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  1. Article ; Online: Catamenial rectal bleeding due to invasive endometriosis

    Joshua J. Keith / Lorenzo O. Hernandez / Livia Y. Maruoka Nishi / Tarang P. Jethwa / Jason T. Lewis / George G. A. Pujalte

    Journal of Medical Case Reports, Vol 14, Iss 1, Pp 1-

    a case report

    2020  Volume 5

    Abstract: Abstract Background Although gastrointestinal involvement is the most common site for extra-genital endometriosis, deep infiltrative endometriosis, which affects the mucosal layer, is very rare. Case presentation We present a case of a 41-year-old white ... ...

    Abstract Abstract Background Although gastrointestinal involvement is the most common site for extra-genital endometriosis, deep infiltrative endometriosis, which affects the mucosal layer, is very rare. Case presentation We present a case of a 41-year-old white woman with cyclic rectal bleeding. Magnetic resonance imaging was done, together with colonoscopy and histologic staining of biopsied samples, which led to the final diagnosis of intestinal invasive endometriosis with recto-sigmoid stricture. Our patient was treated symptomatically with stool softeners. Conclusion This case provides a rare example of catamenial bleeding. It is important to keep invasive endometriosis on the differential diagnosis whenever a premenopausal woman has cyclical rectal bleeding.
    Keywords Cyclic rectal bleeding ; Deep infiltrative endometriosis ; Bowel endometriosis ; Invasive endometriosis ; Endometrial implants ; Case report ; Medicine ; R
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Patient-Centered Medical Home With Colocation

    George G. A. Pujalte / Sally Ann Pantin / Thomas A. Waller / Livia Y. Maruoka Nishi / Floyd B. Willis / Tarang P. Jethwa / Richard J. Presutti

    Journal of Primary Care & Community Health, Vol

    Observations and Insights From an Academic Family Medicine Clinic

    2020  Volume 11

    Abstract: There is a movement in the United States to transform family medicine practices from single physician–based patient care to team-based care. These teams are usually composed of multiple disciplines, including social workers, pharmacists, registered ... ...

    Abstract There is a movement in the United States to transform family medicine practices from single physician–based patient care to team-based care. These teams are usually composed of multiple disciplines, including social workers, pharmacists, registered nurses, physician assistants, nurse practitioners, and physicians. The teams support patients and their families, provide holistic care to patients of all ages, and allow their members to work to the highest level of their training in an integrated fashion. Grouping care team members together within visual and auditory distance of each other is likely to enhance communication and teamwork, resulting in more efficient care for patients. This grouping is termed colocation. The authors describe how the use of colocation can lead to clearer, faster communication between care team members. This practice style has the potential to be expanded into various clinical settings in any given health system and to almost all clinical specialties and practices.
    Keywords Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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