scholarly journals Lipoma Arborescens of the Knee: Report of Three Cases and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Ioannis Tsifountoudis ◽  
Dimitrios Kapoutsis ◽  
Anastasios-Nektarios Tzavellas ◽  
Ioannis Kalaitzoglou ◽  
Apostolos Tsikes ◽  
...  
Keyword(s):  
Previous History ◽  
Young Male ◽  
Clinical Findings ◽  
Imaging Features ◽  
Lipoma Arborescens ◽  
History Of ◽  
Suprapatellar Pouch ◽  
Benign Nature ◽  
Slow Growing

Lipoma arborescens is a chronic, slow-growing, intra-articular lesion of benign nature, which is characterized by villous proliferation of the synovium, with replacement of the subsynovial connective tissue by mature fat cells. It usually involves the suprapatellar pouch of the knee joint. It is not a neoplasm but is rather considered a nonspecific reactive response to chronic synovial irritation, due to either mechanical or inflammatory insults. We report three cases of lipoma arborescens affecting the knee, the first in a young male without previous history of arthritis or trauma, the second in a 58-year-old male associated with osteoarthritis, and the final in a 44-year-old male diagnosed with psoriatic arthritis, which cover the entire pathologic spectrum of this unusual entity. We highlight the clinical findings and imaging features, by emphasizing especially the role of MRI, in the differential diagnosis of other, more complex intra-articular masses.

Young Male with Bilateral ICA Dissection: Beyond CADISS Trial

2021 ◽  
pp. 251660852098428
Author(s):  
Vikas Bhatia ◽  
Chirag Jain ◽  
Sucharita Ray ◽  
jay Kumar
Keyword(s):  
Management Strategies ◽  
Young Male ◽  
Acute Onset ◽  
The Body ◽  
Artery Dissection ◽  
Cervical Artery Dissection ◽  
Stroke Study ◽  
History Of

Objective: To report a case of young male with stroke and bilateral internal carotid artery (ICA) dissection. Background: Cervical Artery Dissection in Stroke Study trial has provided some insight on management of patients with ICA dissection. However, there is a need to modify the management strategies as per specific clinical scenario. Design/Methods: Case report and literature review. Results: A 45-year-old male presented with 1 month old history of acute onset numbness of right half of the body with slurring of speech. Computed tomography angiography showed complete occlusion of left cervical ICA just beyond origin with presence of fusiform dilatation and spiral flap in right extracranial cervical ICA. The patient was started on antiplatelets and taken for endovascular procedure using 2-mesh-based carotid stents. Patient was discharged after 3 days on antiplatelet therapy. At 1-year follow-up, there were no fresh symptoms. Conclusion: This case emphasizes the role of successful endovascular management of carotid dissection in a young male. These clinical situations may not be fully represented in trials, and a case-based approach is required.

scholarly journals Venipuncture Induced Complex Regional Pain Syndrome Presenting as Inflammatory Arthritis

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Punit Pruthi ◽  
Pramod Arora ◽  
Manoj Mittal ◽  
Anugrah Nair ◽  
Waqia Sultana
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Inflammatory Arthritis ◽  
Young Male ◽  
Pain Syndrome ◽  
Poor Response ◽  
History Of ◽  
Diagnostic Modalities ◽  
Musculoskeletal Ultrasonography ◽  
The Right

Venipuncture is one of the most commonly done medical procedures. We report a unique case of a 23-year-old young male who presented with features suggestive of inflammatory arthritis. The symptoms, which initially started on the right side, also involved the other side after a few weeks. Although the patient’s symptoms and signs were simulating inflammatory arthritis, he had atypical features like poor response to anti-inflammatory medicines and normal laboratory parameters. His musculoskeletal ultrasonography was also not suggestive of arthritis. His history was reviewed and on direct questioning he revealed a history of venipuncture for blood sample withdrawal, done from right antecubital region for routine health check on the day prior to the onset of symptoms. Complex regional pain syndrome was suspected and triple-phase radioisotope bone scan was done which was highly suggestive of this diagnosis. The patient was managed with multidimensional approach and responded very well to the treatment. Complex regional pain syndrome is usually not thought of in the initial differential diagnosis of inflammatory arthritis. In this report we highlight the need to elicit the often overlooked history of trivial trauma like venipuncture, especially in atypical cases of arthritis. Also the role of newer diagnostic modalities in such cases is emphasized.

scholarly journals A Case of Schizophrenia in a Young Male Adult with no History of Substance Abuse: Impact of Clinical Pharmacists’ Interventions on Patient Outcome

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Mercy N. A. Opare-Addo ◽  
Josephine Mensah ◽  
Grace Owusu Aboagye
Keyword(s):  
Substance Abuse ◽  
Sense Of Self ◽  
Young Male ◽  
Antipsychotic Therapy ◽  
Male Adult ◽  
Clinical Pharmacists ◽  
History Of ◽  
Young Male Adult ◽  
Key Interventions

Schizophrenia is a chronic and severe mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behaviour. This report presents the role of clinical pharmacists in the management of a patient diagnosed with schizophrenia with symptoms of paranoia. A gainfully employed young African male adult reported to be roaming around town moving from one bank to another was arrested. The patient was referred to the psychiatric unit of a hospital and diagnosed with schizophrenia. Key interventions offered included rapid tranquilization, electroconvulsive therapy, and psychotherapy. Medications administered to the patient while on admission included IV diazepam, IM haloperidol, IV Ketamine, IM flupentixol, olanzapine tablets, and trihexyphenidyl tablets. Issues raised by clinical pharmacists during the patient’s admission included need for alternative medication for rapid tranquilization, need for initial investigations and documentation of the patient’s vitals, initiation of antipsychotic therapy without initial monitoring and screening for substance abuse, inappropriate dose at initiation of antipsychotic medications, untreated indication, and incidence of missed doses. Interventions by the clinical pharmacists contributed to improvement in the patient’s symptoms prior to hospital discharge. The case proves that it is critical for clinical pharmacists to be involved in the multidisciplinary team during management of patients with psychosis.

The efficacy of dopamine agonist therapy in a young man with a giant prolactinoma: case report

2017 ◽  
Vol 63 (4) ◽  
pp. 231-235
Author(s):  
Alexandr I. Tsiberkin ◽  
Tatiana L. Karonova ◽  
Anna B. Dalmatova ◽  
Elena N. Grineva
Keyword(s):  
Pituitary Adenoma ◽  
Pituitary Adenomas ◽  
Young Patients ◽  
Young Male ◽  
Serum Prolactin ◽  
Agonist Therapy ◽  
Giant Prolactinoma ◽  
Dopamine Agonist Therapy ◽  
History Of

Prolactinomas are the most common of hormone secreting pituitary adenomas. Patients with prolactinomas generally have a benign prognosis. An algorithm is currently available for managing of this disease. Giant prolactinoma larger than 40 mm with severe invasive growth account for about 2—3% of the prolactin-secreting pituitary adenomas and evidence about management of such patients is limited. This case illustrates progress of a giant prolactin-secreting pituitary adenoma up to 70 mm in young male with a family history of prolactinomas in the absence of the adequate therapy for 8 years after initial diagnosis. After evaluation, it was decided to prescribe medical treatment. Cabergoline therapy started after evaluation appeared to be effective and had lead to significant decrease of serum prolactin level and shrinkage of pituitary adenoma. Described case emphasize the crucial role of identification of hyperprolactinemia among young patients on early stages of the disease. Our observation implies that treatment with dopamine agonists might be effective even in cases with giant prolactinomas.

Pitfalls in the determination of intracranial spread of complicated suppurative sinusitis

1996 ◽  
Vol 110 (7) ◽  
pp. 673-675 ◽  
Author(s):  
B. J. Conlon ◽  
A. Curran ◽  
C. V. Timon
Keyword(s):  
Ct Scan ◽  
Previous History ◽  
Ct Scanning ◽  
Clinical Findings ◽  
Intracranial Extension ◽  
Sinus Disease ◽  
Grand Mal ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

AbstractWe present two cases of suppurative sinusitis that presented to our casualty department over a one-week period. Both patients suffered complications of the disease secondary to extension of the inflammatory process beyond the bony confines of the sinus. Neither of the patients had a previous history of sinus disease. The first patient deteriorated suddenly 24 hours after admission. The initial computed tomography (CT) scan failed to demonstrate a developing subdural empyema. This complication was confirmed following repeat scanning 24 hours later and the patient required urgent neurosurgical intervention and drainage. The second patient presented with periorbital cellulitis secondary to sinusitis and suffered a grand mal seziure on admission. Once again initial CT scan changes were subtle and significant intracranial extension was not noted until the subsequent magnetic resonance imaging (MRI) scan was performed.The purpose of this paper is to highlight the potential dangers over reliance on CT scanning in diagnosing early intracranial spread of sinus disease and we emphasise that the clinician must interpret any radiological investigations in light of the associated clinical findings.

Difference in Ratio of Evertor to Invertor Activity Between the Dominant and Nondominant Legs During Simulated Lateral Ankle Sprain

2013 ◽  
Vol 22 (4) ◽  
pp. 272-278 ◽  
Author(s):  
Adam C. Knight ◽  
Wendi H. Weimar
Keyword(s):  
Outcome Measures ◽  
Ankle Sprain ◽  
Muscle Activity ◽  
Repeated Measures ◽  
Previous History ◽  
Physically Active ◽  
Lateral Ankle ◽  
History Of ◽  
University Laboratory

Context:The dominant and nondominant legs respond asymmetrically during landing tasks, and this difference may occur during an inversion perturbation and provide insight into the role of ankle-evertor and -invertor muscle activity.Objective:To determine if there is a difference in the ratio of evertor to invertor activity between the dominant and nondominant legs and outer-sole conditions when the ankle is forced into inversion.Design:Repeated-measures single-group design.Setting:University laboratory.Participants:15 physically active healthy volunteers with no previous history of an ankle sprain or lower extremity surgery or fracture.Interventions:An outer sole with fulcrum was used to cause 25° of inversion at the subtalar joint after landing from a 27-cm step-down task. Participants performed 10 fulcrum trials on both the dominant and nondominant leg.Main Outcome Measures:The ratio of evertor to invertor muscle activity 200 ms before and 200 ms after the inversion perturbation was measured using electromyography. This ratio was the dependent variable. Independent variables included outer-sole condition (fulcrum, flat), leg (dominant, nondominant), and time (prelanding, postlanding). The data were analyzed with separate 2-way repeated-measures ANOVA, 1 for the prelanding ratios and 1 for the postlanding ratios.Results:For the postlanding ratios, the fulcrum outer sole had a significantly greater (P < .05) ratio than the flat outer sole, and the nondominant leg had a significantly greater (P < .05) ratio than the dominant leg.Conclusions:These results indicate that a greater evertor response is produced when the ankle is forced into inversion, and a greater response is produced for the nondominant leg, which may function better during a postural-stabilizing task than the dominant leg.

scholarly journals Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Nagham Saeed Jafar ◽  
Warkaa Al Shamkhani ◽  
Sunil Roy Thottuvelil Narayanan ◽  
Anil Kumar Rajappan
Keyword(s):  
Cardiac Sarcoidosis ◽  
Previous History ◽  
Pacemaker Implantation ◽  
Young Patients ◽  
Young Male ◽  
Pulmonary Involvement ◽  
Av Block ◽  
History Of ◽  
Exercise Induced ◽  
Cardiac Manifestations

Cardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis. Cardiac manifestations are seen in 2.3% of the patients. Atrioventricular (AV) block is one of the common manifestations of cardiac sarcoidosis. Other presentations of cardiac involvement include congestive heart failure, ventricular arrhythmias, and sudden cardiac death. The presence of AV block in young patients should raise the suspicion of sarcoidosis. AV block may be the only manifestation and patients may not have clinical evidence of pulmonary involvement. Here we describe a young male presented with exercise induced AV block rapidly progressing to complete heart block with recurrent syncope needing urgent pacemaker implantation. Factors that suggested an infiltrative process included his young age, rapidly progressive conduction abnormalities in the ECG in the absence of coronary disease, and previous history of cutaneous sarcoidosis.

scholarly journals OCCURRENCE OF OBSTRUCTIVE AIRWAY DISEASE IN TREATED PATIENTS OF PULMONARY TUBERCULOSIS : A RETROSPECTIVE STUDY

2020 ◽  
pp. 1-2
Author(s):  
Shivprasad Kasat ◽  
Ashish Deshmukh ◽  
Sunil Jadhav ◽  
Hafiz Deshmukh ◽  
Ashish Kendre
Keyword(s):  
Pulmonary Tuberculosis ◽  
Previous History ◽  
Previous Treatment ◽  
Airway Disease ◽  
Clinical Findings ◽  
Obstructive Airway Disease ◽  
Medical College ◽  
Duration Of Illness ◽  
History Of ◽  
Obstructive Airway Diseases

Aim: To study occurence of obstructive airway disease in treated patients of pulmonary tuberculosis. Materials and methods: 50 patients data collected from Respiratory medicine department, MGM medical college, Aurangabad, who visited OPD for various respiratory symptoms. It is ensured that patients who are participated in the study are non smokers. Previous history of pulmonary tuberculosis and treatment history is noted. Evidences of previous treatment and radiological images were collected. Each patient was subjected to a thorough clinical examination and spirometry. Results: Based on clinical findings, radiological findings, and spirometry findings, of the 50 patients studied, it is observed that 11(22%) patients had developed obstructive airway disease.4 (8%) patients have developed extensive fibrosis post tuberculosis. 3 (6%) patients have developed cavitation with fibrosis. 4 (8%) patients have developed bronchiectasis. Conclusion: It is not uncommon that obstructive airway disease occurs as a complication of post tuberculosis sequale. 22 percent of the patients studied, have developed different types of obstructive airway diseases. Many factors may influence in post tuberculosis complications such as extensiveness of parenchymal involvement, duration of illness, socio-economic factors. Obstructive airway disease can be a sequel of pulmonary tuberculosis and should be overlooked, especially in those patients complaining of dyspnea even in the absence of any history of smoking. Post-tuberculous obstructive airway disease as a cause of COPD in nonsmokers should be now more recognized in countries where the prevalence of pulmonary tuberculosis is still high.

scholarly journals Current concept of the pathogenesis of peri-implantitis and the role of bactéria.

2021 ◽  
Vol 3 (5) ◽  
pp. 09-30
Author(s):  
Anthony Davis ◽  
Mary Davis
Keyword(s):  
Previous History ◽  
Genetic Load ◽  
Current Concept ◽  
Risk Indicators ◽  
Cross Sectional ◽  
History Of ◽  
Periodontopathogenic Bacteria ◽  
Risk Situation ◽  
Edentulous Patients

Through an extensive review of the literature, our objective will be to clarify the current concept that exists about the pathogenesis of peri-implantitis, as well as the implications that bacteria may have on it. To date, different longitudinal and cross-sectional studies have identified some of the risk factors or risk indicators of peri-implantitis. Previous history of periodontal disease, diabetes, genetic load, poor oral hygiene, tobacco, alcohol consumption, absence of keratinized gingiva and the surface of the implants are some of the factors that have been analyzed in detail in the literature. The colonization of new surgically implanted surfaces represents a risk situation in partially edentulous patients, where periodontopathogenic bacteria from the residual bag play an important role.

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