scholarly journals A 28-year-old pregnant woman with severe toothache

2020 ◽  
Vol 13 (1) ◽  
pp. 31-34
Author(s):  
Md. Joynal Abdin ◽  
Mozammal Hossain
Keyword(s):  
Pregnant Woman ◽  
Severe Pain ◽  
Panoramic View ◽  
One Year ◽  
Left Quadrant ◽  
Temporary Filling

This article has no abstract. The first 100 words appear below: A 28-year-old woman came with severe pain on the lower left quadrant of the mouth. She already had an orthopantomogram (panoramic view) of six months back which showed a dislodged temporary filling on the lower left second premolar. The woman also told that she had six weeks of pregnancy. The patient also stated that she had pain and sensitivity on the same tooth at about one year back and went to a local dental surgeon. The dental surgeon at that time put a filling on that tooth. For three days, she could not sleep at night due to pain in that region.

scholarly journals Incidence of Severe Pain in Newly Diagnosed Ambulatory Patients with Stage IV Cancer

2012 ◽  
Vol 17 (5) ◽  
pp. 347-352 ◽  
Author(s):  
Thomas Isaac ◽  
Sherri O Stuver ◽  
Roger B Davis ◽  
Susan Block ◽  
Jane C Weeks ◽  
...  
Keyword(s):  
Head And Neck ◽  
Severe Pain ◽  
Stage Iv ◽  
Initial Visit ◽  
Newly Diagnosed ◽  
Ambulatory Oncology ◽  
Ambulatory Patients ◽  
Stage Iv Cancer ◽  
One Year ◽  
Thoracic Malignancies

BACKGROUND: Pain is common among cancer patients.OBJECTIVE: To characterize the incidence of severe pain among newly diagnosed patients with stage IV cancer in ambulatory care.METHODS: A retrospective cohort of 505 ambulatory oncology patients with newly diagnosed stage IV solid tumours at a comprehensive cancer centre (Dana-Farber Cancer Institute, Boston, Massachusetts, USA) was followed from January 1, 2004, to December 31, 2006. Pain intensity scores were extracted from electronic medical records. The incidence of severe pain was calculated using the maximum monthly pain scores reported at outpatient visits.RESULTS: Of the 505 patients included in the present study, 340 (67.3%) were pain-free at the initial visit, 90 (17.8%) experienced mild pain, 48 (9.5%) experienced moderate pain and 27 (5.4%) experienced severe pain. At least one episode of severe pain within one year of diagnosis was reported by 29.1% of patients. Patients with head and neck, gastrointestinal and thoracic malignancies were more likely to experience severe pain compared with patients with other types of cancer (52.6%, 33.9% and 30.5%, respectively). In the multivariable model, patients whose primary language was not English (OR 2.90 [95% CI 1.08 to 7.80]), patients who reported severe pain at the initial visit (OR 9.30 [95% CI 3.72 to 23.23]) and patients with head and neck (OR 10.17 [95% CI 2.87 to 36.00]) or gastrointestinal (OR 4.05 [95% CI 1.23 to 13.35]) cancers were more likely to report severe pain in the following year.CONCLUSIONS: The incidence of severe pain was high in ambulatory patients with newly diagnosed stage IV cancer.

scholarly journals Dr P. Davis, prof. Mann et al. — Fatal Nausea and Vomiting of Pregnancy. - (New-Jork Medic. Journ., 1894, 28 / VII, p. 121). Fatal nausea and vomiting in pregnant women. Dr. Terrel. - The Black vomit of Pregnancy. - (Ibid, 18 / VIII p. 212). Black vomiting in pregnant women

2020 ◽  
Vol 9 (7-8) ◽  
pp. 698-699
Author(s):  
M. Ginzburg
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Uterine Cervix ◽  
Severe Pain ◽  
Fatty Degeneration ◽  
Nausea And Vomiting ◽  
Minor Bleeding ◽  
Slight Improvement ◽  
Severe Nausea ◽  
The Third

Dr. Davis reported three fatal cases of vomiting during pregnancy. In the first of them, the pregnant woman suffered from gastric disorders before pregnancy; her vomiting was incessant and very exhausted her. She died at 2 months of pregnancy. Before dying, she developed a petechia-shaped spotty rash. In the second case, severe nausea and vomiting occurred at 3 weeks of pregnancy with severe pain and belching, locally: prolapsus and anteflexio uteri. The usual treatment. At 14 weeks, the anteflexed uterus was infringed at the bottom behind the pubis; the correction did not reduce vomiting. The expansion of the neck was accompanied by a slight improvement. It was decided to empty the uterus, which was done without difficulty and with minor bleeding. The patient, however, died soon after. An autopsy showed that the tissue of the uterine cervix was abnormally hard (fibrous); the uterus, ovaries, and tubes were normal; the blood was thin, fatty degeneration of the heart. In the third case, the patient, in addition to nausea and vomiting, suffered from severe pain in the epigastric region and vomiting had a coffee color. Everything possible was done, but nothing helped: the patient died.

scholarly journals Arabin Cerclage Pessary as a Treatment of an Acute Urinary Retention in a Pregnant Woman with Uterine Prolapse

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Alicia Martínez-Varea ◽  
Francisco Nohales-Alfonso ◽  
Vicente José Diago Almela ◽  
Alfredo Perales-Marín
Keyword(s):  
Emergency Department ◽  
Pregnant Woman ◽  
Acute Urinary Retention ◽  
Uterine Prolapse ◽  
Second Trimester ◽  
Vaginal Infection ◽  
Successful Pregnancy ◽  
Predisposing Factor ◽  
Bladder Drainage ◽  
One Year

A 35-year-old gravida 7, para 1, and abortus 5 female with hypogastric pain and inability to void urine after 14 + 3 weeks of amenorrhea was examined in the emergency department. One year before, a uterine prolapse had been diagnosed in another hospital. Examination showed a uterine prolapse grade 2 with palpable bladder. The patient was unable to void urine. After a manual reduction of the uterine prolapse, the patient underwent an emergency catheterization for bladder drainage. A Hodge pessary (size 70) was placed, which led to spontaneous micturitions. Due to the persistence of the symptoms the following day, Hodge pessary was replaced by an Arabin cerclage pessary. Although the pessary could be removed from the beginning of the second trimester, due to the uterine prolapse as a predisposing factor in the patient and the uncomplicated progression of pregnancy, it was decided to maintain it in our patient. Therefore, Arabin cerclage pessary allowed a successful pregnancy outcome and was not associated with threatened preterm delivery or vaginal infection.

scholarly journals A Thirty-one-year Old Pregnant Woman With Infiltrative Cardiac Masses

2012 ◽  
Vol 1 (2) ◽  
pp. 66-9
Author(s):  
Zahra Alizadeh-Sani ◽  
Kambiz Mozaffari ◽  
Zahra Khajali
Keyword(s):  
Pregnant Woman ◽  
One Year ◽  
Cardiac Masses

scholarly journals Pain Predicts Function One Year Later: A Comparison across Pain Measures in a Rheumatoid Arthritis Sample

2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Vivian Santiago ◽  
Karen Raphael ◽  
Betty Chewning
Keyword(s):  
Rheumatoid Arthritis ◽  
Pain Intensity ◽  
Severe Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Functional Limitations ◽  
Measurement Scale ◽  
Impact Measurement ◽  
Patient Reported ◽  
One Year

Background. Guidance is limited on best measures and time periods to reference when measuring pain in order to predict future function. Objective. To examine how different measures of pain predict functional limitations a year later in a sample of rheumatoid arthritis patients. Methods. Logistic regression analyses were conducted using baseline and one-year data (n=262). Pain intensity in the last 24 hours was measured on a 0–10 numerical rating scale and in the last month using an item from the Arthritis Impact Measurement Scale 2 (AIMS2). AIMS2 also provided frequency of severe pain, pain composite scores, and patient-reported limitations. Physician-rated function was also examined. Results. Composite AIMS2 pain scale performed best, predicting every functional outcome with the greatest magnitude, a one-point increase in pain score predicting 21% increased odds of limitations (combined patient and physician report). However, its constituent item—frequency of severe pain in the last month—performed nearly as well (19% increased odds). Pain intensity measures in last month and last 24 hours yielded inconsistent findings. Conclusion. Although all measures of pain predicted some functional limitations, predictive consistency varied by measure. Frequency of severe pain in the last month provided a good balance of brevity and predictive power.

Treatment of pregnancy-associated oral pyogenic granuloma with life-threatening haemorrhage by transarterial embolisation

2015 ◽  
Vol 129 (6) ◽  
pp. 607-610 ◽  
Author(s):  
K-Y Tsai ◽  
W-H Wang ◽  
G-H Chang ◽  
Y H Tsai
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Severe Bleeding ◽  
Transarterial Embolisation ◽  
Wound Pain ◽  
Life Threatening ◽  
One Year

AbstractBackground:Pregnancy-associated pyogenic granuloma (pregnancy tumour) is not uncommon. However, control of severe bleeding associated with the lesion by transarterial embolisation has never been reported.Case report:We report the case of a 33-year-old pregnant woman (34 weeks gestation) who presented with a pregnancy-associated pyogenic granuloma of the mandibular gingiva with a life-threatening haemorrhage. The bleeding stopped soon after transarterial micro-embolisation and regressed after one month; thus, no further surgical excision was needed. The patient was free of post-operative wound pain and infection, and there was no recurrence after one year of follow up.Conclusion:In general, surgical excision is the first treatment choice for pregnancy tumours. However, it is limited by the risk of marked deformity or incomplete excision when large lesions or difficult surgical areas are encountered. For large tumours, transarterial embolisation may be a safer alternative.

Clinical case of pubic symphysis diastasis in a pregnant woman with atypical clinical features

2020 ◽  
Vol 69 (3) ◽  
pp. 57-62
Author(s):  
Marina N. Mochalova ◽  
Viktor A. Mudrov ◽  
Anastasia Yu. Alexeyeva
Keyword(s):  
Pregnant Woman ◽  
Acute Abdomen ◽  
Clinical Features ◽  
Severe Pain ◽  
Clinical Case ◽  
Sagittal Plane ◽  
Specific Treatment ◽  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis

This article presents a clinical case of pubic symphysis diastasis in a pregnant woman with atypical clinical features. From 24 weeks of gestation, the patient noticed an intermittent low back aching pain radiated to posterior surface of the right thigh. The pain was regarded as a manifestation of lumbar osteochondrosis, and the patient did not receive specific treatment. At 39-40 weeks of pregnancy, the woman complained of severe pain in the left iliac region that appeared while lying on the left side or turning in bed. The differential diagnosis included acute abdomen and pubic symphysis diastasis. During diagnostic research, clinical features of acute abdomen were not found. The diagnostic tests such as tenderness palpation of pubic symphysis, P4 test, Patricks test, modified Trendelenburgs test, and Mennells test were positive. According to ultrasound, the width of the pubic symphysis was 8.9 mm, with a 2 mm deviation of pubic ramus relative to the sagittal plane, ill-defined margin and inhomogeneous structure of the symphysis due to hypoechogenic inclusions with a total area of about 50%. Thus, the patient was diagnosed with pubic symphysis diastasis of the 2nd degree. Given the severe pain syndrome and a high risk of pubic symphysis fracture during labor, this case required surgical delivery. The postoperative period elapsed without complication.

Angioscopic Evaluation of an Endoluminal Aortic Graft: The First Clinical Experience

1995 ◽  
Vol 2 (3) ◽  
pp. 248-254 ◽  
Author(s):  
Bradley B. Hill ◽  
Richard Neville ◽  
Gordon L. Hyde ◽  
Chien-Suu Kuo ◽  
Edward B. Diethrich
Keyword(s):  
Aortic Aneurysm ◽  
Renal Artery ◽  
Fiber Optic ◽  
Common Iliac Artery ◽  
Clinical Use ◽  
Aortic Graft ◽  
Panoramic View ◽  
Infrarenal Aortic Aneurysm ◽  
Left Common Iliac Artery ◽  
One Year

Purpose: Balloon aortoscopy has been described for viewing aortic endoluminal anatomy and guiding aortic stent placement in animals. We report the first clinical use of this technique to visually inspect the proximal portion of a 1-year-old endovascular aortic graft, its proximal fixation stent, and its relationship to the renal arteries. Methods: The aortoscope is a modified fiber-optic endoscope that is fitted over the lens with a transparent, saline-filled balloon for blood displacement. Its performance was evaluated in a 62-year-old woman who had a Parodi-type Dacron/modified Palmaz stent endoluminal graft implanted to exclude an infrarenal aortic aneurysm in 1994. One year later, during an angioplasty procedure for symptomatic left subclavian and left common iliac artery stenoses, the 1-year-old endoluminal graft was inspected with the balloon-tipped angioscopic assembly. Results: Introduced via the left brachial artery, the aortoscope provided a panoramic view of the endoluminal surface through the solution-filled balloon. The endoluminal aortic graft was clearly identified, as were both renal artery orifices proximal to the graft. The surface of the proximal stent was smooth and without exposed metal. No complications occurred with the angioscopy technique. Conclusions: Aortic angioscopy can be used to evaluate endoluminal aortic grafts and endoluminal anatomy. It provides clear, magnified views that may be useful for guiding precise placement and assessing the function and healing of endoluminal devices in the aorta.

scholarly journals 157 Non-Surgical Management of an Acute Isolated Volar Dislocation of the Distal Radio-Ulnar Joint

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Sreenivasan ◽  
R Nair ◽  
D Das ◽  
G Talawadekar
Keyword(s):  
Emergency Department ◽  
Severe Pain ◽  
Young Male ◽  
Left Wrist ◽  
Plain Radiographs ◽  
Ulnar Head ◽  
Joint Dislocations ◽  
Reduction Methods ◽  
One Year

Abstract Isolated distal radio-ulnar joint dislocations are rare and commonly missed on radiographs. A young male presented with severe pain and deformity of the left wrist, following a collision whilst playing rugby. This was easily diagnosed using plain radiographs, and the initial attempted reduction methods in the Emergency Department failed. The patient was subsequently anaesthetised in theatre, yet reduction by an accepted method of palmar to dorsal pressure over the interosseous membrane with simultaneous distraction of the wrist failed. A further attempt to manipulate the dislocated ulnar head was successful, with the same force applied whilst the wrist was maximally flexed and pronated – thereby avoiding an open reduction. The patient was asymptomatic at final follow-up, over one year later. This technique has not previously been described in the literature and may be used in similar injuries in the future.

scholarly journals Advanced Thyroid Follicular Carcinoma in a Pregnant Woman

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Victor Rocha Pinheiro ◽  
Bruno Minoru Miamoto ◽  
Júlia Thalita Queiróz Rocha ◽  
Carlos Segundo Paiva Soares ◽  
José Vicente Tagliarini ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Soft Tissue ◽  
Follicular Carcinoma ◽  
Thyroid Neoplasms ◽  
Needle Aspiration ◽  
Soft Tissue Metastasis ◽  
Surrounding Soft Tissue ◽  
Thyroid Follicular Carcinoma ◽  
One Year ◽  
Malignant Diagnosis

The diagnostic and therapeutic approach for pregnant women with thyroid nodules can present a challenge, especially concerning surgical procedures. In the context of malignant diagnosis, by fine needle aspiration (FNA), during pregnancy, the uncertainty lies in performing surgery. This article reports the case of a 41-year-old pregnant woman in her first gestation, who sought medical care complaining of right shoulder pain. Imaging workup depicted the destruction of the humeral head and involvement of the surrounding soft tissue. She was 20 weeks pregnant. The histological report favored the diagnosis of malignancy and the thyroid as the primary site. At 30 weeks of gestation, the patient underwent a cesarean section, a total thyroidectomy, and total resection of the metastasis. The child was born healthy, but one year after the diagnosis, the patient died. Bone and soft tissue metastasis of thyroid neoplasms are not very common and indicate poor prognosis.

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