Huge rhinophyma in a complicated patient successfully treated with CO 2 laser

2019 ◽  
Vol 32 (3) ◽  
Author(s):  
Rocco Tortorella ◽  
Emma Mori ◽  
Miriam Rovesti ◽  
Dahiana Casanova ◽  
Roberto D'Astolto ◽  
...  
Keyword(s):  
Complicated Patient

scholarly journals Options for treating postherpetic neuralgia in the medically complicated patient

2013 ◽  
pp. 329 ◽  
Author(s):  
Patricia Bruckenthal ◽  
Robert Barkin
Keyword(s):  
Postherpetic Neuralgia ◽  
Complicated Patient

The Endocrine System: Adrenal Glands

2017 ◽  
Author(s):  
Abbas Al-Kurd ◽  
Haggi Mazeh
Keyword(s):  
Adrenal Gland ◽  
Key Words ◽  
Patient Group ◽  
Clinical Relevance ◽  
Perioperative Management ◽  
Adrenal Glands ◽  
Preoperative Evaluation ◽  
Endocrine System ◽  
Anatomy And Physiology ◽  
Complicated Patient

The adrenal glands represent an essential component of the endocrine system, and their failure can have catastrophic consequences to several aspects of bodily homeostasis. Each adrenal gland can be divided into two different endocrine components, the cortex and the medulla, each with distinct functions. This in-depth review of normal adrenal embryology, anatomy, and physiology also emphasizes the clinical relevance of various irregularities in adrenal functioning. Every surgeon attempting to manage adrenal diseases is expected to be familiar with the detailed pathophysiology of these conditions because such an understanding is essential for sound preoperative evaluation and perioperative management of this potentially complicated patient group.  This review contains 4 figures, 1 table, and 70 references. Key words: adrenal, adrenal glands, adrenal pathophysiology, adrenal physiology, anatomy of adrenal glands, cortex, embryology, endocrine system, medulla

The Endocrine System: Adrenal Glands

2017 ◽  
Author(s):  
Abbas Al-Kurd ◽  
Haggi Mazeh
Keyword(s):  
Adrenal Gland ◽  
Key Words ◽  
Patient Group ◽  
Clinical Relevance ◽  
Perioperative Management ◽  
Adrenal Glands ◽  
Preoperative Evaluation ◽  
Endocrine System ◽  
Anatomy And Physiology ◽  
Complicated Patient

The adrenal glands represent an essential component of the endocrine system, and their failure can have catastrophic consequences to several aspects of bodily homeostasis. Each adrenal gland can be divided into two different endocrine components, the cortex and the medulla, each with distinct functions. This in-depth review of normal adrenal embryology, anatomy, and physiology also emphasizes the clinical relevance of various irregularities in adrenal functioning. Every surgeon attempting to manage adrenal diseases is expected to be familiar with the detailed pathophysiology of these conditions because such an understanding is essential for sound preoperative evaluation and perioperative management of this potentially complicated patient group.  This review contains 4 figures, 1 table, and 70 references. Key words: adrenal, adrenal glands, adrenal pathophysiology, adrenal physiology, anatomy of adrenal glands, cortex, embryology, endocrine system, medulla

The Endocrine System: Adrenal Glands

2017 ◽  
Author(s):  
Abbas Al-Kurd ◽  
Haggi Mazeh
Keyword(s):  
Adrenal Gland ◽  
Key Words ◽  
Patient Group ◽  
Clinical Relevance ◽  
Perioperative Management ◽  
Adrenal Glands ◽  
Preoperative Evaluation ◽  
Endocrine System ◽  
Anatomy And Physiology ◽  
Complicated Patient

The adrenal glands represent an essential component of the endocrine system, and their failure can have catastrophic consequences to several aspects of bodily homeostasis. Each adrenal gland can be divided into two different endocrine components, the cortex and the medulla, each with distinct functions. This in-depth review of normal adrenal embryology, anatomy, and physiology also emphasizes the clinical relevance of various irregularities in adrenal functioning. Every surgeon attempting to manage adrenal diseases is expected to be familiar with the detailed pathophysiology of these conditions because such an understanding is essential for sound preoperative evaluation and perioperative management of this potentially complicated patient group.  This review contains 4 figures, 1 table, and 70 references. Key words: adrenal, adrenal glands, adrenal pathophysiology, adrenal physiology, anatomy of adrenal glands, cortex, embryology, endocrine system, medulla

764 What Do You Think? The Ethics of Treating the Medically and Socially Complicated Patient

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S215-S216
Author(s):  
Monica L Gerrek ◽  
Marcie A Lambrix ◽  
Oliver Schirokauer ◽  
Tammy Coffee ◽  
Charles Yowler
Keyword(s):  
Decision Making ◽  
Annual Meeting ◽  
Medical Decision Making ◽  
Biomedical Ethics ◽  
Medical Decision ◽  
Care Providers ◽  
Term Survival ◽  
Burn Care ◽  
Regional Meeting ◽  
Complicated Patient

Abstract Introduction Medically complicated burn patients also often present with complex social situations which raise difficult ethical questions for the providers caring for them. While the four principles of biomedical ethics, respect for autonomy, nonmaleficence, beneficence, and justice help guide medical decision making, providers are often faced with making recommendations that are ethically uncomfortable for them. Methods At the ABA Annual Meeting in 2019, we presented a poster of a case of a medically, socially, and ethically complicated patient who was treated at our verified burn unit about a decade ago. Embedded in the poster was a QR code and weblink that people could scan to get to a 10-item online survey containing questions regarding decision making in the case. For our regional burn conference in September 2019, we asked the organizers to send an email containing a summary of the case and a link to the survey via email to all of those who had registered two weeks before the conference. A summary of the case follows: 47-year-old male with an 81% TBSA burn from a car accident, currently intubated and sedated and unable to participate in medical decision making. He needs four limb amputations, though his chance of long-term survival is ultimately thought to be less than 10–20%; best case scenario is a vent-dependent life with tetraplegia, likely without prosthetics due to skin graft issues. He has a very complicated family situation. Survey questions included those about whether it was medically appropriate to do or not do the amputations, how that appropriateness should be assessed, the extent to which the patient’s previous expressed wishes matter, who the appropriate surrogate is, and whether and to what extent the medical team’s feelings about the situation matter. Results Twelve people at the ABA annual meeting and 17 people from the regional meeting responded to the survey. Every respondent answered every question. While there were some similar responses, there were also those with significant variation. Of note, at the ABA, 50% of respondents felt the evidence needed to withdraw treatment was the same as that needed to continue treatment; 70% of participants at the regional meeting thought this. 25% of respondents at the ABA thought it was extremely important that a decision be made that allows team members to sleep at night; 17.65% of participants at the regional meeting thought this. Conclusions Burn care providers do not agree on important aspects of decision making for patients who are medically, socially, and ethically complicated. Applicability of Research to Practice Further discussion of decision making in burn care is needed to help increase provider comfort in making recommendations for patients who are medically, socially, and ethically complicated.

scholarly journals Clinic, complex and complicated patient, relations and connexions

2012 ◽  
Author(s):  
Ivan Cavicchi
Keyword(s):  
Scientific Evidence ◽  
Patient Relations ◽  
Complicated Patient

To know the complexity of patient the clinic should think about the relations of complexity which can bond scientific evidence and doctor and patient. To think and to act according to the relations means to settle a clinic, pragmatic and reasonable rational.

scholarly journals Photo Quiz: Nausea and Emesis in a Complicated Patient: Fig 1

2013 ◽  
Vol 51 (11) ◽  
pp. 3475-3475
Author(s):  
Diana M. Haninger ◽  
James W. Snyder
Keyword(s):  
Nausea And Emesis ◽  
Complicated Patient

3. A case of obsessional neurosis

2015 ◽  
Author(s):  
Daniel Pick
Keyword(s):  
Sigmund Freud ◽  
Obsessional Neurosis ◽  
The Mind ◽  
Complicated Patient

‘A case of obsessional neurosis’ discusses the case of a patient that Sigmund Freud first met in 1907. This particular and complicated patient was known as ‘The Rat Man’. The patient faced a desperate internal situation and was also incredulous, as his analysis unfolded, that he could be so encumbered by thoughts and driven to actions that defied rational sense. Freud went to extraordinary lengths to grasp the ideas behind his patient’s apparently nonsensical activities, to trace his psychic history, and to understand how obsessional doubts governed his life. Freud’s 1923 model of the mind and its three agencies—the superego, ego, and id—are also considered.

Laparoscopic colorectal surgery in the complicated patient

2008 ◽  
Vol 196 (6) ◽  
pp. 1004 ◽  
Author(s):  
Ziya Salihoglu ◽  
Fatih Aydogan
Keyword(s):  
Colorectal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Complicated Patient
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