Interdisciplinary approach to the treatment of bilateral Terson syndrome (clinical case)

2019 ◽  
pp. 162-165
Author(s):  
A.V. Rusanovskaya ◽  
◽  
A.N. Klimova ◽  
M.R. Adelyanov ◽  
◽  
...  
Keyword(s):  
Clinical Case ◽  
Interdisciplinary Approach ◽  
Terson Syndrome

Beware, Madness!

2021 ◽  
pp. 172-178
Author(s):  
 Дмитрий Вадимович Любимов
Keyword(s):  
Musical Theater ◽  
Clinical Case ◽  
Interdisciplinary Approach ◽  
Years Of Experience ◽  
Creative Activity ◽  
Medical Terms ◽  
Medical Reports

Рецензируемая книга Александра  Михайловича  Терехина «Сумасшествия в  музыкальном театре: опера, балет», изданная в  2020 году, уникальна во  многих отношениях. Во-первых, интерес вызывает личность самого автора. Профессиональная и  творческая деятельность Терехина связана с  медициной и  музыкой. Врач-психиатр с  сорокалетним стажем, Терехин более четверти века работал в Мариинском театре в качестве артиста миманса. Во-вторых, тема сумасшествия (безумия) еще не  становилась самостоятельным предметом изучения в российских музыковедческих исследованиях. В-третьих, оригинальность книги составляют медицинские заключения. В центре внимания врача — тексты оперных и балетных либретто, на основе которых автор раскрывает причины помешательства и  ставит различные диагнозы персонажам музыкального театра. Рассматривая конкретные клинические случаи, Терехин прибегает к профессиональным медицинским терминам. Среди диагнозов отметим такие, как реактивный параноид у Лючии («Лючия ди Ламмермур» Г. Доницетти), шизофрения у Мельника («Русалка» А. С. Даргомыжского, интоксикационный (гашишный) психоз у Солора («Баядерка» Л. Минкуса). Книга А. М. Терехина, не претендуя на всеохватность освещения темы сумасшествия (безумия), открывает музыковедам новые грани междисциплинарного подхода в изучении оперного и балетного репертуара. Alexander Mikhailovich Terekhin’s peer-reviewed book Madness in Musical Theater: Opera, Ballet, published in 2020, is unique in many ways. Firstly, the author’s personality is of interest. Terekhin’s professional and creative activity is connected with medicine and music. A psychiatrist with forty years of experience, Terekhin worked for more than a quarter of a century at the Mariinsky Theater as a mimance artist. Secondly, the theme of madness (insanity) has not yet become an independent subject of study in Russian musicological studies. Thirdly, the originality of the book is based on medical reports. The doctor focuses on the texts of opera and ballet librettos, on the basis of which the author reveals the causes of insanity and makes various diagnoses to the characters of the musical theater. Considering a specific clinical case, Terekhin resorts to professional medical terms. Among some diagnoses we can mention: reactive paranoid in Lucia (Lucia di Lammermoor by Donizetti), schizophrenia in Melnik (Rusalka by Dargomyzhsky, intoxicational (hashish) psychosis in Solor (La Bayadere by Minkus). Without claiming to cover the topic of insanity (insanity) comprehensively the book by Terekhin, opens up new facets of the interdisciplinary approach in studying opera and ballet repertoire to musicologists.

Interdisciplinary approach to the management of a patient with Sjogren’s syndrome: a clinical case

2021 ◽  
Author(s):  
N. Y. Emelyanova ◽  
T. E. Kozyrieva ◽  
O. V. Stepanova ◽  
N. V. Zorenko
Keyword(s):  
Oral Cavity ◽  
Salivary Glands ◽  
Sjögren’S Syndrome ◽  
Clinical Case ◽  
Sjögren's Syndrome ◽  
Interdisciplinary Approach ◽  
Sjogren’S Syndrome ◽  
Sjogren's Syndrome ◽  
Mucous Membranes ◽  
Sjögren‘S Syndrome

Dryness of the mucous membranes (in mouth, nose, genitals in women) and skin are the most common complaints of patients with Sjogren’s disease — a multisystem immune‑mediated disorder that causes anxiety and concern associated with the difficulties of initial diagnosis. The authors present a clinical case of a patient with primary Sjogren’s syndrome, a large number of symptoms of digestive diseases, complaints of dryness of mucous membranes, in particular the oral cavity. The diagnosis was confirmed by allied specialists such as ophthalmologist, gynecologist, rheumatologist, dentist. Detailed dental examination revealed the main dental complaints (constant dry mouth, galitos, changes in taste), clinical condition (dryness of the red border of the lips, swelling of the oral mucosa, changes in the relief of the gums), decreased secretory activity and significant reduction of unstimulated salivation with a moderate level of stimulated salivation. It is noted that a significant decrease in sialometry (0.01 ml per minute) and functional activity of the small salivary glands (up to 18) confirms the presence of true xerostomia. Micro‑crystallization of saliva revealed disorganization of irregularly shaped structures, as well as a significant number of organic inclusions, which indicates a violation of homeostasis in the oral cavity. Given the results of ultrasound examination of the large salivary glands and the absence of enlargement and swelling of the glands during clinical examination, we can assume that the destructive damage to the glands is not so pronounced, evacuation function of the gland is not reduced, but the amount of secretion is significantly reduced. To provide medical aid to patients with Sjogren’s syndrome, the accessibility of the qualified consultation is important and required, with conduction of comprehensive examinations by allied specialists, including a dentist.  

scholarly journals Primary tumor (tumoral) calcification is a rare disease in the practice of a rheumatologist and orthopedist: experience with the use of an interleukin-1 inhibitor in combination with surgical correction

2019 ◽  
Vol 7 (3) ◽  
pp. 85-92
Author(s):  
Veronika V. Petukhova ◽  
Rena V. Idrisova ◽  
Ludmila S. Snegireva ◽  
Olga L. Krasnogorskaya ◽  
Evgeny N. Suspitsyn ◽  
...  
Keyword(s):  
Rare Disease ◽  
Clinical Case ◽  
Interleukin 1 ◽  
Interdisciplinary Approach ◽  
Tumoral Calcinosis ◽  
Positive Trend ◽  
Significant Positive Trend ◽  
Experienced Fatigue ◽  
Equinus Deformity ◽  
Few Data

Background. Primary tumoral calcinosis is an orphan disease. There are few data in the literature on the incidence of this disease, as well as clinical recommendations for treatment. Clinical case. This report presents the case of an 11.5-year-old boy with primary tumoral calcinosis and equinus deformity of the foot. The patient had multiple foci of the subcutaneal calcification, cannot walk, experienced fatigue, and had high fever and equinus deformity of the left foot. Immunological and genetic studies were performed, but any specific mutations were not found. After the diagnosis was verified and interleukin-1 inhibitor therapy was prescribed, there was a significant positive trend observed in the patient: a significant improvement in the patients general condition, a decrease in the number of calcinates, and a reduction in inflammation. Calcification of the Achilles tendon and gastrocnemius muscle was the cause of the deformity of the left foot. Discussion. Significant improvement was achieved during treatment: the boy started walking, fatigue was decreased, no new calcificates were formed, and inflammation was under the control. Using an inhibitor of interleukin-1 as a permanent therapy of primary tumoral calcification allowed performsurgical treatment without complications from an operation site, as well as a relapse of deformity. Conclusion. The clinical case presented here demonstrated the application of an interdisciplinary approach to the treatment of an extremely rare disease.

A clinical case of hamartoma (teratoma) of the tongue in combination with a cleft palate in a newborn

2020 ◽  
pp. 42-45
Author(s):  
Yu.O. Volkov ◽  
Ad.A. Mamedov ◽  
L.M. Makarova ◽  
E.A. Ryzhov ◽  
B.A. Tkachenko
Keyword(s):  
Cleft Palate ◽  
Congenital Malformation ◽  
Clinical Case ◽  
Interdisciplinary Approach ◽  
Successful Implementation ◽  
Maxillofacial Region ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Newborn Child ◽  
Subsequent Rehabilitation

The article presents a rare clinical case of hamartoma of the tongue in combination with a cleft palate, diagnosed in a newborn child, as a manifestation of a severe congenital malformation of the maxillofacial region. The preparation and successful implementation of the first stage of treatment of this combined pathology and subsequent rehabilitation in a multidisciplinary children's hospital are described in detail on the basis of continuity in the work of specialists and an interdisciplinary approach.

scholarly journals A clinical case of rhinogenous orbit phlegmon in a four months old infant

2019 ◽  
Vol 18 (1) ◽  
pp. 92-97
Author(s):  
S. I. Alekseenko ◽  
◽  
M. V. Molchanova ◽  
S. A. Artyushkin ◽  
N. A. Malinovskaya ◽  
...  
Keyword(s):  
Inflammatory Process ◽  
Clinical Case ◽  
Interdisciplinary Approach ◽  
Acute Rhinosinusitis ◽  
Intracranial Complications ◽  
Acute Bacterial Rhinosinusitis ◽  
Nose And Paranasal Sinuses ◽  
Orbital Complications ◽  
Early Surgical Treatment ◽  
Scientific Achievements

In spite of scientific achievements in diagnostics and treatment of the diseases of nose and paranasal sinuses in children, this problem remains important. Acute bacterial rhinosinusitis occupies one of the leading positions among ENT diseases in terms of seeking medical care, and often results in the development of orbital and intracranial complications. Rhinogenic orbital complications in children occur more frequently than in adults, where 10–22% are purulent-septic orbital processes with a possible outcome of blindness. The article presents a clinical case of acute purulent rhinosinusitis complicated with a right orbit phlegmon in a four months old infant. Timely diagnosis, early surgical treatment made it possible to stop the inflammatory process, to avoid the development of more severe complications. The specific features of diagnostics and treatment of acute rhinosinusitis in infants, occurring with orbital complications, predetermines the need for an interdisciplinary approach of doctors of different specialties.

scholarly journals Interdisciplinary approach to the rehabilitation of patients with a need for complete dental reconstruction: a clinical case

2020 ◽  
Vol 24 (4) ◽  
pp. 240-246
Author(s):  
A. S. Utyuzh ◽  
Fatima К. Dzalaeva ◽  
S. O. Chikunov ◽  
M. V. Mikhailova ◽  
M. K. Budunova
Keyword(s):  
Case Report ◽  
Load Distribution ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Interdisciplinary Approach ◽  
Rehabilitation Program ◽  
Diagnostic Methods ◽  
Instrumental Analysis ◽  
Joint Function ◽  
Therapeutic Procedures

This study aimed to test the algorithm of complex clinical, functional, and instrumental analysis in the context of treatment for patients with a need of complete dental reconstruction. Materials and methods. A rehabilitation program for patients with adentia was proposed, which was based on the objective examination data obtained comprehensively with multiple diagnostic methods. Particular attention was paid to the temporomandibular joint function and symptoms of maxillofacial muscle abnormalities. Results. The clinical case report covers the results of the examination and treatment of a patient who previously received implants in one of the clinics without an appropriate examination and an operating template. A set of diagnostic and therapeutic procedures was defined that included clinical, functional, and instrumental analysis of condylographic and cephalometric data. The outcomes from treatment and rehabilitation allowed the optimal occlusal load distribution, and the oral hygiene improved. The approach that was used here enabled a timely correction of functional and esthetic disorders. Conclusions. The algorithm to treat patients who need complete dental reconstruction should include asking the medical history, clinical instrumental analysis (condylography), recording and evaluating the static and dynamic occlusal characteristics, and assessing cephalometric and esthetic characteristics. The algorithm is anatomically and pathogenetically justified, since it takes into account all alterations and interconnections between dentofacial structures and other body systems that underlie the clinical manifestations in patients with adentia who have a need for complete dental reconstruction.

THE COMPLEX CASE OF PROVIDING MEDICAL CARE TO A PATIENT WITH A PANCREATIC TUMOR IN THE CONTEXT OF COVID-19

2021 ◽  
Author(s):  
Галина Григорьевна Громова ◽  
Ольга Ивановна Шувалова ◽  
Людмила Николаевна Верижникова ◽  
Анна Алексеевна Гаус ◽  
Ольга Витальевна Козловская
Keyword(s):  
Medical Care ◽  
Clinical Case ◽  
Pancreatic Tumor ◽  
Interdisciplinary Approach ◽  
Diagnosis And Treatment ◽  
Complex Case ◽  
Medical Organization ◽  
Specialized Care ◽  
The City

Представлен клинический случай коморбидной патологии у пациента с оказанием специализированной помощи в многопрофильной медицинской организации города Сургута, первично диагностированного как COVID-инфекция. Описанный клинический случай, требовал междисциплинарного подхода в диагностике и лечении пациента и представляет пример эффективности работы многопрофильной больницы. A clinical case of comorbid pathology in a patient with specialized care in a multidisciplinary medical organization of the city of Surgut, initially diagnosed as a COVID infection, is presented. The described clinical case required an interdisciplinary approach in the diagnosis and treatment of the patient and is an example of the effectiveness of a multidisciplinary hospital.

Communication and Teamwork

2018 ◽  
Author(s):  
Eduardo Bruera
Keyword(s):  
Palliative Care ◽  
Health Care Professionals ◽  
Clinical Case ◽  
Physical Therapists ◽  
Interdisciplinary Approach ◽  
Interdisciplinary Teams ◽  
Palliative Care Team ◽  
Coordinated Care ◽  
Team Members ◽  
Complex Needs

Palliative care addresses physical, psychosocial, and spiritual dimensions of patients and their families. The care is focused on the person rather than on the disease. Therefore, the expertise of various health care professionals including physicians, advanced practice providers, nurses, social workers, chaplains, pharmacist, physical therapists and others are necessary to manage these patients’ complex needs. For the provision of optimal coordinated care excellent communication is integral part of this interdisciplinary approach. To facilitate such communication routine interdisciplinary clinical case discussion and meetings with essential team members should occur. In this chapter, the need for interdisciplinary teams in palliative care, team composition, communication, and leadership for interdisciplinary teams are outlined.

scholarly journals Carotid chemodectoma in the otorhinolaryngological practice: a clinical case

2020 ◽  
Vol 27 (2) ◽  
pp. 135-143
Author(s):  
A. N. Vachev ◽  
O. V. Dmitriev ◽  
O. V. Zeleva ◽  
P. M. Zelter
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Carotid Artery ◽  
Blood Loss ◽  
Clinical Case ◽  
Interdisciplinary Approach ◽  
Complete Recovery ◽  
Peritonsillar Abscess ◽  
Surgical Removal ◽  
The Right

Aim. To describe a clinical case of carotid chemodectoma in a patient seeking treatment from an otorhinolaryngologist.Results. A 79-year-old woman complained of sore throat and difficulty swallowing. Mesopharyngoscopy revealed a significant asymmetry of the pharynx on the right with a sagging soft palate. Computed tomography revealed the asymmetry of the pharynx on the right due to compression from outside. An irregularly shaped formation intensely accumulating contrast medium was detected in the periopharyngeal space on the right, near the bifurcation of the carotid artery. Carotid chemodectoma was suspected. The patient underwent surgical removal of the chemodectoma followed by the autoarterial reconstruction of the carotid artery on the right. The postoperative period was uneventful.Conclusion. The management of patients with carotid chemodectoma requires an interdisciplinary approach with participation of vascular surgeons, otorhinolaryngologists and radiologists. This approach ensures timely surgical treatment leading to complete recovery without neurological consequences and profuse blood loss. The disease can be mistaken for a peritonsillar abscess with the possibility of serious complications during surgical treatment.

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