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract This paper presents 3 case reports of xiphodynia that presented to a chiropractic clinic. The paper examines aspects of xiphodynia including relevant anatomy of the xiphoid as well as the incidence aetiology symptoms diagnosis and treatment. A brief overview of the mechanism of referred pain is presented. Background Xiphodynia is a term used to describe an uncommon syndrome with a constellation of symptoms ranging from upper abdominal pain chest pain sometimes throat and arm symptoms which are referred from the xiphisternal joint or the structures attached to the xiphoid process. This paper offers 3 case reports of xiphodynia that presented to a chiropractic clinic. In the first two cases during systems review it was revealed that the patients had ongoing organic symptoms that had persisted for years and despite extensive investigations no definitive diagnosis had been established and more importantly for the patients .