Dizziness on Airplane

2018 ◽  
pp. 16-19
Author(s):  
Justin T. Pitman
Keyword(s):  
Physical Examination ◽  
Emergency Room ◽  
Inner Ear ◽  
Treatment Plan ◽  
Pressure Change ◽  
Physical Exam ◽  
Patient History ◽  
Medical Problems ◽  
Inflammatory Drugs ◽  
Careful Physical Examination

There is a broad differential for dizziness in any environment. Assessing a thorough history, concurrent medical problems, and careful physical examination can often narrow the possible causes significantly. In the setting of ear pain and recent altitude or pressure change, barotrauma should be suspected. Although most care is supportive, including the use of nonsteroidal anti-inflammatory drugs, the Frenzel maneuver and decongestants can help equilibrate inner ear and atmospheric pressures. This chapter examines the case of a woman who presents to the emergency room with ear pain following a recent airplane trip and addresses the patient history, details of the physical exam, diagnosis, and treatment plan.

scholarly journals Medical History and Physical Examinations: Tools for early diagnosis and Means to avoid unnecessary investigations

2020 ◽  
Vol 5 (10) ◽  
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Early Stage ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Disease Diagnosis ◽  
History Taking ◽  
Patient History ◽  
The People ◽  
Detailed Medical History

Background: Medical history and physical examination is one of the essential skills for clinicians. Detailed and adequate history taking and physical examination usually lead to a timely and accurate diagnosis of the disease. Depending on the acquired patient history and examination findings, physician can decide to do further investigations to confirm the initial diagnosis. The primary goal of this article is to emphasize on the importance of patient history taking and physical examination during the diagnosis stage. Material and Methods: Present study highlights the importance of patient history taking and physical examination via multiple medical cases apprehended by the author over a period of 2 years. Some systematic approaches are summarized as a means to use efficient history taking and proper physical examination as a strong tool of disease diagnosis. Finally, some common hinders and challenges regarding these two powerful tools in context of Bangladesh are discussed and some viable solutions are provided. Conclusion: If done precisely, adequate history taking and proper physical examination can certainly protect patients from the risks of unnecessary testing. Hence, this process is cost-beneficiary, which is a great plus for the people of developing countries. Accordingly, it is of paramount importance to keep proper documentation of Patient’s history and physical examination findings as well as tests and investigations done previously. Good documentation is a great resource to learn from past clinical incidents and avoid future adverse ones, hence greatly aiding in ensuring patient safety. Informative and detailed medical history along with inclusive physical examination followed by proper documentation can determine the correct diagnosis at an early stage and pave the way for an effective treatment plan.

scholarly journals Severe Hyponatremia and hypokalemia: a potentially fatal clinical and nutrological condition in the emergency room: a case report

2011 ◽  
Vol 04 (03) ◽  
pp. 049-050
Author(s):  
Lafaiete Alves Júnior ◽  
Carlos F. Ferrarini ◽  
Fernando Dipe de Matos ◽  
Maria Fernanda Braggio ◽  
Cleber Trindade de Araujo ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Physical Examination ◽  
Emergency Room ◽  
Cardiac Rhythm ◽  
Epigastric Pain ◽  
Clinical History ◽  
Severe Hyponatremia ◽  
Detailed Clinical History ◽  
Careful Physical Examination

ABSTRACTElectrolyte imbalances are common in clinical practice. However, if untreated they can lead to severe complications including neurologic disturbances, cardiac rhythm alterations and even death. They can be diagnosed by a detailed clinical history, a careful physical examination and serum determinations. Their etiology is broad, including renal and extra-renal losses, use of medication without medical supervision and low intake from foods. The present case describes a patient attended at the emergency room complaining of epigastric pain, nausea, vomiting and weakness that resolved after electrolyte reposition.

EMBRYOMA OF KIDNEY (WILMS' TUMOR) IN CHILDREN

PEDIATRICS ◽  
1949 ◽  
Vol 4 (2) ◽  
pp. 197-200
Author(s):  
LLOYD B. DICKEY ◽  
L. R. CHANDLER
Keyword(s):  
Survival Rate ◽  
Physical Examination ◽  
Wilms Tumor ◽  
Left Kidney ◽  
Bottle Feeding ◽  
Postoperative Radiation ◽  
History Of ◽  
The Right ◽  
Infants And Young Children ◽  
Careful Physical Examination

A series of 12 cases of Wilms' tumor, in which the diagnosis was confirmed in all instances by examination of the gross or microscopic tissue, is reported, with a survival rate of 33.3%. Four patients are living and well, 4, 8, 10, and 15 years, respectively, after treatment. All recurrences appeared less than 10 months after treatment. The sex incidence, and the sex survival incidence were exactly equal. Six tumors were in the left kidney, and six in the right. Eight of the patients were under 2 years of age when first diagnosed and treated, and all were under 7 years. The history of breast or bottle feeding was irrelevant. In a large number of these and reported cases, the presence of the tumor was the first symptom, and in a considerable number the only symptom. This fact stresses the importance of careful physical examination of infants and young children, regardless of complaint, or of lack of it. The finding of calcification in the tumor is possibly a good prognostic sign. All three patients in whom calcification was noted in the tumor are living and well. Immediate removal of the tumor by transperitoneal nephrectomy, with postoperative radiation to the area, seems to be the advisable treatment.

REHABILITATION OF PATIENTS WITH PARTIAL SECONDARY EDENTULOUSNESS WITH ORTHOPEDIC CONSTRUCTIONS ON DENTAL IMPLANTS USING CODIAGNOSTIX SURGICAL GUIDES

2021 ◽  
pp. 88-94
Author(s):  
Balin K.D. ◽  
Borisova E.G.
Keyword(s):  
Dental Implants ◽  
Treatment Plan ◽  
Modern World ◽  
Preliminary Treatment ◽  
Dental Practice ◽  
Medical Problems ◽  
Dental Services ◽  
Digital Dentistry ◽  
Strict Adherence ◽  
Surgical Guides

In dental practice, the most common outpatient operation is tooth extraction. As a result, dentition defects are formed with a corresponding violation of the chewing function [1]. Traditionally, chewing function has been restored by removable or non-removable dentures. In the modern world, due to the availability of medical dental services and the development of voluntary medical insurance, an increasing number of people choose dental intraosseous implantation as a method of secondary adentia rehabilitation. It is now generally accepted that dental implants represent the most physiological design for replacing dentition defects, in contrast to traditional removable and fixed dentures. The key to a successful treatment is a high-quality preliminary joint planning of surgeon and prostodontist, choice of the position and number of implants, and design of the final restorative structure. Today, the global trend in dentistry tends to be minimally invasive, atraumatic, accurate and solving the assigned medical problems in the shortest possible time. In recent years, digital dentistry and navigational surgery techniques have been successfully introduced into everyday dental practice. When choosing a treatment with the use of digital technologies, specialists use a surgical template and a digital prototype of the future orthopedic construction for strict adherence to the preliminary treatment plan.

scholarly journals DECLINE OF CLINICAL ART AND TECNOLOGICAL MEDICINE BOOM

2021 ◽  
pp. 123-133
Author(s):  
José Antonio Rodríguez Montes
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Medical Practice ◽  
New Technologies ◽  
Clinical Skills ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Bedside Teaching ◽  
The Past

Currently there is a consensus that the clinical art have been greatly deteriorating during the past 50 years. This problem has raised worldwide attention through as increase in publications, courses, symposia and congress. The erosion of bedside teaching and the consequent decline of clinical skills, notably wrongfull and inadequate use of new technologies. At as result, it becomes difficult if not impossible obtain an appropiate collection of the synptoms sufferick for the sick. Together with the medical history, the physical examination is mandatory for the correct diagnosis and developing the treatment plan. In this paper, the decline of clinical art is exposed and how this ancient heritage of medical practice can be recovered.

scholarly journals Reinforced conservative management of post-dural puncture headache in a patient with a rare case of tethered cord syndrome using an abdominal binder: a case report

2020 ◽  
Author(s):  
Seong-Ho Ok ◽  
Miyeong Park ◽  
Hokyung Yu ◽  
Jiyoung Park ◽  
Ju-Tae Sohn ◽  
...  
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Conservative Management ◽  
Rare Case ◽  
Dural Puncture ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
Post Dural Puncture Headache ◽  
Csf Leakage ◽  
Careful Physical Examination

Careful physical examination of the site of procedure before the caudal pain procedure should be performed because it could show the patient’s abnormal anatomical conditions. An abdominal binder could be used effectively in a patient showing CSF leakage in the coccygeal area, which is not controlled by conventional compressive dressing.

scholarly journals A cross preseptal and postseptal gonococcal orbital cellulitis in a 3-year-old male

2021 ◽  
Vol 8 (5) ◽  
pp. 920
Author(s):  
Trishell Simon ◽  
Chanique James
Keyword(s):  
Sexual Abuse ◽  
Physical Examination ◽  
Orbital Cellulitis ◽  
Age Group ◽  
Pediatric Age ◽  
Gonococcal Infection ◽  
Social Evaluation ◽  
Pediatric Age Group ◽  
Mode Of Transmission ◽  
Careful Physical Examination

Gonococcal orbital cellulitis is an infrequent presentation within the pediatric age group, with very few cases reported in literature. Even rarer, is the nonvenereal transmission via fomites. Careful physical examination with detailed social evaluation must always be obtained in any child with a gonococcal infection to look for signs or evidence of sexual abuse. This paper reports a 3-year-old male who developed a left preseptal and postseptal gonococcal orbital cellulitis via a nonsexual mode of transmission.

Scrotal meconium pseudocysts: meconium periorchitis as a rare cause of postnatal acute scrotum

2021 ◽  
Vol 14 (6) ◽  
pp. e242323
Author(s):  
Guido Marzocchi ◽  
Giulia Lassandro ◽  
Stefano Giusto Picchi ◽  
Francesco Monteduro
Keyword(s):  
Physical Examination ◽  
Emergency Room ◽  
Acute Scrotum ◽  
X Ray ◽  
Blood Tests ◽  
Paediatric Emergency ◽  
Left Hypochondrium ◽  
Scrotal Swelling ◽  
Possible Cause ◽  
Meconium Pseudocyst

A 10-day-old newborn was taken to the paediatric emergency room due to scrotal swelling. Physical examination showed scrotal enlargement and palpable intrascrotal hard formations. Laboratory blood tests revealed no significant alterations. Testicular ultrasonography showed thickened and hypoechoic scrotal walls and bilateral intrascrotal isoechoic nodules with small internal calcifications. An abdominal X-ray confirmed evidence of bilateral scrotal microcalcifications and small calcifications in the left hypochondrium. Urgent laparotomy performed for scrotal exploration verified the presence of nodular formations on the vaginal tunic of both testicles; the nodules were removed. Bilateral orchidopexy was performed in the same surgical session. When dealing with an acute scrotum in a newborn both emergency radiologists and clinicians should consider the possibility of scrotal meconium pseudocyst as a rare but possible cause of periorchitis.

A Physical Exam—Flow Record

PEDIATRICS ◽  
1972 ◽  
Vol 49 (1) ◽  
pp. 151-152
Author(s):  
Howard L. Weinberger ◽  
Herbert Schneiderman ◽  
Robert Jensen
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Data Base ◽  
Relative Efficiency ◽  
Physical Exam ◽  
University Hospital ◽  
Different Ages ◽  
Minimal Data

We should like to present a form developed in a University Hospital Well Child Clinic for use by medical students and house officers. This form was designed to: (a) specify a minimal data base; (b) allow easy recording of normal data; (c) allow easy scanning for abnormal findings; (d) recognize and highlight changes in physical examination which are appropriate at different ages; and (e) allow for relative efficiency in retrieval of information for the supervisor or instructor.

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