Clinical picture. Neonatal signs and symptoms

2000 ◽  
pp. 153-164 ◽  
Author(s):  
M. Hayde ◽  
A. Pollak
PEDIATRICS ◽  
1958 ◽  
Vol 22 (5) ◽  
pp. 972-990
Author(s):  
Niels L. Low ◽  
Julia Schneider ◽  
Sidney Carter

Polyneuritis in children is becoming more common. The clinical picture is variable; it may be manifested by motor and sensory findings, or by a combination of peripheral and cranial nerve signs and symptoms. The etiology is usually obscure. The pathologic picture varies with the severity of the disease and differs according to the stage at which the patient dies, but all fatal cases show the same main characteristic changes. Clinical records of 30 cases, 17 boys and 13 girls from 17 months to 16 years of age, are reviewed. The clinical manifestations, course and treatment are described.


2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Sara Ciccone ◽  
Michela Cappella ◽  
Caterina Borgna-Pignatti

Stroke is a rare disease in children, with an estimated incidence 13/100000 and a significant impact on morbidity and mortality. Clinical presentation and risk factors, present in almost half of pediatric patients, are not the same as in adults. The diagnosis of stroke in children is often delayed because signs and symptoms can be subtle and nonspecific. History and clinical examination should exclude underlying diseases or predisposing factors. Neuroimaging is crucial in defining diagnosis. Other tests might be necessary, according to the clinical picture. We present here the most recent practical directions on how to diagnose and manage arterial stroke in children, according to different international guidelines on the subject.


1994 ◽  
Vol 108 (7) ◽  
pp. 584-586 ◽  
Author(s):  
E. Merino Gálvez ◽  
D. Hellín Meseguer ◽  
F. García Ortega ◽  
J. Manuel Mondejar

AbstractWe report the case of a female patient who presented with sudden deafness as the first symptom of a cerebellar tumour which was not localized strictly in the cerebellopontine angle and did not show direct compression on the extrabulbar portion of the Vlllth cranial nerve. The clinical picture contained a number of signs and symptoms typical of cerebellar involvement.Surgical intervention restored the hearing and caused the symptoms to disappear.We also review the association between tumours and sudden deafness in the literature.


2020 ◽  
Vol 8 (10) ◽  
pp. 4894-4901
Author(s):  
Momin Jasmin Begam ◽  
Kulkarni Prasad ◽  
Gogate Vishwas

Bronchial asthma is a heterogenous disease with reciprocity between genetic and environmental factors. The different triggering factors increase the frequency and severity of breathing difficulty attacks. The use of modern medicines is restricted due to its various local as well systemic side effects. The clinical picture of bronchial asthma can be correlated with Tamakashwas as explained in Ayurveda. In the present case study, a 24 years old female patient having signs and symptoms of Tamakashwas has been discussed. The treatment was administered in accordance with Shodhana Chikitsa, Shamana Aushadhis and Sthanika Chikitsa. Nidana Parivarjana is strictly instructed in order to avoid the stimulation to internal pathology of the disease. The classical management helps in relieving the symptoms as well as lowers the recurrence of the breathing difficulty attacks. Regular counselling and practice of Parnayama contributes in boosting and refreshing her mind. The assessment was done by using the gradation scale which was adopted from de-veloping guidelines for clinical research methodology in Ayurveda. This Ayurvedic management helps in achieving the positive output with complete stoppage of use of inhaler over a period of 6 months.


2011 ◽  
Vol 57 (3) ◽  
pp. 11-16
Author(s):  
L I Astaf'eva ◽  
B A Kadashev ◽  
I I Dedov ◽  
P L Kalinin ◽  
M A Kutin ◽  
...  

The data about sex-specific differences of clinical signs and symptoms of macroprolactinomas and their response to medicamental therapy with dopamine agonists between men and women are reported. The present study included 306 patients (the men to women ratio 1.4:1) presenting with macroprolactinomas. Large and giant neoplasms were shown to predominate in men regardless of their age accompanied by clinical symptoms associated with the so-called «mass effect» of the tumour. The occurrence of macroprolactinomas of different size depended on the age of the patients. The majority of the young women had tumours of large and intermediate size and exhibited clinical features of hyperprolactinemic hypogonadism while those aged above 40 years had large and giant tumours accompanied by the symptoms of their «mass effect». The medicamental treatment with cabergolin was equally efficacious in both men and women.


1993 ◽  
Vol 23 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Dilip Ramchandani ◽  
Barbara A. Schindler

Objective: Patients with lithium toxicity can pose difficulties in diagnosis and management in the general hospital setting. The authors examined patients who were referred to the Psychiatric Consultation-Liaison Service with suspicion of lithium overdose to delineate and characterize medical and psychiatric risk factors for toxicity and to follow the course and resolution of their toxicity. Method: The authors reviewed the charts of patients with lithium levels >1.5 mEq/L who were admitted consecutively to a general hospital over an 18-month period. Results: Of twelve patients, eight were found to have developed lithium toxicity due to incidental and iatrogenic factors. These patients presented with a variety of confusing signs and symptoms. Hypothyroidism and coexisting organic illness contributed to the lack of clarity in their clinical picture. Conclusion: The widening scope of indication for lithium therapy leads to increased risk of toxic reactions which challenge the diagnostic skills of the consulting psychiatrist in a general hospital setting.


2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Mohammad Sorour ◽  
Khaled M. Krisht ◽  
William T. Couldwell

The authors present two cases of intraventricular hemorrhage (IVH) believed to be a result of epidural blood patching. The first was a 71-year-old woman who had new onset of nontraumatic IVH on computed tomography (CT) scan after undergoing an epidural blood patch (EBP). This amount of intraventricular blood was deemed an incidental finding since it was of very small volume to account for her overall symptoms. The second patient, a 29-year-old woman, was found to have nontraumatic IVH three days after undergoing an EBP. This was seen on CT scan of the head for workup of pressure-like headaches, nausea, vomiting, and absence seizures. Conservative management was followed in both instances. Serial CT scan of the head in our first patient displayed complete resolution of her IVH. The second patient did not have follow-up CT scans because her overall clinical picture had improved significantly. This highlights a potential sequel of EBP that may be observed on CT scan of the head. In the event that IVH is detected, signs and symptoms of hydrocephalus should be closely monitored with the consideration for a future workup if warranted by the clinical picture.


1968 ◽  
Vol 41 (3) ◽  
pp. 397-NP ◽  
Author(s):  
A. RIJNBERK ◽  
P. J. der KINDEREN ◽  
J. H. H. THIJSSEN

SUMMARY Twenty-one dogs with spontaneous hyperadrenocorticism presented a clinical picture characterized by an insidious onset of abdominal enlargement, muscular weakness, obesity and alopecia. Slight diabetes mellitus was present in some. In the bitches usually there was absence of oestrus for a long time. In addition to polydipsia and polyphagia, features indicative of heat intolerance were observed frequently. The signs and symptoms found are compared to those of human Cushing's syndrome. Determinations of the excretion of 17-hydroxycorticosteroids in 24-hr. urines were of great diagnostic significance. There was a considerable overlap of levels of plasma 11β-hydroxycorticosteroids in normal dogs and those with hyperadrenocorticism. Results of dexamethasone suppression tests are given. In the sera of four exophthalmic animals and in one pituitary obtained by necropsy, elevated levels of exophthalmos-producing substance were found. Pathological findings have become available in a number of cases. Preliminary results with hypophysectomy in four dogs are encouraging.


Author(s):  
Line Buhl ◽  
David Muirhead

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.


2017 ◽  
Vol 2 (15) ◽  
pp. 9-23 ◽  
Author(s):  
Chorong Oh ◽  
Leonard LaPointe

Dementia is a condition caused by and associated with separate physical changes in the brain. The signs and symptoms of dementia are very similar across the diverse types, and it is difficult to diagnose the category by behavioral symptoms alone. Diagnostic criteria have relied on a constellation of signs and symptoms, but it is critical to understand the neuroanatomical differences among the dementias for a more precise diagnosis and subsequent management. With this regard, this review aims to explore the neuroanatomical aspects of dementia to better understand the nature of distinctive subtypes, signs, and symptoms. This is a review of English language literature published from 1996 to the present day of peer-reviewed academic and medical journal articles that report on older people with dementia. This review examines typical neuroanatomical aspects of dementia and reinforces the importance of a thorough understanding of the neuroanatomical characteristics of the different types of dementia and the differential diagnosis of them.


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