scholarly journals January 2022 Critical Care Case of the Month: Ataque Isquémico Transitorio in Spanish

2022 ◽  
Vol 24 (1) ◽  
pp. 1-5
Author(s):  
Mohammad Mahmoud ◽  
◽  
Bo Gu ◽  
Benito Armenta ◽  
Nikita Samra
Keyword(s):  
Family History ◽  
Social History ◽  
Illicit Drugs ◽  
Medical Service ◽  
Blurred Vision ◽  
Old Spanish ◽  
History Of ◽  
Ct Head ◽  
Contrast Ct ◽  
The Brain

No abstract available. Article truncated after 150 words. History of Present Illness: The patient is a previously healthy 61-year-old Spanish-speaking woman who was unable to speak after awakening. Per Emergency Medical Service she was found to be aphasic upon their arrival. While in the Emergency Room the patient was able to speak, alert and oriented x4, with all her symptoms spontaneously resolved. The patient denied fever, chills, blurred vision, headache or any history of migraines, TIA, or stroke. The patient had a similar event about two weeks earlier which also spontaneously resolved. During that time, the patient had a non-contrast CT head and an MRI of the brain, both of which were unremarkable. Her home medications include aspirin 81 mg and atorvastatin 40 mg daily. Past Medical History, Family History and Social History: The patient denies tobacco use or use of illicit drugs. She reports that she will occasionally drink alcohol. There is no family history of strokes. …

scholarly journals Familial Retinal Arteriolar Tortuosity with Acute Hippocampal Infarction

2017 ◽  
Vol 8 (1) ◽  
pp. 185-189 ◽  
Author(s):  
Tae Hee Kim ◽  
Sonia Lee ◽  
Su Jin Lim
Keyword(s):  
Past History ◽  
Brain Magnetic Resonance Imaging ◽  
Transient Global Amnesia ◽  
Subcortical White Matter ◽  
Blurred Vision ◽  
Retinal Arterioles ◽  
History Of ◽  
Global Amnesia ◽  
The Brain ◽  
Retinal Arteriolar

Purpose: To report a case of familial retinal arteriolar tortuosity with acute hippocampal infarction. Method: Single-patient case report. Results: A 50-year-old woman presented with blurred vision and was found to have cataract, retinal hemorrhages, and tortuous retinal arterioles in both eyes. Similar findings of tortuous retinal arterioles were observed in her daughter and son. In her past history of 6 years prior to the visit, she had been diagnosed with transient global amnesia after brain magnetic resonance imaging, which showed hippocampal infarction and multiple chronic ischemic lesions in the periventricular and subcortical white matter. Conclusion: Familial retinal arteriolar tortuosity is known to affect the retinal vessels only. To our knowledge, this is the first report of ischemic injury to the brain in a patient with familial retinal arteriolar tortuosity.

Psycho-Oncology: Cancer patients with past suicide attempts, or a family history of suicide.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e23173-e23173
Author(s):  
Daniela Gercovich ◽  
Ernesto Gil Deza ◽  
Flavio Tognelli ◽  
Carlos Fernando Garcia Gerardi ◽  
Claudia Lorena Acuna ◽  
...  
Keyword(s):  
Family History ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Illicit Drugs ◽  
Suicide Attempts ◽  
The United States ◽  
Population Characteristics ◽  
History Of ◽  
Psychological Risk

e23173 Background: “The suicide rate in cancer patients is twice that observed in the general population in the United States” (JNCI vol 100, 24, page 1750, 2008). This paper focuses ona population with great psychological risk: cancer patients (Pt) with previous suicide attempts (SA) or a family history of suicide (FS); both grouped under SAFS for the purpose of this study. Methods: Between 9/26/2012 and 11/28/2018 all new patients (Pt) admitted to IOHM filled out a Past Medical History Form (PMHF) (ASCO 2013 ABST. e17539) with their preexisting clinical conditions. The database was locked and anonymized. Those with a history of SAFS before cancer diagnosis were selected. Results: Out of 15,617 Pt, 184 Pt (1.2%) were SAFS(141 Pt were SA, 39 Pt were FS and 4 Pt were both). The relative risk ofSA was ten times larger for those with FS. Psychiatric Medication: Antipsychotics: 15Pt (8%), Antidepressants: 23 Pt (12%) and Benzodiazepines 45 Pt(24%), No treatment 101 Pt (55%). Population Characteristics: Sex: F:144 Pt . M: 40 Pt. Age: 56y (r = 26-88). Tumor Dx: Breast (65 Pt ) - Gastrointestinal (24 Pt) - Urological (21 Pt ) - Lung (21 Pt ) -Gynecological (19 Pt) - Hematological (11 Pt) -Head &Neck (8 Pt) - Endocrine (7 Pt) - Other (8 Pt). Stages: Early (0-I-II-III): 130 Pt, Advanced: 54 Pt. Ob-Gyn history:25 Pt (17%) nulliparous, 18 Pt (12%) with one child, 77 Pt (53%) with 2 or 3 children and 24 Pt (17%) with more than 3 children; 62 Pt (43%) had previous abortions. Average severe comorbidities (respiratory and psychiatric) was 3 per Pt (r = 0-18). Toxic habits: Smoking: 120 Pt (65%), Alcohol: 37 Pt (20%) and Illicit Drugs: 4 Pt (2%). Follow-up: 19 months (r = 0-70). No Pt had any SA, or commited suicide, during the follow-up.Living patients:177 (96%). Conclusions: 1) In our vast cohort, 184 Pt (1.2%) were identified as highly vulnerable psychiatric Pt due to SAFS. 2) Given the high psychological risk and stressful cancer diagnosis, 83 Pt (45%) were prescribed psychiatric drugs. 3) Follow-up of SAFS Pt by a multidisciplinary team is requiredfor adequate Pt and family support.

The Royal Marines on Franklin's last expedition

Polar Record ◽  
2004 ◽  
Vol 40 (4) ◽  
pp. 319-326 ◽  
Author(s):  
Ralph Lloyd-Jones
Keyword(s):  
Family History ◽  
Social History ◽  
Northwest Passage ◽  
The Social ◽  
History Of ◽  
The Individual

Using methods developed by family history researchers, it is possible to discover a remarkable amount about the individual lives of many men involved in Sir John Franklin's last fatal attempt to discover a Northwest Passage. This work constitutes what might be called ‘the social history’ of Franklin studies, relevant to that voyage in particular, and the early Victorian navy in general. Light is shed upon the lives of the Royal Marines aboard both HMS Erebus and HMS Terror, men who sailed and died with Franklin.

scholarly journals Height and the High Life: What Future for a Tall Story?

2006 ◽  
Author(s):  
Timothy Leunig ◽  
Hans-Joachim Voth
Keyword(s):  
Health Status ◽  
Family History ◽  
Social History ◽  
Economic History ◽  
Well Being ◽  
Standard Of Living ◽  
Reliable Indicator ◽  
The Past ◽  
History Of ◽  
Developed World

This chapter discusses height as a reliable indicator of health status and standard of living. It also suggests that mapping from height to other measures of well-being has attracted the attention of economic historians. The history of heights may prove to be a useful means by which economic historians can better explain the past. The first area is social history, and in particular family history, in the developed world. The second is the economic history of those countries or areas with limited amounts of other data.

scholarly journals Genetic variants associated with addictive behavior in Colombian addicted and non-addicted to heroin or cocaine

2013 ◽  
pp. 19-25 ◽  
Author(s):  
Carlos Isaza ◽  
Julieta Henao ◽  
Leonardo Beltrán ◽  
Liliana Porras-Hurtado ◽  
Martha Gonzalez ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Family History ◽  
Genetic Variants ◽  
Illicit Drugs ◽  
Age Of Onset ◽  
Addictive Behavior ◽  
Control Group ◽  
Abcb1 Gene ◽  
History Of ◽  
Pcr Techniques

Objective: Determine the prevalence and compare some genetic markers involved in addictive behavior in agroup of addicts to derivative of coca (cocaine/crack) or heroin and a control group of non-addicted peoplematched for gender, age and ethnicity. Methods: A 120 addicts and 120 non-addicts Colombian male were surveyed and genotyped for 18 polymorphismof the OPRM1, DRD2, DRD4, SLC6A3, SLC6A4, ABCB1, DβH and CYP2B6 genes. For the identificationof alleles markers were used mini-sequencing and fragment multiplex PCR techniques; ethnicity of cases and controls was analyzed with 61 AIMs. Results: The age of onset use of heroin or coca derivatives (cocaine/crack) was 16.5±6 yrs and 99.2% of them consume several illicit drugs. It showed that controls and addicts belong to the same ethnic group. Significant differences between addicts and controls in relation to schooling, marital status, social security family history of substance abuse (p<0.001), Int8-VNTR SLC6A3 gene (p= 0.015) and SNP 3435C>T ABCB1 gene (p= 0.001)were found. Conclusion: The present results indicate that the VNTR-6R polymorphism of the gene SLC6A3 and the genotype 3435CC in the ABCB1 gene, are both associated with addictive behavior to heroin or cocaine.

scholarly journals A Case of Cephalic Tetanus in an Elderly Patient with Trismus

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Marilia Bernardes ◽  
Saberio Lo Presti ◽  
Kenneth Ratzan
Keyword(s):  
Immune Globulin ◽  
Early Recognition ◽  
Oral Candidiasis ◽  
Presumptive Diagnosis ◽  
Temporomandibular Joints ◽  
History Of ◽  
Ct Head ◽  
Clonic Seizures ◽  
Cephalic Tetanus ◽  
The Brain

We report a case of a 77-year-old woman who presented to the Emergency Room with a three-day history of oral lesions and jaw tightness. Her physical examination was remarkable for the presence of trismus and white ulcers on the visible portion of the tongue. CT head and neck was unremarkable, and she was discharged with empiric treatment for oral candidiasis. She returned two days later with worsening symptoms and subsequently developed tonic-clonic seizures. MRI of the brain and temporomandibular joints were noncontributory. Psychiatry was consulted, and the patient was prescribed olanzapine and mirtazapine for suspected depression with somatization symptoms. She continued to deteriorate despite therapy and developed right lid ptosis and ophthalmoparesis, which led to a presumptive diagnosis of cephalic tetanus. On the 14th day of illness, tetanus immune globulin, metronidazole, and tetanus toxoid vaccine were administered. Despite treatment, the patient died after 24 days of hospitalization. This case illustrates the importance of early recognition of tetanus since successful treatment depends on timely administration of immune globulin.

scholarly journals Aseptic meningitis and hydrocephalus secondary to neurosarcoidosis

2021 ◽  
Vol 14 (8) ◽  
pp. e242312
Author(s):  
Anmol Pandey ◽  
Thomas Stoker ◽  
Lukasz A Adamczyk ◽  
Sybil Stacpoole
Keyword(s):  
Urinary Incontinence ◽  
Aseptic Meningitis ◽  
Multidisciplinary Approach ◽  
Personality Change ◽  
Blurred Vision ◽  
Memory Problems ◽  
Granulomatous Lymphadenitis ◽  
History Of ◽  
Tectal Plate ◽  
The Brain

A 53-year-old woman presented to hospital with gait instability, urinary incontinence and confusion. She had a 4-month history of headache, blurred vision, personality change and memory problems. Magnetic Resonance Imaging of the brain after contrast application showed tectal plate and occipital enhancement, as well as a known hydrocephalus. Cerebrospinal fluid showed aseptic meningitis with no evidence of clonal expansion. After further imaging that showed generalised lymphadenopathy and subsequent tissue biopsy that showed granulomatous lymphadenitis, she was diagnosed with neurosarcoidosis. She was treated with steroids which resulted in immediate cognitive and motor improvements as well as resolution of her urinary incontinence. We discuss the features of this case that pointed towards neoplastic, infective and other autoimmune aetiologies. We describe how they were excluded and provide the rationale for our treatment. This case demonstrates an important sequela sarcoidosis, and we conclude by recommending a multidisciplinary approach towards its diagnosis and management.

Does the Family Have a History?

1982 ◽  
Vol 6 (2) ◽  
pp. 131-179
Author(s):  
Louise A. Tilly ◽  
Miriam Cohen
Keyword(s):  
Family History ◽  
Social History ◽  
Demographic History ◽  
Comparative History ◽  
Special Issue ◽  
The Family ◽  
History Of ◽  
One Year

Whence and whither family history? In his bibliographic and programmatic essay, Hobsbawm (1971) did not mention family history as a subfield of what was then the relatively “new” social history. The closest he came was “demography and kinship.” In 1980, by which time social history was definitely mature, and according to some critics, even in decline, the proceedings of a conference on history in the 1980s included a 37-page essay by Stone (1981b; see also Stone, 1981a, 1978) on family history. Several bellwethers of the change may be noted in passing. One year after the 1968 conference for which Hobsbawm's comments were originally prepared, the Cambridge Group for the History of Population held a meeting whose subject—the comparative history of householdand family—went beyond strictly demographic history. In 1972, a family history newsletter was launched by Professor Tamara Hareven, in cooperation with the Newberry Library in Chicago; a special issue of theJournal of Interdisciplinary Historyon “The History of the Family” appeared in 1971; a special issue ofAnnales: Economies, Societes et Civilisationsdevoted to “Famille et Societé”was published in 1972. By the time theJournal of Family History, edited by Hareven, began publication in 1976, two more special issues on family history of theJournal of Interdisciplinary Historywere required reading for those calling themselves social historians.

scholarly journals Bilateral optic perineuritis associated with p-ANCA vasculitis

2019 ◽  
Vol 1 (2) ◽  
pp. 139-144
Author(s):  
Ivan Cheng En Yoo ◽  
Yong Meng Hsien ◽  
Mushawiahti Binti Mustapha ◽  
Jemaima Che Hamzah
Keyword(s):  
Previous History ◽  
Ocular Involvement ◽  
Intravenous Methylprednisolone ◽  
Blurred Vision ◽  
Anca Vasculitis ◽  
Severe Visual Loss ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Optic Discs ◽  
The Brain

A 69-year-old Chinese woman with underlying perinuclear anti-neutrophil cytoplasmic antibody associated with vasculitis (p-ANCA vasculitis) with no previous history of ocular involvement experienced one week of blurred vision in both eyes associated with pain. Ophthalmological evaluation demonstrated severe visual loss in both eyes, with pale optic discs but without other signs of ocular vasculitis. Magnetic resonance imaging (MRI) of the brain and orbit revealed bilateral enhancement of the optic nerve sheath with classical tram-track and doughnut signs. Intravenous methylprednisolone was given for five days and marked improvement of vision was seen. In patients with p-ANCA vasculitis, bilateral optic perineuritis (OPN) is uncommon but can be one of the treatable causes to be considered, with good response to prompt steroid treatment.

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