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

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

    Journal of medical case reports

    2020  Volume 14, Issue 1, Page(s) 61

    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 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.
    MeSH term(s) Adult ; Endometriosis/complications ; Endometriosis/pathology ; Female ; Gastrointestinal Hemorrhage/etiology ; Humans ; Menstruation Disturbances/etiology ; Rectum ; Sigmoid Diseases/etiology ; Sigmoid Diseases/pathology
    Language English
    Publishing date 2020-05-26
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2269805-X
    ISSN 1752-1947 ; 1752-1947
    ISSN (online) 1752-1947
    ISSN 1752-1947
    DOI 10.1186/s13256-020-02386-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Patient-Centered Medical Home With Colocation: Observations and Insights From an Academic Family Medicine Clinic.

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

    Journal of primary care & community health

    2020  Volume 11, Page(s) 2150132720902560

    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.
    MeSH term(s) Ambulatory Care Facilities ; Family Practice ; Humans ; Patient Care Team ; Patient-Centered Care ; Pharmacists ; United States
    Language English
    Publishing date 2020-01-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2550221-9
    ISSN 2150-1327 ; 2150-1319
    ISSN (online) 2150-1327
    ISSN 2150-1319
    DOI 10.1177/2150132720902560
    Database MEDical Literature Analysis and Retrieval System OnLINE

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