Background History

Author(s):  
David Jenkins
Keyword(s):  
2019 ◽  
pp. 1-3
Author(s):  
Bertrand Ng ◽  
Arafat Yasser

Omental infarct is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Here, we present a case of omental infarct in a 67-year-old gentleman with background history of diabetes mellitus who present unusually with a severe acute onset right hypochondrium pain. Examination revealed that he was tender to touch at the right and was having localized guarding. His inflammatory markers were normal. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day. Omental infarct cases with right hypochondrium pain can sometimes mimicked acute cholecystitis and management includes laparoscopic surgery which can hasten symptoms resolution and reduces hospital stay, however recommendation for surgery has to be balanced with anesthetics risk and complication of the surgery itself.


2013 ◽  
Author(s):  
Catherine M. Otto ◽  
David M Shavelle

The complete evaluation of the cardiovascular patient begins with a thorough history and a detailed physical examination. These two initial steps will often lead to the correct diagnosis and assist in excluding life-threatening conditions. The history and physical examination findings should be assessed in the overall clinical status of the patient, including the patient's specific complaints, lifestyle, comorbidities, and treatment expectations. This chapter discusses the cardiovascular conditions that frequently require evaluation: chest pain, dyspnea, palpitations, syncope, claudication, and cardiac murmurs; and reviews the background, history and physical examination, and diagnostic tests available for each. Diagnostic algorithms are provided, and the appropriate use of invasive and noninvasive cardiac testing for each condition is discussed. This review contains 8 highly rendered figures, 12 tables, and 52 references.


2020 ◽  
Vol 28 (2) ◽  
pp. 230949902092231
Author(s):  
Ryo Sasaki ◽  
Koichi Yano ◽  
Yasunori Kaneshiro ◽  
Seungho Hyun ◽  
Hideki Sakanaka

Stenosing tenosynovitis of the extensor digiti minimi (EDM) without trauma is very rare. We report a 21-year-old woman who presented with dorsoulnar wrist pain during palmar wrist flexion and soft tissue mass at the site of pain. Ultrasonography and magnetic resonance imaging showed a round mass radial to the EDM tendon. Conservative treatment for 3 months failed to improve the patient’s pain levels. Intraoperative findings revealed smaller radial slip of the EDM tendon, and bifurcation of these was under the distal portion of the extensor retinaculum (ER). Surgical release of the ER, resection of the smaller slip of the EDM tendon, and tenosynovectomy were performed. Histological examination showed tenosynovitis. At the final follow-up 1 year postoperatively, she was asymptomatic. A literature review suggested that stenosing tenosynovitis of the EDM tendon might be caused by frequent use of the hand with a background history of bifurcation of the EDM tendon.


2021 ◽  
Vol 27 (1) ◽  
pp. 34-47
Author(s):  
Saleh Baghery Kakhki ◽  
◽  
Mehdi Basiri Moghadam ◽  
Leila Sadeghmoghadam ◽  
◽  
...  

Aims: Disability reduces the independence and quality of life in the elderlies and it increases their independence and causes increased need of support, more admittance in nursing homes and early death. The aim of this study was to examine the prevalence of disability and its relationship with the demographic characteristics. Methods & Materials: This cross-sectional (descriptive-analytical) study was performed on 470 elderly people aged 60 and over living in Gonabad by random stratified sampling. Data collection tools included a demographic profile questionnaire and a standardized questionnaire from the WHO to assess disability in the elderly. The data collected were analyzed using SPSS software version 14.5 and the Kai Scoyer test and ranked logistic regression. Significant levels of less than 0.05 were considered Findings: 35.6% of the elderly had very low disability, 40.6% had low disability, 15.2% had moderate disability and 8.6% had severe disability. Age (P<0.001), sex (P=0.03), literacy level (P<0.001), and background history (P<0.001) were significant predictors of elderly disability Conclusion: There is a relationship between disability and its level with aging. According to the growth in elderly’s population, paying attention to health and reducing disability and promoting their life’s quality is necessary.


Author(s):  
Sharir Asrul Bin Asnawi ◽  
Mohamad Bin Doi ◽  
Abdul Rahman Hikmet Shaker ◽  
Mawaddah Binti Azman

Introduction: Dentures are common accidental ingested foreign body (FB) especially among elderly. It is frequent to have foreign body impacted at esophagus in adults however it is very unsual to have Tracheo-esophageal fistula (TEF) caused by denture. The diagnosis of TEF is challenging due to two reasons. Firstly, most of the dental prosthesis is radiolucent and not visible in routine radiological investigation. Secondly, patient with history of swallowed dentures prosthesis may be asymptomatic initially and develops symptoms over time. In contrary, prolonged history of FB in esophagus with TEF has higher risk to develop serious complication such as pneumonia and lung abscess.Case Presentation: We report a case of 62 year old gentleman with background history of hypertension and temporal lobe epilepsy presented with history of choking on taking solid and liquid associated with significant weight loss past 2 months. He had lost his denture for almost 1 year during sleep. Endoscopic examination of the larynx showed normal anatomy but pooling of saliva. CT thorax showed foreign body within a tracheoesophgeal fistula. OGDS showed denture within a well formed tracheoesophageal fistula. He had acquired TEF secondary to the dentures. Conclusion: Symptomatic elderly who lose their denture during sleep should not be neglected. They need immediate medical assessment thus will reduce further debilitating complication. Failing to identify and treat this condition urgently, patient will suffer acquired trachea-oesophageal fistula on which the treatment is challenging and the morbidity and mortality is high.


2021 ◽  
Vol 27 (1) ◽  
pp. 34-47
Author(s):  
Saleh Baghery Kakhki ◽  
◽  
Mehdi Basiri Moghadam ◽  
Leila Sadeghmoghadam ◽  
◽  
...  

Aims: Disability reduces the independence and quality of life in the elderlies and it increases their independence and causes increased need of support, more admittance in nursing homes and early death. The aim of this study was to examine the prevalence of disability and its relationship with the demographic characteristics. Methods & Materials: This cross-sectional (descriptive-analytical) study was performed on 470 elderly people aged 60 and over living in Gonabad by random stratified sampling. Data collection tools included a demographic profile questionnaire and a standardized questionnaire from the WHO to assess disability in the elderly. The data collected were analyzed using SPSS software version 14.5 and the Kai Scoyer test and ranked logistic regression. Significant levels of less than 0.05 were considered Findings: 35.6% of the elderly had very low disability, 40.6% had low disability, 15.2% had moderate disability and 8.6% had severe disability. Age (P<0.001), sex (P=0.03), literacy level (P<0.001), and background history (P<0.001) were significant predictors of elderly disability Conclusion: There is a relationship between disability and its level with aging. According to the growth in elderly’s population, paying attention to health and reducing disability and promoting their life’s quality is necessary.


2018 ◽  
Author(s):  
Catherine M. Otto ◽  
David M Shavelle

The complete evaluation of the cardiovascular patient begins with a thorough history and a detailed physical examination. These two initial steps will often lead to the correct diagnosis and assist in excluding life-threatening conditions. The history and physical examination findings should be assessed in the overall clinical status of the patient, including the patient's specific complaints, lifestyle, comorbidities, and treatment expectations. This chapter discusses the cardiovascular conditions that frequently require evaluation: chest pain, dyspnea, palpitations, syncope, claudication, and cardiac murmurs; and reviews the background, history and physical examination, and diagnostic tests available for each. Diagnostic algorithms are provided, and the appropriate use of invasive and noninvasive cardiac testing for each condition is discussed. This review contains 8 highly rendered figures, 12 tables, and 52 references.


Author(s):  
Marko Pajević

This chapter explains the background history of this publication, its guiding principles as well as the working procedures and strategies of the translator team, pointing out the difficulties of translating Meschonnic’s unusual thinking and style into the Anglophone tradition.


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