scholarly journals To casuistry of idiocy

1907 ◽  
Vol XIV (2) ◽  
pp. 155-174
Author(s):  
N. A. Glushkov

Looking through the stories of patients who passed through our hands in 1906 in a difficult department of the Kazan District Hospital, we drew attention to a rather rare case of idiocy, which, unfortunately, we had to observe for a very short time, why its study was of a general nature, and there is much in the clinical picture seemed unclear. However, we had to perform an autopsy on this patient and, examining his brain, we hoped to find the key to understanding those phenomena that seemed incomprehensible during his lifetime.

1934 ◽  
Vol 30 (5) ◽  
pp. 477-478

Dr. Ter-Ayrapetyan G.S. Demonstrated a patient with lupus erytematdes. Localization and clinical picture of the disease are usual. But the patient undoubtedly has hereditary syphilis. Anamnesis: progressive paralysis in the mother, four spontaneous abortions, guttschinsonism, cardiac defect with sharply pronounced early vascular sclerosis, especially of the abdominal aorta. This circumstance prompted the speaker to hold the idea that hereditary syphilis played a decisive role in the etiology of this disease.


Author(s):  
Bhanupriya .

Primary ovarian ectopic is a rare variant of ectopic pregnancies. It is commonly confused with tubal pregnancy aborted over ovary, hemorrhagic ovarian cyst, ruptured corpus luteal cyst. The women with ovarian ectopic generally presents early because of early onset hemorrhage in ovary. This is a rare case where woman with ectopic pregnancy presents at 13 weeks. The clinical picture is also highly unusual with just spotting and fainting attacks at the end of first trimester to make a diagnosis of ectopic pregnancy. The laparotomy done showed an unruptured ovarian ectopic pregnancy and with 350 cc hemoperitoneum. Salpingoopherectomy was done and the ectopic mass was removed as hardly any ovarian tissue was left to conserve the ovary. Hence, clinicians should be cautious enough to keep a differential diagnosis of ectopic even at advanced gestation.


2019 ◽  
Vol 23 (3) ◽  
pp. 166-168
Author(s):  
A. E. Soloviev

Purpose. To study the clinical picture, diagnosis and treatment of epispadias in girls. Material and methods. 22 girls with epispadias of various forms were under supervision for 50 years. During diagnostics the following issues were used: anamnesis, examination, catheterization and uroflowmetry, cystoscopy of the bladder, ultrasound and X-ray examination. Results and discussion. Out of 22 girls with epispadias, clitoral epispadia (partial ) was in 10 patients; sub-symphisal (subtotal) - in 4; symphisal (total) - in 8 girls. In 10 girls with the clitoral form, urological examination was made because of changes in the urine. Girls with sub-symphisal epispadia complained of irritation and itching in the vulva. All had vulvitis, cystitis, chronic pyelonephritis. In 2 patients, renal doubling was diagnosed; in other 2 patients ureterohydronephrosis and kidney dystopia were diagnosed. Uroflowmetry revealed hyperactive bladder in all. 8 girls with the total (symphisial) form of epispadia and urinary incontinence were operated by the Derzhavin technique; after the surgery the function of bladder sphincter was restored and the patients could have a normal quality of life. Conclusion. Epispadia in girls is a rare case . There are clitoral, sub-symphisal and symphisal (total) forms of epispadias. Cluster and sub-symphisial forms do not require surgical treatment. While in the symphisial (total) form, plastic surgery on the bladder neck by the Derzhavin technique is recommended. It is a good option for recovery.


2022 ◽  
Vol 13 (e) ◽  
pp. e1-e1
Author(s):  
Dassouli Ryme ◽  
Hanane BayBay ◽  
Souad Choukri ◽  
Zakia Douhi ◽  
Sara Elloudi ◽  
...  

Erythema migrans necrolytica is a red, blistering rash that spreads over the skin. It particularly affects the skin around the mouth and distal extremities, but can also be found on the lower abdomen, buttocks, perineum and groin. It is strongly associated with glucagonoma, a glucagon-producing tumor of the pancreas, but is also seen in a number of other conditions, including liver disease and intestinal malabsorption such as celiac disease. We present a case of a patient with a history of poorly followed celiac disease presenting with a clinical picture of ENM. This rare case adds to our understanding of the clinical presentation of NME, as well as highlights the importance of acting in a timely manner to avoid the most redoubtful complications.


Author(s):  
Komal Kuldeepsingh Chhabra

Craniopagus Parasiticus is a very rare type of parasitic twinning. It has an incidence of only 4-6/10,00,000 births. Most of the babies with Craniopagus Parasiticus are still born with only few cases which survived after postpartum surgical separation. In Craniopagus Parasiticus the head of one of the twins is parasitic and protrudes from the head of the normal twin with an undeveloped or underdeveloped body. The skulls of the twins are fused but the body of one of the twins is not developed. The developed twin is known as the auto site while the undeveloped twin is the parasite. Age of the mother or certain nutritional factors have been implicated in the etiology of this type of twinning. This is a rare case report of a female baby with a parasitic craniopagus delivered vaginally at this district hospital. The patient was a fourth gravida 28 year old. There was antenatal polyhydramnios. The patient delivered preterm a still born female baby with a parasitic co-twin. In this case the heads of the twins were fused in temporal and parietal areas while the body of the parasitic twin was completely undeveloped. It was a morphologically female baby with rudimentary labia. The causes of Craniopagus Parasiticus are still not known. Scientists and researchers are continuing work to determine these and also to improve the prognosis and chances of post-surgical survival of these twins. Till present day however there have been only limited number of studies on Craniopagus Parasiticus owing to the rarity of the cases.


2017 ◽  
Vol 35 (5) ◽  
pp. 287-290
Author(s):  
Francesca Angiero ◽  
Franco Ferrante ◽  
Rolando Crippa ◽  
Andrea Ottonello ◽  
Stefania Mauro ◽  
...  
Keyword(s):  

The Clinician ◽  
2019 ◽  
Vol 13 (1-2) ◽  
pp. 65-71
Author(s):  
N. S. Chipigina ◽  
N. Yu. Karpova ◽  
M. M. Tulinov ◽  
E. V. Golovko ◽  
L. M. Goloukhova ◽  
...  

Objective: to describe a rare case of infective endocarditis (IE) with isolated localization in the pulmonary valve (PV).Materials and methods. We observed primary IE with isolated localization in the PV in a 27-year-old female patient without risk factors of right-side IE.Results. The disease was caused by Streptococcus gordonii and proceeded acutely with typical signs of right-side IE: fever above 38 °С, chills, clinical picture of bilateral septic embolic abscess pneumonia, as well as secondary anemia, secondary thrombocytopenia, and glomerulonephritis. Echocardiography showed large vegetations in the PV prolapsing in the right ventricle and pulmonary artery.Conclusion. IE with localization in the PV should be suspected in patients with fever and clinical picture of septic embolic pneumonia in absence of other embolic situations.


2014 ◽  
Vol 60 (5) ◽  
pp. 26-28
Author(s):  
A M Lapshina ◽  
I A Voronkova ◽  
A Yu Abrosimov ◽  
R V Molochkov ◽  
D G Bel’tsevich ◽  
...  

The authors describe a rare case of parathyroid cancer characterized by the obscure clinical picture of hyperparathyroidism and subtotal ingrowth of the tumour through the right lobe of the thyroid gland.


2020 ◽  
Vol 3 (1) ◽  
pp. 34-41
Author(s):  
Salim AL Habsi ◽  
Khalifa AL Ghafri ◽  
Mansour Elsaid ◽  
Abdulrahman AL Subhi ◽  
Hunaina AL Kindi ◽  
...  

Lumbar facet cysts arise from zygapophyseal joints and are commonly associated with spondylosis. They are a rare cause of symptomatic nerve root compression. We are presenting a rare case of L4/5 lumbar facet cyst compressing the nerve root in a patient presenting with L5 radiculopathy. The clinical picture of a facet cyst in this case is similar to intervertebral disc disease.


Folia Medica ◽  
2010 ◽  
Vol 52 (3) ◽  
pp. 74-77 ◽  
Author(s):  
Yanko Iliev ◽  
Stoilka Tufkova ◽  
Maria Prancheva

A Rare Case of Severe Intoxication from Multiple Bee Stings with a Favorable OutcomeA 73-year old female of no allergic diathesis was attacked by bees and stung all over her body accidentally sustaining more than 518 stings for a very short time. Severe acute poisoning developed from the bee venom, manifested by coma, rhabdomyolysis, toxic hepatitis, acute renal failure, gastric hemorrhage and anemia. Following an active treatment the patient recovered. Literature search shows this to be a rare case of survival after multiple bee stings.


Sign in / Sign up

Export Citation Format

Share Document