scholarly journals A 18-year-old male with radix entomolaris

2019 ◽  
Vol 12 (3) ◽  
pp. 150-153
Author(s):  
Khondoker Rumon ◽  
Sageer Ahmed ◽  
Govind Kumar Chaudhary ◽  
Mozammal Hossain ◽  
Md. Mujibur Rahman Howlader ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Severe Pain ◽  
Molar Tooth ◽  
Occlusal Caries ◽  
Mild Pain ◽  
Posterior Tooth ◽  
Vitality Test ◽  
History Of

This article has no abstract. The first 100 words appear below: A 18-year-old boy came with the complaints of mild pain during mastication on the lower right posterior tooth for two weeks. He gave the history of severe pain on offending tooth one month before, which subsided within a few days after taking medication from a local pharmacy. On clinical examination, a deep occlusal caries was present on the lower right first molar tooth. The tooth was tender to the vertical percussion but not associated with any swelling or discharge. The vitality test revealed that the tooth was non-vital.   

scholarly journals A 42 year old female with thermal sensitivity in the lower left first molar tooth

2018 ◽  
Vol 11 (3) ◽  
pp. 231
Author(s):  
Hasan Ali ◽  
Mozammal Hossain ◽  
Md. Joynal Abdin
Keyword(s):  
Clinical Examination ◽  
Thermal Sensitivity ◽  
Molar Tooth ◽  
Posterior Region ◽  
Proximal Surface ◽  
Carious Lesions ◽  
Left Posterior ◽  
Vitality Test

<p><span>This article has no abstract. The first 100 words appear below:</span></p><p>A 42 year old female presented with the complaints of thermal sensitivity and impaction of food during mastication on her lower left posterior region. On clinical examination, carious lesions involving proximal surface was detected at the lower left first molar tooth which extended up to the dentin. The vitality test showed that the affected tooth was vital and the tooth was also non-tender to percussion.</p>

scholarly journals A 34-year-old male with pain and mobility of upper left lateral incisor tooth

2020 ◽  
Vol 13 (1) ◽  
pp. 42-45
Author(s):  
Sageer Ahmed ◽  
Chowdhury Afrina Parvin ◽  
Mozammal Hossain
Keyword(s):  
Clinical Examination ◽  
Root Canal ◽  
Lateral Incisor ◽  
Pulp Chamber ◽  
Incisor Tooth ◽  
Mild Pain ◽  
History Of

This article has no abstract. The first 100 words appear below: A 34-year-old male attended with mild pain during mastication and slight mobility on the upper left lateral incisor tooth for 2 months. He gave the history of trauma on the offending tooth 3 years ago and for this he visited to a local dentist 2 weeks ago but did not get any relief after treatment. On clinical examination, the tooth was non vital, tender to percussion with 2 degree mobility, not associated with any swelling and discharge. Pre-operative radiograph revealed obliteration of pulp chamber, area of rarefaction associated near the apex of upper left lateral incisor tooth, cervical radiolucency indicating the loss of periodontal structures and about 5 mm separated fragment of instrument in the coronal third of the root canal.

scholarly journals A 16-year-old boy with chronic discharging sinus on upper left lateral incisor tooth

2019 ◽  
Vol 12 (1) ◽  
pp. 45-49
Author(s):  
Ridwana Kawsar ◽  
Mozammal Hossain ◽  
Md. Mujibur Rahman Howlader ◽  
Mir Md. Mofazzal Hossain ◽  
Md. Joynal Abdin ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Root Canal ◽  
Cold Test ◽  
Sinus Tract ◽  
Lateral Incisor ◽  
Restorative Material ◽  
Dental Clinic ◽  
Incisor Tooth ◽  
Vitality Test ◽  
History Of

This article has no abstract. The first 100 words appear below: A 16-year-old boy referred to our department with chronic discharging sinus during the course of root canal treatment on the upper left lateral incisor tooth from a private dental clinic. The patient had a history of trauma to the tooth 1 year back. On clinical examination, the coronal portion of the upper left lateral incisor tooth was found to have filled with temporary restorative material. The tooth was sensitive to palpation and percussion with the presence of a sinus tract. On vitality test, there was no response to heat and cold test.

THERAPEUTIC MANAGEMENT OF ASCITES IN SPITZ DOG IN BANGLADESH WITH A BRIEF REVIEW ON CANINE ASCITES

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
M. A. Samad
Keyword(s):  
Ascitic Fluid ◽  
Clinical Examination ◽  
Clinical Case ◽  
Abdominal Distension ◽  
Multiple Organ ◽  
Therapeutic Management ◽  
Vitamin Supplement ◽  
Case Record ◽  
Successful Recovery ◽  
History Of

Background: Ascites is one of the most important clinical syndromes, caused by multiple organ disorders, characterized by abdominal distension with accumulation of fluid of various colors and consistencies depending on the etiology that are encountered commonly in canine practice worldwide. Although it has been reported from different countries including India but it has not yet been documented from Bangladesh. Objectives: To evaluate the successful therapeutic management of a clinical case of ascites in dog supported with its brief review for its appropriate application Materials and Methods: A female Spitz dog two and half years old brought for treatment with the history of abdominal distension on 1st November 2009. Clinical examination, abdominocentesis and laboratory examination of ascitic fluid were used for the diagnosis of ascites in dog. Results: Clinical examination revealed dyspnea, discomfort, lethargy, weakness, pale mucous membrane, normal rectal temperature 103.2 0F and distended abdomen with fluid thrill on palpation. Examination of ascitic fluid revealed clear white fluid (pure transudate) which is mainly hepatic origin resulting portal hypertension and hypoproteinaemia. Treatment with restricted sodium diet, antibiotic (amoxicillin), diuretic (furosemide; Lasix, Sanofi Aventis) and vitamin B-complex and C- vitamin supplement with regular monitoring assisted in successful recovery. The recovered dog survived for next five years up to 2014 and then died due to other reasons. Conclusions: This clinical case record on canine ascites with successful treatment along with review especially on the methods of diagnosis and cause-wise treatment would certainly help the clinician for proper management of the clinical cases of canine ascites. Keywords: Ascites, Spitz dog, Diagnosis, SAAG, Therapeutic management, Brief review

scholarly journals A case of sigmoid volvulus in an unexpected demographic

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika
Keyword(s):  
Abdominal Pain ◽  
Severe Pain ◽  
Rare Case ◽  
Young Female ◽  
Sigmoid Volvulus ◽  
Case Presentation ◽  
Operative Complications ◽  
History Of ◽  
Male Sex ◽  
Emergent Laparotomy

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.

scholarly journals Participants with mild, moderate, or severe pain following total hip arthroplasty. A sub-study of the PANSAID trial on paracetamol and ibuprofen for postoperative pain treatment

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Luma Mahmoud Issa ◽  
Kasper Højgaard Thybo ◽  
Daniel Hägi-Pedersen ◽  
Jørn Wetterslev ◽  
Janus Christian Jakobsen ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Severe Pain ◽  
Pain Treatment ◽  
Opioid Analgesic ◽  
Opioid Use ◽  
Mild Pain ◽  
Total Hip ◽  
Pain Scores

AbstractObjectivesIn this sub-study of the ‘Paracetamol and Ibuprofen in Combination’ (PANSAID) trial, in which participants were randomised to one of four different non-opioids analgesic regimen consisting of paracetamol, ibuprofen, or a combination of the two after planned primary total hip arthroplasty, our aims were to investigate the distribution of participants’ pain (mild, moderate or severe), integrate opioid use and pain to a single score (Silverman Integrated Approach (SIA)-score), and identify preoperative risk factors for severe pain.MethodsWe calculated the proportions of participants with mild (VAS 0–30 mm), moderate (VAS 31–60 mm) or severe (VAS 61–100 mm) pain and the SIA-scores (a sum of rank-based percentage differences from the mean rank in pain scores and opioid use, ranging from −200 to 200%). Using logistic regression with backwards elimination, we investigated the association between severe pain and easily obtainable preoperative patient characteristics.ResultsAmong 556 participants from the modified intention-to-treat population, 33% (95% CI: 26–42) (Group Paracetamol + Ibuprofen (PCM + IBU)), 28% (95% CI: 21–37) (Group Paracetamol (PCM)), 23% (95% CI: 17–31) (Group Ibuprofen (IBU)), and 19% (95% CI: 13–27) (Group Half Strength-Paracetamol + Ibuprofen (HS-PCM + IBU)) experienced mild pain 6 h postoperatively during mobilisation. Median SIA-scores during mobilisation were: Group PCM + IBU: −48% (IQR: −112 to 31), Group PCM: 40% (IQR: −31 to 97), Group IBU: −5% (IQR: −57 to 67), and Group HS-PCM + IBU: 6% (IQR: −70 to 74) (overall difference: p=0.0001). Use of analgesics before surgery was the only covariate associated with severe pain (non-opioid: OR 0.50, 95% CI: 0.29–0.82, weak opioid 0.56, 95% CI: 0.28–1.16, reference no analgesics before surgery, p=0.02).ConclusionsOnly one third of participants using paracetamol and ibuprofen experienced mild pain after total hip arthroplasty and even fewer experienced mild pain using each drug alone as basic non-opioid analgesic treatment. We were not able, in any clinically relevant way, to predict severe postoperative pain. A more extensive postoperative pain regimen than paracetamol, ibuprofen and opioids may be needed for a large proportion of patients having total hip arthroplasty. SIA-scores integrate pain scores and opioid use for the individual patient and may add valuable information in acute pain research.

Progressive Mucinous Histiocytosis: Importance of Electron Microscopy to Confirm Diagnosis

2010 ◽  
Vol 14 (5) ◽  
pp. 245-248 ◽  
Author(s):  
Iman Hemmati ◽  
W. Alastair McLeod ◽  
Richard I. Crawford
Keyword(s):  
Electron Microscopy ◽  
Light Microscopy ◽  
Clinical Examination ◽  
Crucial Role ◽  
Langerhans Cell Histiocytosis ◽  
Langerhans Cell ◽  
History Of ◽  
Characteristic Features ◽  
Immunohistochemical Studies

Background: Progressive mucinous histiocytosis (PMH) is a benign, non-Langerhans cell histiocytosis with characteristic ultrastructural features that can be used for diagnosis. Once an important tool in dermatologic diagnosis, electron microscopy has been largely replaced by immunohistochemistry and immunofluorescence techniques today. However, electron microscopy occasionally still plays a crucial role in the diagnosis of dermatologic conditions. We report a case of PMH as an example of a dermatologic disorder that requires electron microscopy for its diagnosis. Methods: A 60-year-old woman presented to our clinic with a history of small, sharply demarcated, skin-colored papules ranging from 2 to 5 mm in diameter distributed over the arms, forearms, and dorsal hands. The results of light microscopy, immunohistochemical studies, and clinical examination were inconclusive. Another biopsy for electron microscopy showed the characteristic features of PMH. Conclusion: This case demonstrates that a dermatopathology service still needs to have access to electron microscopy for diagnostic purposes to successfully diagnose a small number of rare conditions.

scholarly journals Osteoporosis-Related Simultaneous Four Joints Fractures and Dislocation after a Seizure: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4
Author(s):  
Abdullah S. AlOmran
Keyword(s):  
Vitamin D ◽  
Case Report ◽  
Clinical Examination ◽  
Epileptic Seizures ◽  
Antiresorptive Therapy ◽  
Multiple Fractures ◽  
Steroid Use ◽  
Skeletal Injury ◽  
History Of ◽  
Rule Out

A case of steroid-induced osteoporosis-related multiple fractures and dislocations are described after a seizure is reported. Patient had two years history of steroid use with no supplement or antiresorptive therapy. There was a delay in the diagnosis which affected an otherwise good outcome in such situations. It is recommended that patients on steroid should be given calcium, vitamin D, and an antiresorptive. Furthermore, a meticulous clinical examination is required in patients who are on steroids and suffer epileptic seizures to rule out skeletal injury.

scholarly journals The Effect of Anterior Uterocervical Angle on Primary Dysmenorrhea and Disease Severity

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Mefkure Eraslan Sahin ◽  
Erdem Sahin ◽  
Yusuf Madendag ◽  
Ilknur Col Madendag ◽  
Ahter Tanay Tayyar ◽  
...  
Keyword(s):  
Disease Severity ◽  
Severe Pain ◽  
Longitudinal Axis ◽  
Primary Dysmenorrhea ◽  
Uterine Corpus ◽  
Significant Family History ◽  
Significant Difference ◽  
History Of ◽  
Secondary Dysmenorrhea ◽  
The Mean

Background. Primary dysmenorrhea, defined as painful menstrual cramps originating in the uterus without underlying pathology, is a gynecological disease that affects quality of life and school success. Our goal was to determine the effect of anterior uterocervical angle on primary dysmenorrhea and disease severity. Methods. A total of 200 virgin adolescents, 16 to 20 years of age, were included in the study. The Andersch and Milsom scale was used to determine dysmenorrhea severity. Those with pathologies causing secondary dysmenorrhea were excluded from the study. Study subjects were grouped based on severity of pain. Demographic characteristics and uterocervical ultrasonographic measurements were compared among groups. Results. Of the 200 participants enrolled in the study, 50 were healthy controls and 150 had primary dysmenorrhea. Those with primary dysmenorrhea had a significant family history of primary dysmenorrhea compared with controls (P<0.001). Age (P=0.668), body mass index (P=0.898), menarche age (P=0.915), and length of menstrual cycles (P=0.740) were similar in all groups. The uterine corpus longitudinal axis, uterine corpus transverse axis, and uterine cervix longitudinal axis were also similar (P=0.359, P=0.279, and P=0.369, resp.). The mean uterocervical angle was 146.8 ± 6.0 in controls and 143.3 ± 7.3 in those with mild pain with no significant difference between the groups. In those with moderate pain, the mean uterocervical angle was 121.2 ± 7.3 compared with 101 ± 9.2 in those with severe pain, which was a significant difference. Additionally, there was also a significant difference in the uterocervical angle among those with mild, moderate, and severe pain (P<0.001). Conclusion. Our results indicate that a narrower anterior uterocervical angle is associated with primary dysmenorrhea and disease severity.

scholarly journals External fixator for the treatment of narrowed pelvic canal in a cat

2021 ◽  
Author(s):  
S Pinna ◽  
C Tassani ◽  
M Rossini ◽  
F Lanzi
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Clinical Examination ◽  
External Fixator ◽  
Invasive Procedure ◽  
Sacral Fracture ◽  
Minimally Invasive Procedure ◽  
Canal Stenosis ◽  
Applied Tension ◽  
History Of

The aim of this study was to report the outcome of the use of an external fixator to treat a pelvic canal stenosis in a 5-month-old female cat. The cat was referred with a history of 3 weeks of intermittent signs of constipation refractory to the medical management, occurring after surgical treatment for a bilateral sacroiliac luxation and sacral fracture. The clinical examination revealed instability of the pelvis and a radiograph showed a pelvic canal stenosis and megacolon. External fixator was the method of choice to be used in this case. The manually applied tension on an external fixator resulted in a widening of the pelvic canal. At 45 days after surgery, there were no signs of constipation, and the radiological examination showed progressive bone healing. At 18 months post-op, the cat had no abnormalities both on the clinical examination and on the radiography. In conclusion, the use of an external fixator led to the widening of the pelvic canal using a minimally invasive procedure. To the authors’ knowledge, this case report represents the first surgical description and clinical outcome of the widening of the pelvic canal in cats using an external skeletal fixator.

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