Pseudocyesis as a cause of abdomen enlargement in a female adolescent

Open Medicine ◽  
2011 ◽  
Vol 6 (6) ◽  
pp. 720-722 ◽  
Author(s):  
Veselin Škrabić ◽  
Željka Vlastelica ◽  
Zoran Vučinović
Keyword(s):  
Mental Disorders ◽  
Effective Treatment ◽  
Medical History ◽  
Psychiatric Illness ◽  
Pediatric Population ◽  
Rare Condition ◽  
Signs And Symptoms ◽  
Female Adolescent ◽  
History Of

AbstractPseudocyesis is a rare condition in the pediatric population characterized by all signs and symptoms of pregnancy except the existence of a fetus [1]. In some patients it is associated with organic etiology, in others with mental disorders, also occurs in those without disorders in their medical history. Pseudocyesis occurs in both sexes, but more frequently in women. An effective treatment is a combination of psychotherapy and pharmacotherapy with antidepressants and antipsychotics [2]. We present a 15,9-year old girl with pseudocyesis as a cause of abdomen enlargement, who comes from an ordinary family with a negative history of psychiatric illness. The organic etiology of her condition was excluded, and therefore she was treated with antidepressants which contributed to the resolution of her case.

scholarly journals Rare Etiology of Odynophagia in a Female Adolescent

2021 ◽  
pp. 352-358
Author(s):  
Anastasios Koutsoumourakis ◽  
Asterios Gagalis ◽  
Maria Fotoulaki ◽  
Maria Stafylidou
Keyword(s):  
Antiviral Treatment ◽  
Healing Process ◽  
Rare Condition ◽  
Female Adolescent ◽  
Mucosal Barrier ◽  
Esophageal Mucosa ◽  
Intact Immune System ◽  
History Of ◽  
Orolabial Herpes

Herpes esophagitis (HE) is a rare condition in immunocompetent adolescents. However, it commonly occurs as a primary infection in younger individuals. Herein, we report a 16-year-old female patient who had a history of fever for 5 days, odynophagia, and orolabial herpes infection for 7 days. Clusters of painful vesicles on an erythematous base on the lips, gingiva, and palate were observed on physical examination. Further, esophagogastroduodenoscopy revealed diffuse linear ulcerations in the distal esophagus. The patient then received the following treatment: intravenous (I.V.) acyclovir 5 mg/kg three times a day, I.V. omeprazole 40 mg two times a day, and acyclovir 5% cream four times a day. After 8 days of admission, the patient was discharged. A follow-up esophagogastroduodenoscopy was performed 7 weeks after discharge, and the results revealed that the esophageal mucosa had a normal appearance. The effect of antiviral treatment against HE remains unknown in these patients. Nevertheless, it is believed to accelerate the healing process in individuals with esophageal mucosal barrier damage. To the best of our knowledge, this case of a female adolescent with an intact immune system is the sixth case of herpes simplex esophagitis to be reported in the literature.

Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽  
2021 ◽  
pp. 273250162110050
Author(s):  
Samuel Ruiz ◽  
Rizal Lim
Keyword(s):  
Pediatric Population ◽  
Rare Complication ◽  
Disease Process ◽  
Rare Condition ◽  
External Drainage ◽  
Direct Extension ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

scholarly journals Differential Diagnosis for Physiotherapists

2021 ◽  
Author(s):  
Anna Gordon
Keyword(s):  
Medical History ◽  
Signs And Symptoms ◽  
Diagnostic Process ◽  
Cognitive Approach ◽  
Case Examples ◽  
Clinical Appearance ◽  
Difference Systems ◽  
Musculoskeletal Problems ◽  
History Of ◽  
American Physical

Following the criteria for competency developed by the American Physical Therapy Association (APTA)related to performing a screening test, this research offers a clear way to check for systemic diseases andmedical disorders that can mimic neuromuscular and musculoskeletal problems. A seven-step screeningmodel that includes a history of medical history, risk factor assessment, clinical presentation, related signsand symptoms, and symptoms for individual clients is a systematic text. Past medical history, risk factorevaluation, clinical appearance, related signs and symptoms and symptom review are included in thescreening model for difference. Systems-based physiotherapy screening approach is a consistentscreening approach that can mimic neuromuscular and Musculo-Skeletal issues for systems and medicalconditions. In a logical way, three pieces of content contain information covered: An introduction to themethod of screening Neuromusculoskeletal pain and dysfunction Viscerogenic causes System root of painand malfunction in the neuromusculoskeleton Cognitive approach to processing and reasoning facilitatesthe collection and analysis of evidence, the posing and resolution of questions, the inference, thehypothesis and clinical assessments. Case examples and case studies provide real examples of hotinformation in the diagnostic process to incorporate the screening information.Full description of cited works can be found upon request to the author’s email

scholarly journals Dyke-Davidoff-Masson Syndrome: A case Report in a patient presenting with drug-resistant epilepsy and pseudoseizures

2021 ◽  
Author(s):  
Pedro Schmidt dos Reis Matos Figueiredo ◽  
Thiago Oliveira Chaves
Keyword(s):  
Case Report ◽  
Cognitive Dysfunction ◽  
Brain Magnetic Resonance Imaging ◽  
Rare Condition ◽  
Signs And Symptoms ◽  
Drug Resistant ◽  
Cerebral Hemiatrophy ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Drug Resistant Epilepsy

Context: Dyke-Davidoff-Masson (DDM) syndrome is a rare neurological condition, first described in 1933. Characteristics include cerebral hemiatrophy, contralateral hemiparesis, seizures, and cognitive dysfunction, combined into different degrees and patterns. Brain magnetic resonance imaging (MRI) is used to perform diagnosis throughout its specific findings. Case Report: A eighteen-year-old female presented to our service with a history of cognitive dysfunction and seizures since early childhood, which persistence even with adequate use of antiepileptic drugs. During Investigation were found signs and symptoms compatible with DDM syndrome, and evidence of pseudoseizures captured in a video electroencephalography monitoring. Conclusion: DDM syndrome is a rare condition that must be part of differential diagnosis in patients with seizures and cerebral hemiatrophy. Management is based on adequate control of seizures and other comorbidities.

scholarly journals Eagle’s Syndrome: Transoral Styloidectomy a Technique Modification Case Report

2020 ◽  
Vol 4 (3) ◽  
Keyword(s):  
Correct Diagnosis ◽  
Rare Condition ◽  
Signs And Symptoms ◽  
Styloid Process ◽  
Unknown Etiology ◽  
Eagle’S Syndrome ◽  
Anatomical Structures ◽  
History Of ◽  
Eagle Syndrome ◽  
Sixth Decade

Eagle’s Syndrome is a rare condition with unknown etiology that mainly affects female patients between the third and sixth decade of life. It was first described in 1937 by Dr. Watt W. Eagle, in a study carried out in a group of patients whose main symptom was cervicopharyngeal pain caused by elongation of the styloid process and/or calcification of the stylohyoid ligament [1]. The diagnosis of this pathology is based on the anamnesis and physical examination together with imaging exams of the patients. Cervicofacial pain, palpation of the styloid process in the tonsillar fossa and limitation in neck mobility are the most classic signs and symptoms of this disease [2]. Due to the nonspecific symptoms present in these patients, this disease is usually underdiagnosed and confused with temporomandibular disorders, cervical myalgias, and even being diagnosed as atypical trigeminal neuralgias [3]. For this reason, clinical examination and imaging exams, are indispensable for the correct diagnosis and evaluation of anatomical structures [3]. We present a case of a woman with a history of eagle syndrome which was diagnosed and treated at the Hospital clinico metropolitano El Carmen Santiago, Chile.

The influence of bilateral hyperplasia of the coronoid process of the mandible for difficult tracheal intubation

2018 ◽  
Vol 68 (3) ◽  
pp. 309-318
Author(s):  
Katarzyna Chmielińska-Popiołek ◽  
Zbigniew Kucharski
Keyword(s):  
Tracheal Intubation ◽  
Medical History ◽  
Mouth Opening ◽  
Rare Condition ◽  
Difficult Tracheal Intubation ◽  
Coronoid Process ◽  
History Of

Bilateral hyperplasia of the coronoid process of the mandible is rare condition. Commonly there is only one mechanical symptom, limiting mouth opening. The aim of this article is to introduct medical history of a 38 year-old female with bilateral hyperplasia of the coronoid process of the mandible confirmed by examination and RTG diagnostic. There is also the question of difficulties during intubation due to bilateral hyperplasia in this case.

Impaired Extension of the Digits due to Bilateral Idiopathic Intrinsic Contracture: A Case Report

2019 ◽  
Vol 24 (03) ◽  
pp. 383-385
Author(s):  
Yuki Kawasaki ◽  
Soichi Ejiri ◽  
Michiyuki Hakozaki ◽  
Shinichi Konno
Keyword(s):  
Eating Disorder ◽  
Case Report ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Medical History ◽  
Rare Condition ◽  
Tendon Sheath ◽  
Past Medical History ◽  
Thenar Muscle ◽  
History Of

Idiopathic intrinsic contracture (IIC) with no history of trauma, ischemia, or spasticity is extremely rare. We report herein a case of impaired extension of the digits due to bilateral IICs occurred in a 30-year-old woman with a past medical history of eating disorder and amenorrhea. Although no previous case has been reported in the literature, eight similar cases of IIC have been presented at Japanese domestic conferences. In these eight cases and the present case, resection of the thenar muscle cords and unilateral resection of the lateral band were effective. Since IIC in patients with an eating disorder is a rare condition, it would be treated conservatively at first as tendon sheath inflammation or locking. However, this condition may be resistant to conservative treatment, and surgical treatment should be considered in such cases.

Clinical examples

2019 ◽  
pp. 143-146
Author(s):  
Navneet Kapur ◽  
Robert Goldney
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Disorders ◽  
Psychiatric Illness ◽  
Young Person ◽  
Patient Needs ◽  
Basic Principles ◽  
Clinical Vignettes ◽  
History Of

This chapter includes three clinical vignettes which highlight some of the basic principles of assessment and management. The case studies describe a young person with interpersonal issues, a person with a long history of behaviours that might fit the criteria for borderline personality disorder, and a man in mid-life with a severe psychiatric illness. All those who present with suicidal thoughts and behaviour warrant a full assessment. The treatment offered depends on the presence and nature of any psychiatric and physical illness identified, as well as wider patient needs. Older people may have more prominent mental disorders. Some form of follow-up should be offered wherever possible.

scholarly journals Pediatric toxic polycystic thyroid

2017 ◽  
Vol 30 (7) ◽  
Author(s):  
Janeil M. Belle ◽  
Nektarios Vasilottos ◽  
Todd D. Nebesio ◽  
Benjamin C. James
Keyword(s):  
Thyroid Disease ◽  
Pediatric Population ◽  
Receptor Gene ◽  
Hormone Replacement ◽  
Gene Mutations ◽  
Rare Condition ◽  
Thyroid Stimulating Hormone ◽  
Thyroid Peroxidase ◽  
Autoimmune Thyroid ◽  
History Of

AbstractBackground:Polycystic thyroid disease (PCTD) is a rare condition and has been described in adults in the setting of subclinical and clinical hypothyroidism. We present the first known case of a pediatric patient with diffuse macrocystic degeneration of the thyroid.Clinical presentation:A 6-year-old previously healthy patient was evaluated after presenting with a 16-month history of an enlarging polycystic thyroid and hyperthyroidism. Markers of autoimmune thyroid disease including thyroid stimulating immunoglobulin (TSI), thyroid stimulating hormone (TSH) receptor antibody, thyroid peroxidase antibody and thyroglobulin antibody were negative. No family history of benign or malignant thyroid or cystic disease was present. The patient underwent a total thyroidectomy without perioperative complication. She remains euthyroid with thyroid hormone replacement therapy.Summary:To our knowledge, this is the first report of PCTD in the pediatric population associated with hyperthyroidism without evidence of autoimmune disease. Somatic activating thyrotropin-receptor gene mutations are known to cause non-autoimmune hyperthyroidism in children, however it is unknown if similar mechanisms are responsible for pediatric PCTD.Conclusions:Polycystic thyroid degeneration can occur in children and may result in a hyperthyroid state.

Signs and symptoms of psychiatric disorders

2012 ◽  
pp. 1-20
Author(s):  
Philip Cowen ◽  
Paul Harrison ◽  
Tom Burns
Keyword(s):  
Effective Treatment ◽  
Psychiatric Disorders ◽  
Clinical Features ◽  
Present State ◽  
Psychiatric Patients ◽  
Signs And Symptoms ◽  
History Of ◽  
Definition Of ◽  
Symptoms And Signs

Chapter 1 is concerned with the definition of the key symptoms and signs of psychiatric disorders. Having elicited a patient’s symptoms and signs, the psychiatrist needs to decide how far these phenomena fall into a pattern that has been observed in other psychiatric patients. It covers whether the clinical features conform to a recognized syndrome by combining observations about the patient’s present state with information about the history of the condition. The value of identifying a syndrome is that it helps to predict prognosis and to select an effective treatment. It does this by directing the psychiatrist to the relevant body of accumulated knowledge about the causes, treatment, and outcome in similar patients.

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