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Author: Steven B. Myers Editor: Scott C. Dulebohn Updated: 9/9/2024 4:36:17 PM

Introduction

  1. All MANDATORY boxes must be completed, the rest are optional based on common sense
  2. Enhancing Healthcare Team Outcomes is MANDATORY and a challenge so please review the example
  3. Key Format Issues
    1. Show how to use Add PubMed Endnote reference and the references go just after the period.[1][2]
    2. Use www.grammarly.com, show 3 dots, extensions, manage extensions, add Grammarly
    3. 7 words in a row is a copyright violation
    4. Format for images: (see Image. Deep Palmer Nerves).
    5. Every 30 minutes click “Save in Editing” to avoid losing work
    6. 7 words in a row is a copyright violation, do not cut and past, paraphrase and endnote
    7. MEDIA - Show how to select and upload media
    8. Display Preview - print 2 copies - 1st reviewed by very smart doctor friend AND 2nd reviewed by someone with strong English writing/editing skills, i.e. English, History, Political Science major - you are expected to submit article with very few grammar, spelling, or punctuation errors.
    9. Please use references from PubMed and rarely government websites, no links
    10. ONLY WHEN all questions are PUBLISHED - and article is PERFECT - Send To Medical Review - To start the peer review process

Blah blah blah blah blah.[1][2] NOTE: endnotes go at the end of sentences, NOT subheadings or at the end of giant paragraphs![3]

Etiology

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Etiology

A strict aseptic technique is critical when accessing the catheter for hemodialysis, and the use of chlorhexidine for exit site care is recommended to reduce the risk of catheter-related bloodstream infections. The use of antibiotic ointment at the catheter exit site is controversial and not a standard practice due to concerns about antibiotic resistance and allergic reactions.(see Image. Deep Palmer Nerves)Nurses must be educated on the differences in care and maintenance protocols for dialysis catheters versus other vascular access devices, including the appropriate use of locking solutions and the recognition of signs of catheter dysfunction or infection.

Epidemiology

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Pathophysiology

The greater splanchnic nerve (GSN) is the largest of 3 paired sympathetic nerves supplying the abdominal viscera. Preganglionic fibers follow a unique course through the sympathetic chain and feed into the GSN. After descending through the thorax and piercing the diaphragm, these fibers terminate in the superior-most preaortic ganglia, commonly known as the celiac ganglia. The GSN broadcasts its postganglionic fibers to foregut organs by way of the celiac plexus. Clinically, the GSN is responsible for some cases of chronic upper abdominal pain. Surgical interventions exist for patients whose pain does not respond to traditional pharmacologic therapy.[4][5][6][7]

Histopathology

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Treatment / Management

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References

[1]

Repo PE, Backlund MP, Kivelä TT, Turunen JA. Functional assay for assessment of pathogenicity of BAP1 variants. Human molecular genetics. 2024 Feb 18:33(5):426-434. doi: 10.1093/hmg/ddad193. Epub     [PubMed PMID: 37956408]

[2]

de Koning R, Daryanavard H, Garmyn J, Kiekens R, Toili MEM, Angenon G. Fine-tuning CRISPR/Cas9 gene editing in common bean (Phaseolus vulgaris L.) using a hairy root transformation system and in silico prediction models. Frontiers in plant science. 2023:14():1233418. doi: 10.3389/fpls.2023.1233418. Epub 2023 Oct 20     [PubMed PMID: 37929181]

[3]

Newton W, Daley D, Daly C. Perilunate Dislocations: Reduction and Stabilization. JBJS essential surgical techniques. 2023 Oct-Dec:13(4):. doi: 10.2106/JBJS.ST.23.00031. Epub 2023 Nov 29     [PubMed PMID: 38357468]

[4]

Ndoye JM, Hamel O, Hamel A, Ploteau S, Armstrong O, Le Borgne J, Rogez JM, Robert R. [Vascular relationships of the right great splanchnic nerve in the thorax]. Morphologie : bulletin de l'Association des anatomistes. 2015 Dec:99(327):125-31. doi: 10.1016/j.morpho.2015.05.001. Epub 2015 Jul 6     [PubMed PMID: 26159486]

[5]

Kommuru H, Jothi S, Bapuji P, Sree D L, Antony J. Thoracic part of sympathetic chain and its branching pattern variations in South Indian cadavers. Journal of clinical and diagnostic research : JCDR. 2014 Dec:8(12):AC09-12. doi: 10.7860/JCDR/2014/9274.5246. Epub 2014 Dec 5     [PubMed PMID: 25653929]

[6]

Loukas M, Klaassen Z, Merbs W, Tubbs RS, Gielecki J, Zurada A. A review of the thoracic splanchnic nerves and celiac ganglia. Clinical anatomy (New York, N.Y.). 2010 Jul:23(5):512-22. doi: 10.1002/ca.20964. Epub     [PubMed PMID: 20235178]

[7]

Gest TR, Hildebrandt S. The pattern of the thoracic splanchnic nerves as they pass through the diaphragm. Clinical anatomy (New York, N.Y.). 2009 Oct:22(7):809-14. doi: 10.1002/ca.20856. Epub     [PubMed PMID: 19753645]