Obesity due to psychotropic drugs – a multidisciplinary treatment approach

AbstractBiliary and gallbladder diseases in infants and children often present unique diagnostic and therapeutic challenges that require a fundamental understanding of notable biliary diseases and anatomical variations. Surgical and endoscopic approaches that are often the gold standard in adult biliary treatment may be technically challenging and are associated with a high morbidity that may warrant a multidisciplinary treatment approach. This article will provide a comprehensive overview of the biliary conditions where interventional radiology can play a vital role in the diagnosis, management, and treatment. Differences in approach or technique between children and adults will be highlighted.

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Multidisciplinary Treatment Approach in a Patient with History of Nasopharyngeal Carcinoma

Case Reports in Dentistry ◽

10.1155/2014/918461 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5

Author(s):

Atacan Yavuz ◽

Ömer Birkan Ağralı ◽

Zeynep Lale Çalışkan ◽

Dilek Türkaydın ◽

Atilla Sertgöz ◽

...

Keyword(s):

Nasopharyngeal Carcinoma ◽

Multidisciplinary Approach ◽

Dental Treatment ◽

Treatment Approach ◽

Multidisciplinary Treatment ◽

Preventative Care ◽

Self Confidence ◽

Dental Hospital ◽

History Of

Radiotherapy in NPC patients has side effects on the dentition, which affects quality of life dramatically. This case report presents multidisciplinary dental treatment approach in a 17-year-old male patient with a history of nasopharyngeal carcinoma (NPC), which was treated with chemotherapy and radiotherapy. The adolescent patient applied to dental hospital 4 years after the radiotherapy with aesthetic and functional problems on dentition affecting psychological, social, and physical aspects of his life. The dentition of the patient demonstrated the severe destruction as a devastating side effect of radiotherapy. With a successful multidisciplinary approach, our patient’s aesthetics, function, and self-confidence were obtained. Well-established procedures, which include preventative care and maintenance, can reduce the duration and expenses of the treatment and help in challenging the life-long complications of radiotherapy.

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Reimplantation of an Inverted Maxillary Premolar: Case Report of a Multidiscplinary Treatment Approach

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.33.4.f141658760372j12 ◽

2009 ◽

Vol 33 (4) ◽

pp. 279-282 ◽

Cited By ~ 3

Author(s):

Ayca Ulusoy ◽

Murat Akkocaoglu ◽

Seden Akan ◽

Ilken Kocadereli ◽

Zafer Cehreli

Keyword(s):

Case Report ◽

Root Resorption ◽

Treatment Approach ◽

Multidisciplinary Treatment ◽

Rare Condition ◽

Treatment Alternative ◽

Normal Position ◽

Sufficient Space ◽

Viable Treatment

Inversion of premolars is an extremely rare condition, which usually requires extraction. This case report describes the inversion of an impacted maxillary second premolar in an 11-year-old male, and the multidisciplinary treatment approach for bringing the tooth into a normal position within the arch. In order to provide sufficient space for surgical reimplantation of the tooth, the mesially-drifted neighbouring maxillary first molar was first endodontically treated, followed by orthodontic distalization of the tooth. The inverted tooth was removed surgically and reimplanted without the use of splints for stabilization. After a 12-month follow-up period, the tooth maintained its vitality without any root resorption. Reimplantation of impacted inverted premolars can be a viable treatment alternative to extraction

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Rhabdomyosarcoma of the biliary tract: a case report

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20171734 ◽

2017 ◽

Vol 4 (3) ◽

pp. 1093 ◽

Cited By ~ 1

Author(s):

Asmaa Kouadir ◽

Abderrahmane El Mazghi ◽

Khalid Hassouni

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Obstructive Jaundice ◽

Biliary Tract ◽

Clinical Symptoms ◽

Treatment Approach ◽

Imaging Techniques ◽

Multidisciplinary Treatment ◽

Rare Tumor ◽

The Common

Rhabdomyosarcoma (RMS) of the biliary tract is a rare tumor that commonly arises from the common bile duct. The most common clinical symptoms are obstructive jaundice and abdominal pain. Although diagnosis is often difficult and is frequently made during surgery, diagnostic imaging techniques including ultrasound, computerized tomography scan, and magnetic resonance cholangiopancreatography remain useful in the diagnosis and evaluation of biliary tree anatomy. In order to improve prognosis, different rhabdomyosarcoma study groups have adopted multidisciplinary treatment approach. Herein we describe a case of three-year-old child with Embryonal rhabdomyosarcoma originating in the common bile duct who was treated with surgery, chemotherapy according to European soft tissue sarcoma group (EpSSG) protocol and adjuvant postoperative intensity modulated radiotherapy to surgical bed with 6 MV photons to a dose of 41, 4Gy in 23 fractions. One year and a half after the end of therapy, the patient is still disease free. Although Rhabdomyosarcoma of the biliary tract is a rare tumor, it should be considered in the differential diagnosis of patients who have obstructive jaundice and a cystic mass within the common bile duct. Once believed to be an incurable disease, the prognosis of patients with biliary rhabdomyosarcoma has improved with a multidisciplinary treatment approach.

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Apexification with Calcium Hydroxide: 27 Months Follow Up of a Case

Medicine Today ◽

10.3329/medtoday.v25i1.16071 ◽

2013 ◽

Vol 25 (1) ◽

pp. 42-45

Author(s):

AFMA Chowdhury ◽

A Alam ◽

UK Sarkar ◽

AA Mahmud ◽

U Habiba ◽

...

Keyword(s):

Calcium Hydroxide ◽

Treatment Approach ◽

Multidisciplinary Treatment ◽

Young Patients ◽

Dental Trauma ◽

Immature Teeth ◽

Root Sheath ◽

Medicine Today ◽

And Function

Dental trauma is common in young patients with immature teeth. When necrosis of pulp follows in such a tooth, apexification of the root is the most recognized and accepted treatment of choice. Calcium hydroxide paste is the most popular material used to induce the apical hard tissue barrier which may be composed of different tissues. Hertwigs epithelial root sheath and (or) its remnants, the cell rests of Malassez may contribute to the apical closure. In the presented case, careful multidisciplinary treatment approach helped to regain esthetic and function. After 27 months the tooth showed every sign of success. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.16071 Medicine Today 2013 Vol.25(1): 42-45

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Clinical efficacy of Thumari gel in the management of superficial non healing leg ulcers- A rare case report.

International Journal of AYUSH Case Reports ◽

10.52482/ijacare.v1i1.3 ◽

2017 ◽

Vol 1 (1) ◽

pp. 1-5

Author(s):

Naresh Kumar Ghodela ◽

Tukaram Dudhamal

Keyword(s):

Lower Extremity ◽

Venous Insufficiency ◽

Treatment Approach ◽

Wound Care ◽

Multidisciplinary Treatment ◽

Local Application ◽

Rare Case Report ◽

Arterial Insufficiency ◽

Underlying Pathophysiology

Ulcers in lower extremity are generally caused by venous insufficiency, arterial insufficiency, and diabetic neuropathy. Inflammatory ulcers are also difficult to diagnose because of underlying pathophysiology rests on inflammation and immunologic phenomena. Definitive diagnosis and multidisciplinary treatment approach are needed to manage lower extremity ulcers. These ulcers may hamper the quality of life of patient. Here we reported a new case of post fracture of shaft of right tibia bone, presented with painful, hypertrophied, irregular shaped ulcer on anterior aspect of tibia gradually developing since 3 months. A male patient of 45 years old consulted to OPD with above complaint that was unable to bear weight on the effected leg (right limb). This case was managed with a local application of Thumari Gel and ulcers were almost healed within 6 weeks of wound care along with internal use of Ayurveda medicines. This case concluded that regular local application of Thumari Gel helpful in healing of chronic ulcer.

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Emphysematous osteomyelitis of the clavicle: a pleural process?

BMJ Case Reports ◽

10.1136/bcr-2020-235764 ◽

2020 ◽

Vol 13 (7) ◽

pp. e235764

Author(s):

Amira Elshikh ◽

Niraj Gowda ◽

Lisa Glass ◽

Robert B Maximos

Keyword(s):

Pleural Cavity ◽

Treatment Approach ◽

Bone Biopsy ◽

Multidisciplinary Treatment ◽

Fatal Outcome ◽

Review Of The Literature ◽

Fatal Disease ◽

Associated Risk Factors ◽

Pleural Involvement

Emphysematous osteomyelitis (EO) is a rare infection associated with intraosseous gas. EO is an often fatal disease with an estimated 34% mortality. We present a case of a 63-year-old man with sternoclavicular EO with pleural involvement and significant subcutaneous emphysema diagnosed by CT. Extension of intraosseous gas into the pleural cavity is an extremely interesting presentation that has not been previously reported. The patient underwent a multidisciplinary treatment approach with surgical debridement and an extended antibiotic course. Intraoperative cultures of the pectoralis muscle and bone biopsy grew pan-sensitive Escherichia coli. Prompt recognition and treatment are paramount to avoid a potentially fatal outcome. A review of the literature of the previous 46 cases of EO is presented for associated risk factors, the role of surgical management and antibiotic therapy.

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