The Management of Patients on Anticoagulants Prior to Cutaneous Surgery: Case Report of a Thromboembolic Complication, Review of the Literature, and Evidence-Based Recommendations

2006 ◽  
Vol 118 (5) ◽  
pp. 110e-117e ◽  
Author(s):  
Marwan R. Khalifeh ◽  
Richard J. Redett
2020 ◽  
pp. 074880682093491
Author(s):  
Lara Wetton ◽  
Darryl Hodgkinson

There is a large body of literature dedicated to patient selection in plastic surgery. Much of this, however, is dedicated to the recognition of patients with body dysmorphia, those psychologically unfit for surgery, and those who have medical conditions that make the risk of complications unacceptably high. There is, however, little in the way of recognition and management of patients with chronic pain issues. With opioid misuse and dependence on the rise, the likelihood of plastic surgeons encountering patients who have obvious or occult opioid dependence issues has increased. In this case report and review of literature, we aim to present an evidence-based approach to the diagnosis and management of plastic surgery patients with a known opioid dependence.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


1999 ◽  
Vol 19 (3) ◽  
pp. 328-335
Author(s):  
Shanop Shuangshoti Shuangshoti ◽  
Samruay Shuangshoti

2015 ◽  
Vol 21 ◽  
pp. 209-210
Author(s):  
Richa Bhattarai ◽  
Bidur Dhakal ◽  
Joseph Belsky ◽  
Nadja Pedersen ◽  
Maria Jan ◽  
...  

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