Review of Psychiatric Signs and Symptoms Due to Medical Problems.

1968 ◽  
Vol 13 (8) ◽  
pp. 412-412
Author(s):  
Ralph Heine
Keyword(s):  
Signs And Symptoms ◽  
Medical Problems

Oxford Handbook of Tropical Medicine 5e

2021 ◽  
Keyword(s):  
Developing World ◽  
Signs And Symptoms ◽  
Tropical Medicine ◽  
Medical Problems ◽  
Diagnosis And Management ◽  
Practical Tool ◽  
The Tropics ◽  
Source Of Information

The Oxford Handbook of Tropical Medicine provides an authoritative, accessible and comprehensive, signs-and-symptoms-based source of information on medical problems commonly seen in the tropics. Designed to be used as a practical tool for diagnosis and management, it is an essential and handy guide for trainees and clinicians in the tropics, and medical officers working in district or rural level hospitals in the developing world.

Ramsay Hunt Facial Paralysis: Clinical Analyses of 185 Patients

1986 ◽  
Vol 95 (3_part_1) ◽  
pp. 292-297 ◽  
Author(s):  
Robert B. Robillard ◽  
Raymond L. Hilsinger ◽  
Kedar K. Adour
Keyword(s):  
Herpes Simplex ◽  
Facial Palsy ◽  
Medical Center ◽  
Signs And Symptoms ◽  
Response To Therapy ◽  
Medical Problems ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
A Prospective Study

In a prospective study of 1507 patients, evaluated consecutively for facial palsy in the Cranial Nerve Research Clinic at the Kalser Permanente Medical Center, Oakland, California, between 1966 and 1976, 185 cases (12%) were diagnosed as Ramsay Hunt syndrome. In 46 cases (25%), the diagnosis of herpes zoster was confirmed by acute and convalescent serum titers for varicella-zoster virus. In 139 cases (75%), viral titers were not performed and the diagnosis was based on the characteristic clinical presentation of the Ramsay Hunt syndrome. The data were subjected to multivariate analysis evaluating age, sex, race, signs and symptoms at onset, severity of paralysis, associated medical problems with concomitant neurologic deficits, and response to therapy. These were compared with data of 1202 patients with Bell's (herpes simplex) palsy. The facial palsy of Ramsay Hunt syndrome was found to be more severe, to cause late neural denervation, and to have a less favorable recovery profile than Bell's (herpes simplex) facial palsy. Prognostic factors and treatment recommendations are discussed.

Psychiatric signs and symptoms due to medical problems

1969 ◽  
Vol 10 (3) ◽  
pp. 233-234
Author(s):  
C. Alex Adsett
Keyword(s):  
Signs And Symptoms ◽  
Medical Problems

scholarly journals Diagnosis of Intermittent Vascular Claudication in a Patient With a Diagnosis of Sciatica

1999 ◽  
Vol 79 (6) ◽  
pp. 582-590 ◽  
Author(s):  
John C Gray
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Signs And Symptoms ◽  
Leg Pain ◽  
Musculoskeletal Symptoms ◽  
Medical Screening ◽  
Medical Problems ◽  
Lower Extremity Weakness ◽  
Screening Questionnaire ◽  
Rule Out

Abstract Background and Purpose. The purpose of this case report is to illustrate the importance of medical screening to rule out medical problems that may mimic musculoskeletal symptoms. Case Description. This case report describes a woman who was referred with a diagnosis of sciatica but who had signs and symptoms consistent with vascular stenosis. The patient complained of bilateral lower-extremity weakness with her pain intensity at a minimal level in the region of the left sacroiliac joint and left buttock. She also reported numbness in her left leg after walking, sensations of cold and then heat during walking, and cramps in her right calf muscle. She did not report any leg pain. A medical screening questionnaire revealed an extensive family history of heart disease. Examination of the lumbar spine and nervous system was negative. A diminished dorsalis pedis pulse was noted on the left side. Stationary cycling in lumbar flexion reproduced the patient's complaints of lower-extremity weakness and temporarily abolished her dorsalis pedis pulse on the left side. Outcomes. She was referred back to her physician with a request to rule out vascular disease. The patient was subsequently diagnosed, by a vascular specialist, with a “high-grade circumferential stenosis of the distal-most aorta at its bifurcation.” Discussion. This case report points out the importance of a thorough history, a medical screening questionnaire, and a comprehensive examination during the evaluation process to rule out medical problems that might mimic musculoskeletal symptoms.

Fabry disease - Vascular manifestations

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 123-131 ◽  
Author(s):  
Karetova ◽  
Bultas ◽  
Dostalova ◽  
Palecek ◽  
Kovarnik ◽  
...  
Keyword(s):  
Fabry Disease ◽  
Ventricular Hypertrophy ◽  
Signs And Symptoms ◽  
Premature Death ◽  
Left Ventricular ◽  
Specific Enzyme ◽  
Medical Problems ◽  
Enzyme Replacement ◽  
Deficient Activity ◽  
Substantial Morbidity

Fabry disease (FD) is an X-linked disorder of glycosphingolipid metabolism caused by the deficient activity of α-galactosidase A which results in the accumulation of neutral glycosphingolipids in various tissues leading particularly to vasculopathy, cardiomyopathy, neuropathy, and chronic kidney disease. It results in substantial morbidity and premature death in affected patients. Although there are some signs and symptoms suggestive of FD including painful crisis, angiokeratomas, and corneal changes, the majority of FD complications are non-specific (left ventricular hypertrophy, conduction abnormalities, vascular spasms, proteinuria, renal insufficiency), which is why FD still remains largely underdiagnosed. The mechanism by which accumulating glycosphingolipids cause multiorgan disorder is not yet completely understood as it cannot be explained by pure substrate storage. Besides standard therapy of different medical problems in FD patients, specific enzyme replacement therapy has been introduced in the last few years.

scholarly journals Nonresolving Osteomyelitis of the Maxilla and Maxillary Sinus after Long-term Use of Oral Bisphosphonates

2010 ◽  
Vol 1 (2) ◽  
pp. 107-110 ◽  
Author(s):  
Ilana Kaplan ◽  
Zoe Nicolaou-Ioannou
Keyword(s):  
Maxillary Sinus ◽  
Signs And Symptoms ◽  
Panoramic Radiograph ◽  
Osteonecrosis Of The Jaw ◽  
Histopathological Analysis ◽  
Medical Problems ◽  
Oroantral Fistula ◽  
Extraction Site ◽  
Left Posterior ◽  
Posterior Maxilla

Abstract Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a complication of Bisphosphonate (BP), medications used for treatment of osteoporosis, multiple myeloma and cancer bone metastasis. Manifestations of BRONJ include bone necrosis, exposure to the oral cavity, inflammation suppuration and pain with nonspecific radiographic changes. Case history A 64-year-old woman had been treated with oral BP since 1991 for arthritic pain and osteoporosis. There were no other medical problems, no other medications used, she did not smoke nor drink alcohol. In 2005, the left maxillary molars had been extracted. The extraction site failed to heal, but she continued to use BP. Eighteen months later she presented with swelling and pain, suppuration and an area of 2 x 1 cm of exposed necrotic bone in the left posterior maxilla and oroantral fistula (OAF). Panoramic radiograph showed partial opacification of the maxillary sinus, unhealed extraction site, and sclerosis of adjacent maxillary alveolus. Histopathological analysis diagnosed osteomyelitis associated with actinomycosis, consistent with BRONJ. Treatment BP was discontinued, followed by 7 months of PO antibiotics and iodoform gauze packs. The wound seemed to be completely closed but within 2 months signs and symptoms and OAF recurred. Treatment continued with antibiotics daily rinses and weekly irrigation with Chlorhexidine 2%, and several repeated sequesterctomies, however, the patient still had pain. A course of 30 hyperbaric oxygen treatment was administered. Three years from onset symptoms improved, and sequstered bone is no longer visible. However, the OAF is still present, requiring irrigations, and the radiographs still present bony abnormality. An unusually severe BRONJ of 3 years duration associated with 15 years oral BP use is presented.

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