A Case of Pulmonary Embolism Patient Contraindicated in the Use of Anticoagulants Improved by Administering Hyulbuchuko-tang

Background: This case report shows the effect of Hyulbuchuko-tang on a patient with a contraindication to anticoagulants who complained about dyspnea caused by pulmonary embolism (PE).Case report: A PE patient with dyspnea was treated with herbal medication, Hyulbuchuko-tang, for 28 days. Evaluations took place by assessing time for oxygen application time per day, follow-up chest CT, and D-dimer test results. Oxygen application time per day decreased, and oxygen therapy ended on the 14th day of Hyulbuchuko-tang treatment. Follow-up chest CT showed resolution of PE. The D-dimer level decreased on the 24th day and decreased more after 1 month later.Conclusion: This clinical case study suggests that Hyulbuchuko-tang might be effective in the resolution of PE and can be an option as a treatment for PE patients with contraindications to anticoagulants.

Download Full-text

Puerperal psychoses: A clinical case study with follow-up

Journal of Affective Disorders ◽

10.1016/0165-0327(92)90031-z ◽

1992 ◽

Vol 26 (1) ◽

pp. 25-30 ◽

Cited By ~ 20

Author(s):

P. Benvenuti ◽

P.L. Cabras ◽

P. Servi ◽

S. Rosseti ◽

G. Marchetti ◽

...

Keyword(s):

Clinical Case ◽

Clinical Case Study

Download Full-text

Isolated posterior fibular malleolar fracture. Case report and literature review

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-81-8-429 ◽

1991 ◽

Vol 81 (8) ◽

pp. 429-434

Author(s):

EW Wolf ◽

S Lango ◽

FC Fittanto

Keyword(s):

Computed Tomography ◽

Case Report ◽

Literature Review ◽

Clinical Case ◽

Clinical Results ◽

Diagnosis And Treatment ◽

Cast Immobilization ◽

Malleolar Fracture ◽

Clinical Case Study

The authors describe a case involving an isolated posterior fibular malleolar fracture in an 80-year-old female, which was identified on multiple lateral radiographs of the involved ankle and confirmed by computed tomography. The patient was treated conservatively with 10 weeks of walking cast immobilization, resulting in poorly acceptable radiographic and clinical results. The authors review the anatomy of the area of involvement. A literature review, the clinical case study, and a discussion of the difficulty in evaluation of these types of fibular fractures are presented along with a protocol for the diagnosis and treatment of these fractures.

Download Full-text

A left-sided cerebrospinal fluid hydrothorax and a right ventricular-peritoneal shunt: a unique clinical case study

BMJ Case Reports ◽

10.1136/bcr-2019-230236 ◽

2019 ◽

Vol 12 (9) ◽

pp. e230236

Author(s):

David Hopkins ◽

Stewart Pattman ◽

Rhian Jones ◽

Avinash Aujayeb

Keyword(s):

Cerebrospinal Fluid ◽

Case Report ◽

Pleural Effusion ◽

Right Ventricular ◽

Clinical Case ◽

Diagnostic Testing ◽

Clinical Case Study

We describe the case of a 84-year-old woman with a right ventricular-peritoneal shunt and a left-sided pleural effusion, the analysis of which was positive for cerebrospinal fluid. We consider the potential causative mechanisms. Our patient was managed conservatively due to her frailty, the effusion being asymptomatic and her preference not to pursue further invasive diagnostic testing. This case report is unique due to the contralateral nature of the effusion to the shunt, which has not been described before in the literature.

Download Full-text

Firefighter-Paramedic With Posttraumatic Stress Disorder, Horrific Images, and Depression: A Clinical Case Study

Clinical Case Studies ◽

10.1177/1534650118770792 ◽

2018 ◽

Vol 17 (3) ◽

pp. 150-165

Author(s):

Michael A. Gramlich ◽

Sandra M. Neer

Keyword(s):

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Diagnostic Criteria ◽

Clinical Case ◽

Stress Disorder ◽

Multifaceted Intervention ◽

Clinical Case Study ◽

Clinically Significant

Despite the existence of evidence-based treatments for posttraumatic stress disorder (PTSD), no identifiable study reported delivery of exposure therapy for a first responder with PTSD, as well as horrific images that generalized beyond the index trauma to loved ones. Horrific images have been defined as strongly aversive intrusive thoughts such as images of dismembered bodies or disgusting scenes. This clinical case describes the assessment and treatment of Ryan, a 41-year-old, firefighter-paramedic who completed a multifaceted intervention that included imaginal exposure therapy, behavioral activation, and cognitive therapy for depression. PTSD symptoms as measured by the PTSD Checklist for DSM-5 (PCL-5) displayed a clinically significant decrease from 25 at pretreatment to 3 at 2-month-follow-up, indicating Ryan no longer met diagnostic criteria for PTSD. In addition, Ryan endorsed a clinically significant reduction in horrific images from 21 per week at pretreatment to 0 at 2-month-follow-up. Depressive symptoms as measured by the Beck Depression Inventory–Second Edition (BDI-II) demonstrated a clinically significant decrease from 18 at pretreatment to 1 at 2-month-follow-up, indicating Ryan no longer met diagnostic criteria for depression. This clinical case study provides evidence for the feasibility and effectiveness of delivering a multifaceted intervention for a first responder with multiple psychiatric disorders.

Download Full-text

Patient with anemia (clinical case study)

Clinical review for general practice ◽

10.47407/kr2021.2.2.00039 ◽

2021 ◽

Vol 2 (2) ◽

pp. 28-31

Author(s):

Leonid I. Dvoretsky ◽

Keyword(s):

Differential Diagnosis ◽

Laboratory Test ◽

Female Patient ◽

Clinical Case ◽

Clinical Problem ◽

Test Results ◽

Clinical Case Study ◽

Laboratory Test Results ◽

Future Direction

For physicians, every new case of anemia is a clinical problem with multiple unknowns. The case of female patient K. aged 40 with clinical and laboratory manifestations of anemia is reported. Pathogenetic variants of anemia have been studied; each variant characterized by specific laboratory test results determines future direction of diagnosis aimed at search for the cause of anemia (nosological diagnosis). Differential diagnosis has been developed.

Download Full-text

Diet and Doubt: A Clinical Case Study of Inference-Based Therapy for Bulimia Nervosa

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.30.4.263 ◽

2016 ◽

Vol 30 (4) ◽

pp. 263-276

Author(s):

Magali Purcell Lalonde ◽

Kieron O’Connor ◽

Marie-Eve St-Pierre-Delorme ◽

Valérie Perreault ◽

Samantha Wilson

Keyword(s):

Eating Disorders ◽

Body Weight ◽

Bulimia Nervosa ◽

Clinical Case ◽

Psychological Characteristics ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Clinical Case Study

There is a recognized overlap between eating disorders (EDs) and obsessive-compulsive disorder (OCD) in terms of diagnosis, phenomenology, epidemiology, and psychological characteristics related to the disorder. In light of these similarities, a cognitive inference-based therapy (IBT) program, shown to be effective in treating OCD, was adapted for EDs. This case study describes the application of IBT treatment for a 35-year-old woman diagnosed with bulimia nervosa who also demonstrated overvalued ideation related to her body weight and shape. Over a 20-week period, the client’s ED pathology significantly decreased. Notably, the frequency of binge episodes was reduced by 90% from pre- to posttreatment and by 100% at 6-month follow-up. Significant reductions were also observed in dietary restriction and overvalued ideation. This case study has important implications for the treatment of individuals with both an ED and strong overvalued ideas.

Download Full-text

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd21.1.11 ◽

2011 ◽

Vol 21 (1) ◽

pp. 11-21 ◽

Cited By ~ 2

Author(s):

Farzan Irani ◽

Rodney Gabel

Keyword(s):

Case Report ◽

Therapeutic Intervention ◽

Intensive Therapy ◽

Positive Outcome ◽

Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

Download Full-text