Patient History | ScienceGate

SummaryComputerized medical history taking, in which patients answer questions by using a terminal, is compared with the written medical record for a group of 99 patients in internal medicine. Patient complaints were analysed with respect to their frequency of occurrence for all important tracts, such as the respiratory, the gastro-intestinal and the uro-genital tracts. About 36% of over 3,200 patient answers were identical in the patient record and the written record, but a considerable percentage of complaints (56%), that were present in the patient record, were missing in the written record; the reverse was true for 4.5%. A computerized patient record appears to contain more extensive information about patient complaints, still to be interpreted by the experienced physician.

Download Full-text

Anatomy, Physiology and Pathophysiology of Haemorrhoids

Reviews on Recent Clinical Trials ◽

10.2174/1574887115666200406115150 ◽

2020 ◽

Vol 15 ◽

Cited By ~ 2

Author(s):

Francesco Pata ◽

Alessandro Sgrò ◽

Francesco Ferrara ◽

Vincenzo Vigorita ◽

Gaetano Gallo ◽

...

Keyword(s):

Anal Canal ◽

Dentate Line ◽

Cochrane Library ◽

Systematic Research ◽

Literature Searching ◽

Patient History ◽

Haemorrhoidal Disease ◽

Faecal Continence ◽

Vascular Component ◽

Key Events

Background: Haemorrhoidal disease (HD) is a frequent anal disorder and one of the most common findings identified at colorectal clinic. This article aims to provide an overview of the anatomy, physiology and pathophysiology of haemorrhoids and haemorrhoidal disease. Introduction: Internal haemorrhoids are vascular cushions located in the anal canal, above the dentate line and covered by columnar epithelium. They contribute to the faecal continence and to the sensitivity of the anal canal. The enlargement and/or sliding of haemorrhoidal tissue produce symptoms and complications, the so-called haemorrhoidal disease. Method: A systematic research was realized, looking at the best evidence in literature , searching PubMed, Embase, Cochrane library and most renowned text of colorectal surgery from January 1980 to January 2020. Result: Aetiology and pathophysiology of HD are still controversial, but multifactorial. Disruption of stromal scaffolding, enlargement of vascular component, elevated anal pressure and rectal redundancy represent key events in the development and complications of the disease. Local inflammation may play also a role. Goligher’s classification remains the most widely used. A careful patient history and examination are paramount to diagnose HD, excluding other anal or colonic pathologies. Conclusion: Several aspects of etiopathogenesis and pathophysiology remain controversial. Further studies are needed to obtain a better understanding of the disease.

Download Full-text

PR interval as a predictor of syncope in tilt-up testing in adolescents and young adults

The Egyptian Heart Journal ◽

10.1186/s43044-021-00149-6 ◽

2021 ◽

Vol 73 (1) ◽

Author(s):

Juraj Jug ◽

Lada Bradić ◽

Rea Levicki ◽

Martina Lovrić Benčić

Keyword(s):

Heart Rate ◽

Vasovagal Syncope ◽

True Positive ◽

Ecg Monitoring ◽

Interval Prolongation ◽

Patient History ◽

Pr Interval ◽

Heart Rate Dynamics ◽

Testing Data ◽

Consciousness Disorder

Abstract Background Syncope, as the most frequent consciousness disorder, is very common in young individuals. The aim of this study was to analyze ECG parameters and clinical properties obtained during tilt-up testing in 12 to 30-year-old subjects. We enrolled a total of 142 patients from our outpatient clinic (39 males, 103 females) with a true positive tilt-up test and analyzed ECG records obtained during tilt-testing. Data were stratified according to the age, gender, and type of syncope. Results PR interval shortening preceding syncope was found in all syncope types, irrespective of the gender. All types of syncope were more frequent in women (72.5%). Mixed syncope type was found to be the most common (47.18%). Male and female subjects differed in initial heart rate (71.56 vs 76.23/min, p=0.05), as well as heart rate dynamics during tilt-up testing. A gender difference was also found in systolic blood pressure (116.92 vs 110.44 mmHg, p<0.01), time to syncope onset (20.77 vs. 16.44 min, p=0.03), and the total number of syncopal episodes in patient history (2.79 vs. 4.62, p<0.05). Subjects with cardioinhibitory syncope had the longest PR interval (average 154.3 ms). PR interval prolongation and loss of variability during tilt-up testing positively correlated with aging (r=0.22, p<0.05). Nodal rhythm was found in 8 patients. Conclusion PR interval shortening on ECG tracings during a tilt-up test can be found in all subtypes of vasovagal syncope, thereby contrasting previous reports that these changes are a hallmark of the cardioinhibitory type of syncope. PR shortening, if observed during ECG monitoring, could be a potential predictor of syncope.

Download Full-text

Patient History Questionnaire

Ear Nose & Throat Journal ◽

10.1177/014556139307200312 ◽

1993 ◽

Vol 72 (3) ◽

pp. 227-227

Author(s):

Jack B. Anon

Keyword(s):

Patient History

Download Full-text

Large Study Questions the Accuracy of the Patient History in the Wake of Pain and Trauma

The Back Letter ◽

10.1097/01.back.0000342264.60498.55 ◽

2008 ◽

Vol 23 (11) ◽

pp. 121

Author(s):

&NA;

Keyword(s):

Large Study ◽

Patient History

Download Full-text

Comments on: Inclusion of full patient history during a rehoming process

In Practice ◽

10.1002/inpr.131 ◽

2021 ◽

Vol 43 (8) ◽

pp. 479-479

Keyword(s):

Patient History

Download Full-text

Case Report: Borrelia-DNA Revealed the Cause of Arthritis and Dermatitis During Treatment With Rituximab

Frontiers in Neurology ◽

10.3389/fneur.2021.645298 ◽

2021 ◽

Vol 12 ◽

Author(s):

Johanna Sjöwall ◽

Georgios Xirotagaros ◽

Chris D. Anderson ◽

Christopher Sjöwall ◽

Charlotte Dahle

Keyword(s):

Bacterial Genome ◽

Punch Biopsy ◽

Calcium Pyrophosphate ◽

Young Female ◽

Monosodium Urate ◽

Patient History ◽

Skin Punch Biopsy ◽

The Right ◽

Antibody Levels ◽

Urate Crystals

Borrelia-specific antibodies in serum did not contribute to the diagnosis of Borrelia arthritis or Borrelia-associated dermatitis in a young woman with ongoing treatment with rituximab due to multiple sclerosis. The diagnosis was confirmed by the detection of Borrelia-DNA in a skin punch biopsy. The patient history did not reveal any tick exposure. She had suffered for several months from fluctuating pain and swelling of the right knee as well as skin involvement with redness and oedema around the ankle of the same leg. Monoarthritis was confirmed by a rheumatologist. Knee puncture was performed but the synovial fluid was only sufficient for microscopic examination of crystals. Neither monosodium urate crystals nor calcium pyrophosphate crystals were found. Borrelia serology in blood revealed borderline levels of immunoglobulin (Ig)M and IgG, respectively. Treatment with doxycycline resulted in resolution of the joint and skin manifestations within a month. This case highlights that Borrelia-specific antibody levels cannot be reliably interpreted in patients who have received B-cell depleting therapy. Under these circumstances, detection of the bacterial genome in different body fluids, such as in the skin, can be a useful complement to the diagnosis of Lyme disease. In this young female, the diagnosis would certainly have been further delayed without the detection of Borrelia-DNA in the skin.

Download Full-text