scholarly journals Man with sharp pain in left upper back

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Victoria Serven ◽  
Kathryn Kopec
Keyword(s):  
Sharp Pain

Surgical Case

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Ali Hameed Al-Badri
Keyword(s):  
Diagnostic Delay ◽  
Small Population ◽  
Negative Appendectomy ◽  
Time Cost ◽  
Voluntary Cough ◽  
Suspected Appendicitis ◽  
Sharp Pain ◽  
Clinical Syndromes ◽  
Negative Appendectomy Rate ◽  
Classical Symptom

Appendicitis is a common and urgentsurgical illness with protean manifestations,generous overlap with other clinical syndromes,and significant morbidity,whichincreases with diagnostic delay. No single sign,symptom,or diagnostic test accurately confirms the diagnosis ofappendiceal inflammation in all cases. The surgeon's goals are to evaluate a relatively small population of patients referred for suspected appendicitis and to minimize the negative appendectomy rate without increasing the incidence of perforation. The emergency department clinician must evaluate the larger group of patients who present to the ED with abdominal pain of all etiologies with the goal of approaching 100% sensitivity for the diagnosis in a time-,cost-,and consultation-efficient manner.IN 1886Reginald fitz, pathologist 1st described the clinical condition of A.A.Fewyears laterCharles mcBurney describe the clinical finding ofA.A.55% of patients presented with classical symptom of A.A so complication occurbecauseof atypical presentation which due to variation in app. Position, age of patient & degree of inflammation.Migrating pain 80% sensitive and specific Vomiting 50% Nausea60 -90 %Anorexia 75 % Diarrhea18 % 32 % has similar attach 90 % RLQ tenderness Marklesign 74 %Dunphy's sign (sharp pain in the RLQ elicited by a voluntary cough) may be helpful in making the clinical diagnosis of localized peritonitis. Similarly,RLQ pain in response to percussion of a remote quadrant of the abdomen,or to firm percussion of the patient's heel,suggests peritoneal Inflammation

Upaya Cara Mengatasi Disminore pada Remaja Putri

2020 ◽  
Vol 1 (1) ◽  
pp. 23-30
Author(s):  
Priharyanti Wulandari ◽  
Menik Kustriyani
Keyword(s):  
Blood Loss ◽  
Community Service ◽  
Rest Pain ◽  
Menstrual Pain ◽  
School Activities ◽  
Burning Pain ◽  
Sharp Pain ◽  
Service Activities ◽  
Extreme Pain ◽  
Excessive Blood Loss

Dismenore muncul dengan berbagai jenis rasa nyeri,sepeti sakit yang teramat sangat, berdenyut, mual, nyeri seperti terbakar, atau sakit yang sangat menusuk.Dismenore bisa mendahului menstruasi dengan beberapa hari atau mungkin menyertainya, dan biasanya berkurang hingga akhir menstruasi. Dismenore bisa hidup berdampingan dengan kehilangan darah berlebihan berat, yang dikenal sebagai menorrhagia. Dalam keadaan yang normal, nyeri haid hanya membuat wanita merasa sakit dan tidak nyaman. Tetapi dalam keadaan yang parah, nyeri haid ini bisa membuat wanita tidak dapat bekerja dan harus beristirahat, nyeri sering bersamaan dengan rasa mual, sakit kepala, perasaan mau pingsan dan lekas marah..Tujuan kegiatan pengabdian masyarakat adalah mengetahui dan memahami tentang nyeri haid/disminore serta mengetahui dan memahami cara penanganan nyeri haid/disminore sehingga tidak mengganggu aktivitas selama pembelajaran di sekolah. Kegiatan dilaksanakan dua kali yaitu pertemuan pertama dengan memberikan penyuluhan tentang upaya cara mengatasi nyeri haid/disminore pada remaja putri. pertemuan kedua dengan demonstrasi cara mengatasi nyeri haid/disminore pada remaja putri. Hasil dari pengabdian menunjukkan bahwa ada peningkatan pengetahuan tentang nyeri haid/disminore serta mengetahui dan memahami cara penanganan nyeri haid/disminore. Kata kunci: disminore; menstruasi; remaja putri EFFORTS HOW TO OVERCOME DISMINORE IN PRINCESS ADOLESCENTS ABSTRACT Dysmenorrhea presents with various types of pain, such as extreme pain, throbbing, nausea, burning pain, or very sharp pain. Dysmenorrhea can precede menstruation by several days or may accompany it, and usually decreases until the end of menstruation. Dysmenorrhea can coexist with heavy excessive blood loss, known as menorrhagia. Under normal circumstances, menstrual pain only makes women feel sick and uncomfortable. But in severe conditions, menstrual pain can make a woman unable to work and must rest, pain often coincides with nausea, headaches, feelings of fainting and irritability. The purpose of community service activities is to know and understand menstrual pain/ disminore as well as knowing and understanding how to manage menstrual pain / disminore so that it does not interfere with activities during learning at school. Activities carried out twice, namely the first meeting by providing counseling about efforts to overcome menstrual pain/ disminore in princess adolescents. The second meeting with a demonstration of how to overcome menstrual pain/ disminore in princess adolescents. The results of devotion show that there is an increase in knowledge about menstrual pain/ disminore and knowing and understanding how to manage menstrual pain / disminore. Keywords: disminore, menstruation, princess adolescents

scholarly journals Sensory profile and its impact on quality of life in patients with painful diabetic polyneuropathy

2013 ◽  
Vol 04 (03) ◽  
pp. 267-270 ◽  
Author(s):  
Kongkiat Kulkantrakorn ◽  
Chakraphong Lorsuwansiri
Keyword(s):  
Quality Of Life ◽  
Short Form ◽  
Diabetic Polyneuropathy ◽  
Sensory Profile ◽  
Mcgill Pain Questionnaire ◽  
Sharp Pain ◽  
Sf 36 ◽  
Sensory Score ◽  
Almost All

ABSTRACT Context: Painful diabetic polyneuropathy (PDN) is common and causes significant disability. The sensory profile in each patient is different and affects quality of life. Aim: To describe the demographic, details of sensory profile and its impact on quality of life in patients with PDN. Settings and Design: A cross-sectional survey in patients with PDN who were treated in a University Hospital. Materials and Methods: They were interviewed with standard questionnaires, which included neuropathic pain scale (NPS), a short-form McGill Pain Questionnaire (SF-MPQ) and a short form-36 quality of life survey (SF-36). Statistical Analysis Used: Descriptive statistics were used in demographic data. Student′s t test was used to analyze continuous data. Multiple comparisons for proportions and correlations were made using Fisher Exact test and Pearson′s coefficient of correlation, respectively. Results: Thirty three patients were included in this study. In NPS, sharp pain was the most common symptom and itching was the least common. Almost all patients had more than one type of pain. The mean VAS was 53 mm. In SFMPQ, the sensory score, affective score and the present pain score fell in the moderate range. In SF-36, physical functioning was the most affected and social function was the least affected. Conclusions: PDN significantly affects patients′ quality of life, especially physical function and role limitation due to a physical problem. Almost all patients have many types of pain and sharp pain is the most common.

CLIMBER'S FINGER

Hand Surgery ◽  
2007 ◽  
Vol 12 (02) ◽  
pp. 59-65 ◽  
Author(s):  
Toshihito Yamaguchi ◽  
Yoshikazu Ikuta
Keyword(s):  
Conservative Therapy ◽  
Flexor Tendon ◽  
Tendon Sheath ◽  
Palpable Mass ◽  
Sharp Pain ◽  
Stress Point ◽  
Pip Joint ◽  
Flexor Tendon Sheath ◽  
Annular Pulley ◽  
Full Body

Introduction: Climbers sometimes support their body with one finger hooked on a rocky ledge. This peculiar manoeuvre may cause a characteristic injury of the flexor tendon sheath, named "climber's finger". Symptoms: (1) A sharp pain when grasping, and a sudden "snap" sound and snapping phenomenon in the concerned fingers and (2) a tender palpable mass proximal to the PIP joint. Mechanism of occurrence: When a finger forms a hook, the highest stress point of the flexor tendon sheath is between the first cruciform pulley and the second annular pulley. When the full body weight is held mainly with the weak first cruciform pulley, it sometimes ruptures. Therapy: Conservative therapy to prevent bowstringing was applied for eight cases. Six patients recovered after three months; the other two cases underwent operations. Conclusion: If conservative therapy is found to be ineffective after three months, suturing of the tendon sheath should be indicated for climber's finger.

scholarly journals Chronic Ischemia Presenting as Muscular Groin Pain

2007 ◽  
Vol 97 (5) ◽  
pp. 402-404
Author(s):  
Dimitri Diacogiorgis
Keyword(s):  
Lower Limb ◽  
Groin Pain ◽  
Bypass Graft ◽  
Ankle Brachial Index ◽  
Chronic Groin Pain ◽  
Chronic Ischemia ◽  
Sharp Pain ◽  
Patient Reported ◽  
The Right ◽  
Hospital Rehabilitation

A 66-year-old man was admitted to a hospital rehabilitation unit for the management of chronic groin pain. Since the groin pain began, he had been unable to bear weight on his right foot. During a podiatric examination, the patient reported sharp pain at the apex of his right hallux. A full podiatric assessment was undertaken to evaluate his vascular, neurologic, and biomechanical status. The patient’s ankle-brachial index was found to be 0.34 in the right lower limb and 0.68 in the left lower limb. After vascular assessment, the patient was diagnosed as having chronic ischemia of the right leg. He underwent left-to-right femoral-to-femoral bypass graft surgery to salvage the right lower leg and foot. (J Am Podiatr Med Assoc 97(5): 402–404, 2007)

Arthroscopic Knot Removal for Failed Superior Labrum Anterior-Posterior Repair Secondary to Knot-Induced Pain

2017 ◽  
Vol 45 (11) ◽  
pp. 2563-2568 ◽  
Author(s):  
Jung Gwan Park ◽  
Nam Su Cho ◽  
Jung Youn Kim ◽  
Jong Hoon Song ◽  
Se Jung Hong ◽  
...  
Keyword(s):  
Pain Relief ◽  
Slap Lesions ◽  
Rotation Test ◽  
Sharp Pain ◽  
Superior Labrum ◽  
Slap Repair ◽  
Arthroscopic Knot ◽  
The Mean ◽  
Knot Removal ◽  
Anterior Posterior

Background: Studies on failed superior labrum anterior-posterior (SLAP) repair are increasing. However, the number of reports on treatment options for failed SLAP repair remains quite low, and the clinical results vary between different study groups. Purpose: To describe the clinical presentation of failed SLAP repair due to knot-induced pain and evaluate the efficacy of arthroscopic knot removal. Study Design: Case series; Level of evidence, 4. Methods: The authors retrospectively reviewed records of 11 patients (mean age, 24.6 ± 8.6 years; range, 17-43 years) with stable, healed SLAP lesions with knot-induced pain after arthroscopic fixation of unstable type II SLAP lesions. All patients demonstrated a positive compression-rotation test before knot removal. The mean follow-up duration after knot removal was 48.0 ± 37.4 months (range, 24-156 months). The mean duration between primary fixation and knot removal was 21.2 ± 14.7 months (range, 8-56 months). Results: Sharp pain (100%) and clicking (64%) were the most common symptoms. The knot was positioned on the glenoid side in 5 patients and the labral side in 6 patients. The knots on the glenoid side had associated humeral head cartilage damage. The mean University of California at Los Angeles score significantly improved from 15.2 points to 31.7 points after knot removal ( P = .003) Additionally, the mean Constant score greatly improved from a mean of 56.5 points to 89.8 points ( P = .003). At a mean of 3 weeks after surgery, we observed dramatic pain relief. Six weeks after surgery, the compression-rotation test was negative in all patients. Conclusion: The most common symptom of knot-induced pain after SLAP repair was persistent sharp pain followed by clicking. The knot appears to be a cause of pain in failed SLAP repairs, and arthroscopic knot removal can provide dramatic pain relief and significant improvement of clinical outcomes.

The Anatomy of Nikyo (Aikido's Second Teaching)

1993 ◽  
Vol 77 (3) ◽  
pp. 707-715 ◽  
Author(s):  
Jordan W. Eckert ◽  
Ta-Kwong Lee
Keyword(s):  
Nerve Compression ◽  
Muscle Strain ◽  
Intense Pain ◽  
Sharp Pain ◽  
Exact Etiology ◽  
Pisiform Bone ◽  
Stimulation Of ◽  
Extreme Pain

Nikyo is the second teaching of Aikido ( ni-two, kyo-teaching, in Japanese). It is a joint-lock technique that results in extreme pain. It allows one to control an opponent by destroying his will to continue fighting. Nikyo is accomplished by flexing and adducting an opponent's wrist producing an instantaneous sharp pain that causes him to fall to his knees involuntarily to alleviate the pressure. The exact etiology of the pain elicited by this technique has been obscure to many practitioners. The usual explanations have been nerve compression, joint capsular stretch, tendon/muscle strain, or partial ligamentous disruption. Studies of a cadaver's wrist have shown that Nikyo forcibly compresses the pisiform bone against the ulna, two bones that do not normally articulate. The intense pain thereby produced results from stimulation of the periosteal nerves in these bony surfaces.

Diagnósticos de enfermagem em gestantes atendidas em Unidade de Saúde da Família

2009 ◽  
Vol 3 (2) ◽  
pp. 292 ◽  
Author(s):  
Maria Clerya Alvino Leite ◽  
Maria Mirtes da Nobrega ◽  
Maria Miriam Lima da Nobrega
Keyword(s):  
Pregnant Women ◽  
Demographic Data ◽  
Descriptive Statistics ◽  
Nursing Interventions ◽  
Health Unit ◽  
Related Factors ◽  
Sharp Pain ◽  
Nursing Diagnosis ◽  
Las Mujeres ◽  
Nursing Diagnoses

ABSTRACTObjective: to elaborate the profile of nursing diagnoses in pregnant women assisted in a Family’s Health Unit based on NANDA-I’s Taxonomy II. Method: this is about a retrospective study, analytic descriptive, regards to analysis from 20 pregnant women handbooks registered in the prenatal program from a family’s health unit. Data were collected in July 2008, with a form composed of three parts: partner-demographic data, obstetric data and referring data to defining characteristics and related factors (of risk) of the nursing diagnoses. Diagnoses were analyzed based on the descriptive statistics and discussed according to obstetrics references. Results: 13 nursing diagnoses were elaborated: risk for infection of the genital tract, ineffective maintenance of the health, risk for infection of the urinary tract, prejudiced urinary elimination, nauseas, sharp pain (head, pelvis and lumbar), fatigues, insomnia, sexual dysfunction, risk of paternity or prejudiced maternity, volume of excessive liquid, constipation, anxiety. Conclusion: the objective of the study was researched and we hope from the nursing diagnoses elaborated, some nursing interventions specific be addressed to the problems identified in the pregnant women during the prenatal consultations. Descriptors: nursing diagnosis; nursing assistance; assistance pré-natal; pregnancy.RESUMOObjetivo: elaborar o perfil de diagnósticos de enfermagem em gestantes atendidas em Unidade de Saúde da Família com base na Taxonomia II da NANDA-I. Método: trata-se de um estudo retrospectivo, analítico descritivo, com dados colhidos em prontuários das 20 gestantes cadastradas no programa de pré-natal de uma unidade de saúde da família. Os dados foram coletados no mês de julho de 2008 em formulário composto de três partes: dados sócio-demográficos, dados obstétricos e dados referentes a características definidoras e fatores relacionados (de risco) dos diagnósticos de enfermagem. Os diagnósticos foram analisados levando-se em consideração a estatística descritiva e discutidos à luz de referenciais da obstetrícia. Resultados: foram elaborados 13 diagnósticos de enfermagem: risco para infecção do trato genital, manutenção ineficaz da saúde, risco para infecção do trato urinário, eliminação urinária prejudicada, náusea, dor aguda (cabeça, pelve e lombar), fadiga, insônia, disfunção sexual, risco de paternidade ou maternidade prejudicada, volume de líquido excessivo, constipação, ansiedade. Conclusão: o objetivo do estudo foi atendido e espera-se que a partir dos diagnósticos de enfermagem elaborados, possam ser direcionadas intervenções de enfermagem específicas aos problemas detectados nas gestantes durante as consultas de pré-natal. Descritores: diagnóstico de enfermagem; assistência de enfermagem; assistência pré-natal; gestação. RESUMENObjetivo: elaborar el perfil de los diagnósticos de enfermería en las mujeres embarazadas ayudado en Unidad de Salud de la Familia con base en el Taxonomia II del NANDA-I. Método: trata-se del estudio retrospectivo, analítico descriptivo, con dados colectados en prontuarios de 20 mujeres embarazadas registró en el programa de prenatal de unidad de salud de la familia. Los datos eran reunidos no mes de julio de 2008 en formulario compuesta de tres partes: los datos compañero-demográficos, datos obstétricos y datos refiriéndose a los definidoras de las características y los factores relacionados (de riesgo) de los diagnósticos de enfermería. La colección de datos de los archivos era cumplida por el mes de julio de 2008. Los diagnósticos se analizaron ser alojado la consideración las estadísticas descriptivas y discutieron a la luz de referenciales de la obstetricia. Resultados: se elaboraron 13 diagnósticos de la enfermería: riesgo para la infección del tracto genital, mantenimiento ineficaz de la salud, el riesgo para la infección del tracto urinario, la eliminación urinario prejuiciada, la náusea, el dolor afilado (la cabeza, pelvis y lumbar), fatiga, insomnio, el trastorno sexual, el riesgo de paternidad o la maternidad prejuiciada, el volumen de líquido excesivo, el estreñimiento, la ansiedad. Conclusión: el objetivo del estudio forra alcanzado y ha esperado que de los diagnósticos de enfermería elaborada, puedan diseccionar intervenciones de enfermería específica a los problemas identificados en las mujeres embarazadas durante las consultaciones de prenatal. Descriptores: diagnósticos de enfermería. asistencia de enfermería. asistencia prenatal. gestación.

scholarly journals Sequestered Intradural Lumbar Disc

2009 ◽  
Vol 36 (6) ◽  
pp. 776-778
Author(s):  
Alim P. Mitha ◽  
Forrest D. Hsu ◽  
James N. Scott ◽  
Bassam M. Addas ◽  
Yves Starreveld
Keyword(s):  
Lumbar Spine ◽  
Lumbar Disc ◽  
Plantar Flexion ◽  
Sudden Onset ◽  
Sensory Testing ◽  
Local Hospital ◽  
Sharp Pain ◽  
Neurological Exam ◽  
Left And Right ◽  
Anal Sensation

A 42-year-old farmer was lifting a hay bale and experienced a sudden onset of sharp pain radiating down his left leg. Over the ensuing week, the pain became less pronounced, but was replaced with a progressive left greater than right leg numbness, foot weakness, and urinary hesitancy. He presented to his local hospital, where he was initially managed conservatively, and then transferred to our institution for consultation after an MR lumbar spine was completed. On physical exam, he had grade 1/5 weakness of left and right dorsi- and plantar flexion. Sensory testing showed a moderate decrease in pinprick sensation in his left leg from L1 to S1 dermatomes. He was symmetrically hyporeflexic with grade 1 knee reflexes and absent ankle jerks. Peri-anal sensation was intact, but there was moderately reduced rectal tone. The remainder of his neurological exam was normal.

scholarly journals Recurrent Glomus Tumor of the Pinna: Report of a Case

2001 ◽  
Vol 80 (4) ◽  
pp. 240-242 ◽  
Author(s):  
Sherif M. Ammar ◽  
Sujana S. Chandrasekhar
Keyword(s):  
Rare Case ◽  
Tactile Stimulation ◽  
Glomus Tumor ◽  
Surgical Excision ◽  
The Third ◽  
Sharp Pain

We describe a rare case of a glomus tumor of the pinna. The lesion produced a brief but sharp pain that occurred spontaneously, intermittently, and upon tactile stimulation. Surgical excision with wide margins was successful. We believe this to be only the third case of a glomus tumor of the auricle that has been reported in the literature.

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