scholarly journals Clinical Analysis of a Case of Pseudohypoparathyroidism

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Luping Peng
Keyword(s):  
Treatment Effect ◽  
Standard Treatment ◽  
Clinical Symptoms ◽  
Correct Diagnosis ◽  
Clinical Analysis ◽  
Clinical Treatment ◽  
Supportive Treatment

Objective — To investigate the clinical treatment effect of pseudoparathyroidism. Methods — A case of pseudoparathyroidism admitted to our hospital was clinically diagnosed and treated, and analyzed. Results — The patient received standard treatment in our hospital, and the clinical symptoms were significantly improved. Conclusion — Timely and correct diagnosis and symptomatic supportive treatment are of great significance to improve the prognosis of pseudohypoparathyroidism patients.

scholarly journals Efficacy of carprostol tromethamine combined with mifepristone in the treatment of uterine fibroids

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Jun Wang ◽  
Xian Zhang
Keyword(s):  
Estrogen Receptor ◽  
Progesterone Receptor ◽  
Treatment Effect ◽  
Uterine Fibroids ◽  
Operation Time ◽  
Clinical Treatment ◽  
Control Group ◽  
Observation Group ◽  
Significant Difference ◽  
Better Than

【Abstract】Objective: To investigate the clinical efficacy of carboprost tromethamine combined with mifepristone in the treatment of uterine fibroids. METHODS: A total of 66 patients with uterine fibroids admitted to our hospital between April 2018 and January 2019 were selected as subjects. According to the two different treatment methods, patients were divided equally. The observation group and the control group, each group of 33 people. The oxytocin drug treatment was medicated to the control group, and the prostaglandin tromethamine combined with mifepristone was medicated to the observation group. The treatment effect, adverse reaction, operation, and uterine muscle before and after surgery were observed in these two groups. Tumor tissue progesterone receptor and estrogen receptor levels. Results: The clinical treatment effect of the observation group was 93.94%, and the clinical treatment effect of the control group was 60.61%. The clinical treatment effect of the observation group was significantly higher than that of the control group; also the incidence of adverse reactions in the observation group in terms of rash, fatigue, nausea and vomiting was much lower than the control group, and could observe a significant difference. Finally in observation group, the amount of intraoperative blood loss, operation time and hospitalization time were better than those of the control group. The progesterone receptor and estrogen receptor levels in the uterine fibroid tissue after surgery should also be better than the control group, it is worth to make further comparison. Conclusion: Carprostol tromethamine combined with mifepristone is effective in the treatment of uterine fibroids and can be further developed.

Transthyretin-assoziierte familiäre Amyloidpolyneuropathie

2018 ◽  
Vol 143 (06) ◽  
pp. 427-430
Author(s):  
Christoph Niemietz ◽  
Christoph Röcken ◽  
Matthias Schilling ◽  
Jörg Stypman ◽  
Constantin Uhlig ◽  
...  
Keyword(s):  
Amyloid Fibrils ◽  
Clinical Symptoms ◽  
Chronic Inflammatory Demyelinating Polyneuropathy ◽  
Correct Diagnosis ◽  
Vitreous Body ◽  
Final Diagnosis ◽  
Autonomic Nerves ◽  
Loss Of Weight ◽  
Peripheral Polyneuropathy ◽  
Immunohistochemical Evidence

AbstractTransthyretin-related Familial Amyloid Polyneuropathy (ATTR Amyloidosis, former FAP, here called TTR-FAP) is a rare, progressive autosomal dominant inherited amyloid disease ending fatal within 5 – 15 years after final diagnosis. TTR-FAP is caused by mutations of transthyretin (TTR), which forms amyloid fibrils affecting peripheral and autonomic nerves, the heart and other organs. Due to the phenotypic heterogeneity and partly not specific enough clinical symptoms, diagnosis of TTR-FAP can be complicated. False diagnoses can include idiopathic polyneuropathy, chronic inflammatory demyelinating polyneuropathy, diabetic neuropathy as well as paraneoplastic syndrome. Hence, it is assumed that many cases remain unreported. Early and correct diagnosis of TTR-FAP is crucial, since appropriate therapeutic options exist. TTR-FAP should always be differentially diagnosed, when apart from a progressive peripheral polyneuropathy, additional symptoms as autonomic dysfunction, cardiomyopathy, gastrointestinal disorders, unexpected loss of weight, carpal tunnel syndrome, restrictions of renal function, epileptic fits, and corneal and vitreous body clouding occur. Histological evidence of amyloid and successive immunohistochemical evidence of transthyretin as well as genetic testing for transthyretin mutations, lead to an accurate diagnosis.

Difficulties associated with the diagnosis of tuberculous osteomyelitis of the ribs in children

2021 ◽  
Vol 16 (2) ◽  
pp. 74-79
Author(s):  
M.D. Zvereva ◽  
◽  
S.S. Kanash ◽  
S.I. Petrova ◽  
V.A. Evseev ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Clinical Symptoms ◽  
Correct Diagnosis ◽  
Diagnostic Procedures ◽  
Diagnostic Methods ◽  
Mantoux Test ◽  
Comprehensive Treatment ◽  
Tuberculous Osteomyelitis ◽  
The Right ◽  
Tuberculosis In Children

Diagnosis of tuberculosis in children is challenging because of variable clinical symptoms and no specific signs. We report a case of tuberculous osteomyelitis of the ribs, which demonstrates difficulties associated with the diagnosis of generalized tuberculosis in an 8-year-old child (correct diagnosis was established after 1.3 years). Diagnostic procedures included: Mantoux test, skin test with recombinant tuberculosis allergen, computed tomography, pathomorphological and bacterioscopic testing. The patient presented with disease progression and lesions to the lung tissue, pleura, and ribs and did not respond to antibacterial therapy, hormones, and cytostatics. This required repeated diagnosis revision. The diagnosis of tuberculosis of the right 4th and 5th ribs was confirmed after surgery using bacterioscopic and immunohistochemical examinations. The child received comprehensive treatment in a specialized tuberculosis hospital and had positive dynamics. Despite the correct routing, low suspicion for tuberculosis in primary and secondary healthcare institutions has led to an insufficient use of currently available diagnostic methods and late diagnosis of tuberculosis in a child residing in a megapolis. Key words: generalized tuberculosis, children, tuberculosis of the rib, immunodiagnostics, diagnosis of tuberculosis, immunohistochemistry

Abstract WP396: Analysis of Patients With Excessively High Pre-Randomization Systolic Blood Pressure and Effect of Intensive Systolic Blood Pressure Reduction in Antihypertensive Treatment of Acute Cerebral Hemorrhage (ATACH) 2

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Adnan I Qureshi ◽  
Lydia D Foster ◽  
Iryna Lobanova ◽  
Wei Huang ◽  
Jose I Suarez ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Treatment Effect ◽  
Standard Treatment ◽  
Blood Pressure Reduction ◽  
Intensive Treatment ◽  
Hematoma Expansion ◽  
Disability Score ◽  
Modifying Effect ◽  
Current Guidelines

Background: Current guidelines recommend for intracerebral hemorrhage (ICH) patients with the systolic blood pressure (SBP) >220 mmHg, unlike those with initial SBP 150-220 mm, Hg, the efficacy of aggressive reduction of SBP is less well established and further studies are recommended. Methods: We analyzed data from ATACH 2 trial which randomized patients with initial SBP >180 mm Hg to intensive (goal 110-139 mmHg) and standard (goal 140-179 mmHg) SBP reduction using IV nicardipine within 4.5 hours of symptom onset. We compared the characteristics and outcomes between patients with pre- randomization SBP ≥220 mm Hg and those with initial SBP <220 mm Hg. We analyzed the modifying effect (interaction test) of pre-randomization SBP ≥220 mm Hg on treatment effect (intensive versus standard) on death or disability (score 4-6 on modified Rankin scale) at 3-months post-randomization ascertained by a blinded investigator. Results: Of 1000 randomized subjects, 48 subjects had a pre-randomization SBP ≥ 220 mm Hg (mean age 57.8 years, 65% men); 24 were assigned to intensive-treatment and standard-treatment each. The rate of death or disability at 3 months (47.9% versus 37.7%, odds ratio (OR): 1.52, 95% confidence interval (CI): 0.43 to 1.5, 0.85 to 2.72) and hematoma expansion within 24 hours (30.0% versus 21.2%, OR: 1.60; 95% CI: 0.80 to 3.20) was not different among subjects with SBP≥220 mm Hg SBP and those with SBP < 220 mm Hg. Rates of hematoma expansion (19% and 27.3%, OR: 0.63; 95% CI: 0.15 to 2.6) and neurological deterioration (8.7% versus 17.4%, OR: 0.45; 95% CI: 0.07 to 2.8) within 24 hours were not different between those randomized to intensive treatment and those to standard treatment in patients with SBP≥220 mm Hg. The interaction between initial SBP ≥220 mm Hg and treatment effect on death or disability was significant (p=0.0111). Conclusions: Patients with pre-randomization SBP ≥220 mm Hg did not have higher rates of hematoma expansion or death or disability compared to those with SBP <220 mm Hg. The interaction of pre- randomization SBP ≥220 mm Hg with the treatment effect and a non-significantly higher rate of death or disability associated with intensive treatment requires further studies.

Clinical Treatment and Analysis of 126 Cases of Hypertensive Cerebral Hemorrhage

2013 ◽  
Vol 850-851 ◽  
pp. 1168-1171
Author(s):  
Xiao Hong Li ◽  
Ke Yu
Keyword(s):  
Internal Medicine ◽  
Conservative Treatment ◽  
Blood Loss ◽  
Treatment Effect ◽  
Cerebral Hemorrhage ◽  
Clinical Treatment ◽  
Systematic Treatment ◽  
Treatment Experience

Objective: to analyze and summarize treatment experience of 126 cases of patients with hypertension cerebral hemorrhage. Methods: to analyze retrospectively from June 2012 to August 2012126 cases of patients treated in our hospital neurology treated, to analyze and summarize clinical treatment and prognosis of all patients included in the statistics. Results: 126 cases of patients, 27 cases were basically cured, , 32 cases were markedly effective, 29 cases were efficient, 23 cases were ineffective, 11 cases died, because of fund reasons 4 cases discharged from hospital without making the systematic treatment .Conclusion: through internal medicine conservative treatment, the treatment effect of patients with less blood loss (usually < 30 ml) is better, the treatment effect of patients with large amount of blood loss is ineffective.

Thyrotoxic hepatitis

2017 ◽  
Vol 63 (1) ◽  
pp. 46-50
Author(s):  
Dmitrij V. Pikulev ◽  
Aleksej V. Klemenov
Keyword(s):  
Liver Injury ◽  
Clinical Symptoms ◽  
Correct Diagnosis ◽  
Clinical Signs ◽  
Rare Condition ◽  
Liver Function Tests ◽  
Biliary Cirrhosis ◽  
Liver Pathology ◽  
Drug Induced ◽  
Clinical Variants

In most cases, liver pathology in hyperthyroidism is confined to asymptomatic changes in laboratory indices, while clinical signs are much rarer. Three clinical variants of liver pathology in patients with hyperthyroidism can be differentiated: drug-induced hepatitis that develop in response to administration of thyrostatic agents (mainly propylthiouracil); concomitant autoimmune liver diseases (autoimmune hepatitis, primary biliary cirrhosis), and hepatopathies as a direct manifestation of thyrotoxicosis (thyrotoxic hepatitis). Thyrotoxic hepatitis is a rare condition difficult to diagnose. The variety of etiological factor of liver pathology in hyperthyroidism, universal clinical symptoms, and the lack of specific histological markers make it difficult to make a correct diagnosis. A clinical case of Graves’ disease complicated with severe thyrotoxic hepatitis, the edema-ascites syndrome and hyperbilirubinemia is reported. The patient was diagnosed with thyrotoxic hepatitis after all other reasons for liver pathology have been ruled out. The concomitant thyrogenic myocardiodystrophy, cardiomegaly and atrial fibrillation required ruling out the diagnosis of cardiogenic liver injury and made diagnosing more difficult. Normalization of the thyroid status in patients receiving mercazolyl therapy was accompanied by alleviation of clinical symptoms of hepatitis and the positive dynamics of the indices of liver function tests. A brief review of the data on clinical variants and mechanisms of liver injury in patients with thyrotoxicosis is presented.

scholarly journals SCHWANNOMAS OF THE GASTROINTESTINAL TRACT

2016 ◽  
Vol 63 (2) ◽  
pp. 115-117
Author(s):  
Beatrice Lintoiu ◽  
◽  
Irina Balescu ◽  
Nicolae Bacalbasa ◽  
◽  
...  
Keyword(s):  
Gold Standard ◽  
Gastrointestinal Stromal Tumors ◽  
Standard Treatment ◽  
Correct Diagnosis ◽  
S100 Protein ◽  
Malignant Degeneration ◽  
Stromal Tumors ◽  
Colon And Rectum ◽  
Head Neck ◽  
Neural Sheath

Schwannomas are rare tumors originating from the Schwann cells, that form the neural sheath. These tumors occur most frequently in the head, neck, arms and limbs. Primary schwannomas of the colon and rectum are extremely rare. They are usually benign. Pre-operative biopsy examinations may be difficult and immunohistochemistry is necessary for the correct diagnosis. In contrast to gastrointestinal stromal tumors, schwannomas are negative for CD117 and positive for S100 protein and vimentin. In extremely rare cases, they can present with malignant degeneration if not surgically removed. Therefore, the gold standard treatment for schwannomas is surgical resection.

scholarly journals MON-059 Acute Hyponatremia Following Computed Tomography Radiocontrast in a Pediatric Patient

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Harvey Kenn Chiu ◽  
Shadfar Bahri ◽  
Paul Iskander
Keyword(s):  
Computed Tomography ◽  
Pediatric Patient ◽  
Time Course ◽  
Clinical Symptoms ◽  
Laboratory Finding ◽  
Mature Teratoma ◽  
Correct Diagnosis ◽  
Ct Angiogram ◽  
Extracellular Compartment ◽  
Acute Hyponatremia

Abstract Hyponatremia is a common laboratory finding. Radiocontrast is hyperosmolar and can draw fluid from the intracellular to the extracellular compartment, but radiocontrast-induced hyponatremia is rare, usually noted in the context of renal insufficiency as a consequence of extracellular expansion exceeding diuresis. We describe an unusual case of 3-year old girl with normal renal function who developed significant hyponatremia following computed tomography radiocontrast. The patient had a mediastinal mixed yolk sac/germ cell tumor and mature teratoma. Imaging was performed with a PET/CT, cardiac CT angiogram, and abdominal CT, for which she received Omnipaque radiocontrast 2 cc/kg. Hyponatremia developed 5 days after administration, with a fall from a baseline sodium of 141 mmol/L to an eventual nadir sodium of 123 mmol/L. An assessment using the serum osmolality of 266 mOsm/kg failed to diagnose hyperosmolar effects of the radiocontrast, with an undetectable concurrent vasopressin level of &lt;0.5 pg/mL. 3% NS boluses failed to have an enduring effect. Without a specific enduring intervention, the hyponatremia then resolved 9 days after administration of the radiocontrast, as the sodium levels remained between 134–139 mmol/L over the subsequent 5 days. Recognition of the clinical scenario and time course of events for radiocontrast-induced hyponatremia is essential for a correct diagnosis. Pediatric patients may be particularly susceptible to radiocontrast-induced hyponatremia given the inherently small size, and following administration of radiocontrast in a pediatric patient, significant morbid hyponatremia is a possible sequalae that should suspected especially if suggestive clinical symptoms present.

scholarly journals Acute Abdominal Disorders in Dairy Cattle: What Can Clinicians Do under Field Conditions?

Ruminants ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 46-57
Author(s):  
Rodrigo Muiño ◽  
Joaquín Hernández ◽  
Cristina Castillo
Keyword(s):  
Dairy Cattle ◽  
Acute Abdomen ◽  
Diagnostic Tests ◽  
Clinical Symptoms ◽  
Pathological Condition ◽  
Abdominal Cavity ◽  
Correct Diagnosis ◽  
Field Conditions ◽  
Therapeutic Measure ◽  
Therapeutic Choice

Acute abdomen (AA) is the term used to define a pathological condition that affects the abdominal cavity and frequently manifests itself with acute clinical symptoms capable of compromising a cow’s life. Therefore, it should be considered as an emergency that should be evaluated as quickly as possible to adopt the appropriate therapeutic measure (medical or surgical). In an AA situation, the clinician must consider the appropriate diagnostic approach as well as the therapeutic choice. Given the emergency, the veterinarian’s experience will be decisive for the appropriate resolution. In this article, we briefly review the causes that may lead to this condition, as well as the different diagnostic tests available in field conditions to establish the correct diagnosis and treatment.

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