Dialysis Encephalopathy: A Review

1984 ◽  
Vol 13 (4) ◽  
pp. 309-326 ◽  
Author(s):  
Robert Jack ◽  
Pauline L. Rabin ◽  
T. Dwight McKinney

Dialysis encephalopathy (DE) is a distinct neuropsychiatric syndrome typically occurring in patients undergoing longterm hemodialysis. It is characterized by electroencephalographic abnormalities in association with disturbances of speech, cognition, movement, affect, or behavior. Previously thought to be relentlessly progressive, recent evidence linking the illness to aluminum overload has led to advances in prevention and treatment. Early diagnosis aids in the reversal or amelioration of the syndrome and can be of immense value to the patient, the family and involved health personnel. The general features of the syndrome, etiologic considerations, differential diagnosis and treatment are discussed. Three case studies are included to illustrate salient features of the syndrome.

Vestnik ◽  
2021 ◽  
pp. 73-77
Author(s):  
Г.Ж. Бодыков ◽  
Г.Н. Балмагамбетова ◽  
С.А. Лисогор ◽  
В.М. Шмонин

Синдром Казабаха - Мерритта в детской практике встречается крайне редко. Клинические проявления многообразны, что затрудняет своевременную диагностику и лечение данного заболевания. Цель: привлечь внимание неонатологов и педиатров к своевременной диагностике редких гематологических синдромов. Материалы и методы. Проведено расширенное обследование ребенка и тщательная дифференциальная диагностика с другими сосудистыми аномалиями. Результаты. На основании оценки анамнеза, клинико - лабораторных и инструментальных методов обследования установлен диагноз СКМ. Выводы. Постановка диагноза СКМ требует проведения расширенного обследования ребенка и тщательной дифференцировки с другими сосудистыми аномалиями. Kazabach-Merritt syndrome is extremely rare in pediatric practice. Clinical manifestations are diverse- and this fact complicates the early diagnosis and treatment of the disease.Purpose: to draw the attention of neonatologists and pediatricians to the early diagnosis of rare hematological syndromes.Materials and methods. An extended examination of the child and a thorough differential diagnosis with other vascular anomalies were carried out. Results. The KMS was diagnosed on the base of: the assessment of the anamnesis, clinical - laboratory and instrumental examination methods.Conclusion. The diagnosis of KMS requires an extended examination of the child and careful differentiation of other vascular anomalies.


Uveitis is the inflammation of the anterior, intermediate, or posterior uvea, the pigmented part of the eye.  Uveitis can be infectious or non-infectious presented as autoimmune and immune-mediated. Non-infectious uveitis is the most common type of uveitis. It can be idiopathic or secondary to systemic diseases. Differential diagnosis is important, if early diagnosis and treatment are not applied, permanent eye damage can occur. In this review, an overview of non-infectious uveitis is examined with the mechanism, immunopathology, and classification.


2017 ◽  
Vol 12 (1) ◽  
pp. 40-44
Author(s):  
Samsun Nahar ◽  
Momenuzzaman ◽  
Fatema Begum ◽  
KN Khan ◽  
Quazi Anisuzzaman ◽  
...  

PE remains a clinically challenging diagnosis, more often missed than found, with no decline in its incidental discovery at autopsy over the past 30 years. Pulmonary embolism should be considered in the differential diagnosis of every dyspnoea event that presents at an emergency department. We describe a case of 68 years old man with symptoms of dyspnoea who later diagnosed as pulmonary embolism. This case report emphasizes early diagnosis and treatment to avoid fatal outcome.University Heart Journal Vol. 12, No. 1, January 2016; 40-44


1983 ◽  
Vol 92 (4) ◽  
pp. 340-343 ◽  
Author(s):  
Jeffrey N. Hausfeld ◽  
Eiji Yanagisawa ◽  
Myles L. Pensak

Acute upper airway obstruction from laryngeal polyps is uncommon. However, a large pedunculated laryngeal polyp, when unrecognized, may produce sudden airway obstruction. The importance of an early diagnosis and treatment is stressed. Primary care physicians, endoscopists, anesthesiologists, and otolaryngologists should be aware of this condition and add it to their differential diagnosis of sudden respiratory obstruction.


2019 ◽  
Vol 15 (4) ◽  
pp. 309-313 ◽  
Author(s):  
Sepideh Ahmadi ◽  
Navid Rabiee ◽  
Mohammad Rabiee

Aptamers have several positive advantages that made them eminent as a potential factor in diagnosing and treating diseases such as their application in prevention and treatment of diabetes. In this opinion-based mini-review article, we aimed to investigate the DNA and RNA-based hybrid molecules specifically aptamers and had a logical conclusion as a promising future perspective in early diagnosis and treatment of diabetes.


2017 ◽  
Vol 12 (4) ◽  
pp. 204-207
Author(s):  
Ana Maria Alexandra STĂNESCU ◽  
◽  
Ioana Veronica GRĂJDEANU ◽  
Ekua Asafoaba APPIAH ◽  
Gabriel Cristian BEJAN ◽  
...  

Psoriasis is no longer an unknown disease; it has been studied extensively worldwide. It can affect people of all ages, making it necessary to differentiate between the childhood and adult forms of the disease. Based on the debut age, one can determine the prognosis, the different immunopathologies, differential diagnosis and treatment, thereby requiring a different approach and special attention in childhood psoriasis. Being a mutilating disease, the quality of life of the children become a big challenge for both the patient and their family. The multidisciplinary team is a necessity because of the possible comorbidities that can occur in the case of children. The family doctor is the first point of contact for the patient, followed by a paediatrician and then a dermatologist.


2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Ravi Bhatia ◽  
Dinesh Rajwaniya ◽  
Priti Agrawal

Although malaria is endemic in India, congenital malaria is not very common. Congenital malaria is a very rare condition in both endemic and nonendemic areas. We report a case of congenital malaria in a six-day-old neonate with fever and splenomegaly. The diagnosis was picked up accidentally on a peripheral smear examination. Congenital malaria should be kept as differential diagnosis of neonatal sepsis. Timely detection of this condition could lead to early diagnosis and treatment, thereby preventing neonatal mortality.


Author(s):  
Bernd Schulte ◽  
Christina Lindemann ◽  
Angela Buchholz ◽  
Anke Rosahl ◽  
Martin Härter ◽  
...  

Abstract. Background: The German Guideline on Screening, Diagnosis and Treatment of Alcohol Use Disorders aims to increase the uptake of evidence-based interventions for the early identification, diagnosis, prevention and treatment of alcohol-related disorders in relevant healthcare settings. To date, dissemination has not been accompanied by a guideline implementation strategy. The aim of this study is to develop tailored guideline implementation strategies and to field-test these in relevant medical and psycho-social settings in the city of Bremen, Germany. Methods: The study will conduct an impact and needs assessment of healthcare provision for alcohol use orders in Bremen, drawing on a range of secondary and primary data to: evaluate existing healthcare services; model the potential impact of improved care on public health outcomes; and identify potential barriers and facilitators to implementing evidence-based guidelines. Community advisory boards will be established for the selection of single-component or multi-faceted guideline implementation strategies. The tailoring approach considers guideline, provider and organizational factors shaping implementation. In field tests quality outcome indicators of the delivery of evidence-based interventions will be evaluated accompanied by a process evaluation to examine patient, provider and organizational factors. Outlook: This project will support the translation of guideline recommendations for the identification, prevention and treatment of AUD in routine practice and therefore contributes to the reduction of alcohol-related burden in Germany. The project is running since October 2017 and will provide its main outcomes by end of 2020. Project results will be published in scientific journals and presented at national and international conferences.


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