scholarly journals Preterm vaginal en caul delivery in a case of severe oligohydramnios with pyelonephritis

2020 ◽  
Vol 9 (12) ◽  
pp. 5197
Author(s):  
Kashmira Ghosh ◽  
Arun Paul Choudhury
Keyword(s):  
Back Pain ◽  
Amniotic Membrane ◽  
Birth Trauma ◽  
Premature Births ◽  
Lower Back ◽  
Active Labour ◽  
Vaginal Deliveries ◽  
Multiparous Women ◽  
History Of ◽  
Sepsis Screen

En caul deliveries are very rare and are associated with prematurity. Approximately 40 percent of spontaneous premature births are thought to be caused by infection.  Preterm along with oligohydramnios can lead to en caul delivery. We report a case of 27-year-old gravida 4 multiparous women with a history of 2 normal vaginal deliveries NSVD and 1 spontaneous abortion, who presented at 32 weeks of gestation in active labour and delivered preterm viable female with an intact placenta contained within the amniotic sac as a unit “en caul.” Since the patient gave a history of lower back pain with burning micturition for 1 month which remained consistent after delivery, ultrasonography whole abdomen was done and bilateral pyelonephritis was diagnosed. However, the baby’s sepsis screen was negative and discharged healthy.  We report this case because of its rarity of occurrence and to show that intact amniotic membrane during birth can protect the baby from birth trauma and infections.

A man with a short history of lower back pain

BMJ ◽  
2016 ◽  
pp. i1722
Author(s):  
Alison Edwards ◽  
Preethi Nalla ◽  
L D Premawardhana
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Short History ◽  
Lower Back ◽  
History Of

BACK PAIN CHARACTERISTICS IN PHYSICAL AND OFFICE WORKERS

2018 ◽  
Vol 4 ◽  
pp. 283-292
Author(s):  
Maciej Swiat ◽  
Katarzyna Kozłowska ◽  
Anna Pilis ◽  
Lucyna Ptaszkowska ◽  
Wieslaw Pilis ◽  
...  
Keyword(s):  
Back Pain ◽  
Office Workers ◽  
Cervical Pain ◽  
Office Work ◽  
Lower Back ◽  
Physical Exercises ◽  
History Of ◽  
Spinal Osteoarthritis ◽  
Pain Characteristics ◽  
Handling Methods

The aim of our study was to characterize back pain according to the occupation comprising physical  and office work. Accordingly questionnaires from 100 physical workers (PW) and 100 office workers (OW) were collected.  This dedicated questionnaire included 19 questions, of which 7 concerned demographic, work and stature features and 12 concerned back pain.  Collected data showed that lower back pain was more common in PW but cervical pain in OW (p<0.001). Most common aetiology of back pain was spinal osteoarthritis, sciatica and scoliosis but of different spread in two groups (p<0.001). The history of back pain was most often above 5 years and there were significant differences in frequency, intensity and pain handling methods between groups (p<0.005). Back pain prophylaxis was well acknowledged in both groups (85% in OW, 91% in PW). Regular physical activity was considered the main prophylaxis method  (67% in PW, 89% in OW) and similarly incorporated in both groups (p=0.691) however OW more often performed physical exercises (p<0.001). Physical therapy was used in both groups (PW 100%, OW 92%, p=0.004) but with variable efficacy according to responders. To conclude there were multiple differences between both groups in terms of the pain characteristic but with similar awareness and incorporated prophylaxis.

An Exploration of Pre-Professional Dancers’ Beliefs of the Low Back and Dance-Specific Low Back Movements

2019 ◽  
Vol 34 (3) ◽  
pp. 141-146
Author(s):  
Danica Hendry ◽  
Leon Straker ◽  
Amity Campbell ◽  
Luke Hopper ◽  
Rhianna Tunks ◽  
...  
Keyword(s):  
Back Pain ◽  
Perceived Risk ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Low Back ◽  
Dance Movement ◽  
Lower Back ◽  
Negative Beliefs ◽  
History Of ◽  
Professional Dancers

OBJECTIVE: Low back pain (LBP) is common in dancers. A biopsychosocial model should be considered in the aetiology of LBP, including a dancer’s general beliefs of the low back and movements of the spine. This study aimed to determine pre-professional dancers’ beliefs about their lower back in general and dance-specific movements of the spine and to explore whether these beliefs were influenced by a history of disabling LBP. METHODS: 52 pre-professional female dancers (mean age 18.3 [1.4] yrs) were recruited and reported whether they had a history of disabling LBP and completed the Back Pain Attitudes Questionnaire (Back-PAQ) and a dance movement beliefs questionnaire. A linear mixed model was applied to determine the effect of a history of disabling LBP on dancers’ beliefs (p<0.05). RESULTS: 20 dancers reported a history of disabling LBP. Regardless of this LBP history, dancers held generally negative beliefs as measured by the Back-PAQ (p=0.130). A history of disabling LBP did not influence dancers’ perceived movement safety of all tasks (p=0.867), and dancers held negative beliefs towards extension activities. These beliefs were linked to the conceptions of perceived risk of damage and the need to protect the lower back. CONCLUSIONS: Dancers hold negative general beliefs around the low back and low back movements, regardless of a history of disabling LBP. Dancers perceive extension activities as more dangerous than flexion activities. These beliefs may reflect a combination of pain experience and beliefs specific to dance.

The History of Lower Back Pain

2012 ◽  
Vol 39 (3) ◽  
pp. 463-470 ◽  
Author(s):  
Donald C. Maharty
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Lower Back ◽  
History Of

scholarly journals Perforated Diverticulitis Complicated by Pylephlebitis and Splenic Infarction

2021 ◽  
Author(s):  
Catarina Janicas ◽  
David Campos-Correia ◽  
Ana Paula Vasconcelos
Keyword(s):  
Emergency Department ◽  
Back Pain ◽  
Lower Back Pain ◽  
Splenic Infarction ◽  
Perforated Diverticulitis ◽  
Analytical Evaluation ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Lower Back ◽  
History Of

64-year-old male presented to our emergency department with a 6-day history of generalized malaise, worsened by left lower back pain and anorexia for the last 2 days. Other symptoms were denied, and analytical evaluation only showed leucocytosis and elevated C-reactive protein. […]

scholarly journals The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study

Symmetry ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1994
Author(s):  
Grzegorz Miękisiak ◽  
Rafał Załuski ◽  
Dariusz Szarek ◽  
Samuel D. Pettersson ◽  
Justyna Fercho ◽  
...  
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Screening Tools ◽  
Survey Study ◽  
Red Flags ◽  
Web Based ◽  
Pain Location ◽  
Lower Back ◽  
History Of ◽  
Screening Factor

Background: Pain maps provide reliable information on pain location in various conditions. This study explored the feasibility of pain maps as a screening tools for serious underlying conditions. The pain symmetry was evaluated as the possible distinguishing feature. Methods: A Web-based survey on the correlation of pain-related disability and pain pattern was developed. Respondents with lower back pain were asked to mark the exact location of their pain over the pain chart. The symmetry index was calculated and used to divide subjects into two groups that were then compared in terms of the prevalence of red flags for serious pathologies, as well as the pain-related disability measured with COMI and ODI instruments. Results: Of the 4213 respondents who completed the survey, 1018 were included in the study. The pain related disability was greater in respondents with asymmetrical pain patterns, as shown with all instruments. The distribution of red flags was also dependent on pain symmetry. The history of weight loss (6.70 vs. 1.76 p < 0.001) and fever (4.91 vs. 2.14 p < 0.001) were more prevalent with symmetrical pain patterns, and the history of trauma was more frequent with asymmetrical pain (21.41 vs. 10.71 p < 0.001). Conclusions: It was shown that the symmetry of pain is correlated to the prevalence of red flags and pain-related disability.

scholarly journals Spinal Epidural Haemangioma Associated with Extensive Gastrointestinal Haemangiomas

2005 ◽  
Vol 11 (2) ◽  
pp. 161-166 ◽  
Author(s):  
L. T. E. Cheng ◽  
W. E. H. Lim
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Chronic Lower Back Pain ◽  
Cavernous Haemangioma ◽  
Open Biopsy ◽  
Lower Back ◽  
Paravertebral Muscles ◽  
History Of ◽  
Spinal Epidural ◽  
Spine Mri

A case of spinal epidural cavernous haemangioma associated with gastrointestinal haemangiomas is discussed. The patient was a young Chinese female presenting with chronic lower back pain. She had a history of extensive gastric and small bowel haemangiomas. Lumbar spine MRI showed a heterogeneously enhancing epidural mass infiltrating the paravertebral muscles. Open biopsy confirmed an epidural cavernous haemangioma. To our knowledge, an association between spinal epidural cavernous haemangiomas and gastrointestinal haemangiomas has not been reported.

scholarly journals Primary intradural/extradural Ewing’s sarcoma of the sacral spine: A case report and literature review

2021 ◽  
Vol 12 ◽  
pp. 17
Author(s):  
Daniel B Murray ◽  
Jack Horan ◽  
Alan Beausang ◽  
Mohammed Ben Husien
Keyword(s):  
Back Pain ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Low Back ◽  
Resonance Imaging ◽  
Neural Foramen ◽  
Lower Back ◽  
Complete Surgical Resection ◽  
Malignant Mesenchymal Tumor ◽  
History Of

Background: Ewing’s sarcoma (ES) is a malignant mesenchymal tumor, most often found in the long bones, and usually affecting children and adolescents in the second decade of life. ES of the spine is a clinical rarity. Case Description: A 45-year-old male presented with a 3-month history of lower back pain which acutely worsened in conjunction with urinary retention. The magnetic resonance imaging revealed a mass extending from L5 to S2 with additional extension through the left S2-3 neural foramen. The metastatic workup was negative. At surgery, the lesion was both intradural and extradural. Following complete surgical resection, the patient was later treated with radiation and chemotherapy. Conclusion: Here, we report an adult male who acutely presented with low back pain attributable to primary intradural/extradural sacral ES.

scholarly journals Woman with lower back pain, SIADH and a twist of Lyme

2018 ◽  
pp. bcr-2018-225801
Author(s):  
Omid Salaami ◽  
Dennis Michael Manning
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Good Health ◽  
Final Diagnosis ◽  
Laboratory Evaluation ◽  
Presenting Symptoms ◽  
Lower Back ◽  
Autoimmune Conditions ◽  
History Of ◽  
Recent Diagnosis

A 62-year-old woman was admitted with a 3-week history of atraumatic bilateral lower back pain, progressive ascending flaccid paralysis, hyponatraemia and constipation. She was otherwise in good health with only a recent diagnosis of acute gastroenteritis that preceded her presenting symptoms. Her initial laboratory evaluation was consistent with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) but was otherwise unremarkable. MRI of the spine revealed bilateral diffuse nerve root enhancement from at least C6 to the conus level, suggesting an inflammatory process. Lumbar puncture demonstrated high protein (629 mg/dL) with marked pleocytosis (363 cells/mcL) incompatible with albuminocytological dissociation typically seen in Guillain-Barre syndrome. A thorough diagnostic evaluation was undertaken to explore potential infectious, malignant and autoimmune conditions. Lyme disease serology (ELISA and Western Blot, IgM and IgG) was positive leading to a final diagnosis of lymphocytic meningoradiculitis or Bannwarth syndrome.

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