scholarly journals Hand pain in elderly patients

2015 ◽  
Vol 10 (4) ◽  
pp. 342-347
Author(s):  
Adriana Sarah NICA ◽  
◽  
Gilda MOLOGHIANU ◽  
Roxana NARTEA ◽  
Mariana-Isabela CONSTANTINOVICI ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Functional Outcomes ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Clinical Aspects ◽  
Common Symptom ◽  
Aged People ◽  
Hand Pain ◽  
Functional Consequences ◽  
Clinical Signs And Symptoms

Painful hand of aged people is a very common symptom but is often disregarded in comparaison with other clinical signs and symptoms analyzed in these patients. When is reported, are rarely taken into account the multiple pathophysiological and clinical aspects of aging that characterize also the hand. Pain and all these other signs induce unexpected aspects of dysfunctions, from functional impairment to disability. Our aim was to present a review of the most common situations related to painful hand in elderly patients, especially in rheumatological and posttraumatic context. This paper is an update of the most common situations in older patients, that often neglect their distal upper limb in a context of polipathology or in a problematically family and social environment. Also are presented the associated functional consequences and the main therapeutic objectives related to pathophysiological, clinical and functional outcomes.

scholarly journals Portland Cement Use in Dental Root Perforations: A Long Term Followup

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Álvaro Henrique Borges ◽  
Matheus Coelho Bandeca ◽  
Mateus Rodrigues Tonetto ◽  
Luis Augusto Faitaroni ◽  
Elibel Reginna de Siqueira Carvalho ◽  
...  
Keyword(s):  
Portland Cement ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Clinical Aspects ◽  
Iatrogenic Perforation ◽  
Root Canals ◽  
First Case ◽  
Clinical Signs And Symptoms

Root canal and furcal perforations are causes of endodontic therapy failure and different materials that stimulate tissue mineralization have been proposed for perforation treatment. In the first case, a patient presented tooth 46 with unsatisfactory endodontic treatment and a periapical radiographic lesion. A radiolucent area compatible with a perforating internal resorption cavity was found in the mesial root. The granulation tissue was removed, and root canals were prepared. The intracanal medication was composed of calcium hydroxide and the perforation cavity was filled with Portland cement. The 11-year followup showed radiographic repair of the tissue adjacent to the perforation and absence of clinical signs and symptoms or periapical lesion. In the second case, a patient presented with edema on the buccal surface of tooth 46. The examination showed a radiolucent area in the furcation region compatible with an iatrogenic perforation cavity. The mesial root canals were calcified, and only the distal root canal was prepared. The cavity was filled with a calcium hydroxide-based paste and the distal root canal was obturated. In sequence, the perforation cavity was filled with Portland cement. The 9-year followup showed the tooth in masticatory function with radiographic and clinical aspects compatible with normality.

Coronary heart disease

2014 ◽  
pp. 109-118
Keyword(s):  
Coronary Arteries ◽  
Stable Angina ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Premature Death ◽  
Common Symptom ◽  
Acute Mi ◽  
Coronary Syndromes ◽  
Clinical Signs And Symptoms ◽  
The Uk

CHD remains one of the largest causes of premature death in the UK. Angina is the most common symptom of CHD. It is usually described as a central, retrosternal pain or ache that is crushing or choking in nature. Pain may radiate down the left arm and/or up into the neck and is often accompanied by shortness of breath and sweating. Some patients may describe it as chest discomfort. The presentation of CHD, however, covers a broad spectrum of clinical signs and symptoms that vary in severity. An individual may be asymptomatic despite disease within the coronary arteries; may present with gradually worsening symptoms of angina; or the first presentation may be death following an acute MI. The progress of the disease is variable, depending on the individual’s risk factors and the coronary arteries affected. Terminology varies but, generally speaking, CHD is divided into two subtypes: stable angina—with reversible ischaemia, and acute coronary syndromes—which is an umbrella term that includes unstable angina and MI. This chapter outlines the pathophysiology and clinical management of stable angina.

Coronary heart disease: stable angina

2020 ◽  
pp. 129-140
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Stable Angina ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Premature Death ◽  
Common Symptom ◽  
Retrosternal Pain ◽  
Clinical Signs And Symptoms ◽  
The Uk

Although rates of premature death from coronary heart disease (CHD) have fallen 80% over the past 40 years, it is still a significant cause of premature death in the UK. Angina is the most common symptom of CHD. It is usually described as a central, retrosternal pain or ache that is crushing or choking in nature. Pain may radiate down the left arm and/or up into the neck and is often accompanied by shortness of breath (SOB) and sweating. Some patients may describe it as chest discomfort. The presentation of CHD, however, covers a broad spectrum of clinical signs and symptoms that vary in severity. An individual may be asymptomatic despite disease within the coronary arteries; may present with gradually worsening symptoms of angina; or the first presentation may be death following an acute myocardial infarction (MI). This chapter outlines the pathophysiology and clinical management of stable angina.

IMPACT OF CASE BASED LEARNING IN UNDERSTANDING PHYSIOLOGY

2021 ◽  
pp. 5-6
Author(s):  
Anupi Das ◽  
Purnima Barua ◽  
Pranabika Mahanta
Keyword(s):  
Clinical Signs ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
Clinical Situation ◽  
Clinical Aspects ◽  
Innovative Teaching ◽  
Case Based Learning ◽  
Clinical Signs And Symptoms ◽  
Teaching Learning ◽  
Case Based

The knowledge of Physiology is extremely necessary for a new medical student to understand the basic functions of human body. Traditionally the entire syllabus of Physiology is completed through didactic lectures and practical sessions. In case of lecture the role of learners is passive and there is less or no interaction of the student with teacher. Case based learning is one of the innovative teaching-learning methodology which can make this subject interesting, clinically useful, and can enable the students to learn it by correlating with its clinical aspects. Cases are generally written as problems that provide the student with a background of a patient or other clinical situation. Supporting information is provided, such as latest research articles, vital signs, clinical signs and symptoms, and laboratory results. CBL allows students to develop a collaborative, team based approach to their education.

Serum digoxin concentrations and clinical signs and symptoms of digoxin toxicity in the paediatric population

2015 ◽  
Vol 26 (3) ◽  
pp. 493-498 ◽  
Author(s):  
Brady S. Moffett ◽  
April Garner ◽  
Troy Zapata ◽  
Jeffrey Orcutt ◽  
Mary Niu ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Digoxin Concentration ◽  
Signs And Symptoms ◽  
Paediatric Population ◽  
Serum Digoxin Concentration ◽  
Digoxin Toxicity ◽  
Common Symptom ◽  
Serum Digoxin ◽  
Included Patient ◽  
Clinical Signs And Symptoms

AbstractBackgroundSerum digoxin levels have limited utility for determining digoxin toxicity in adults. Paediatric data assessing the utility of monitoring serum digoxin concentration are scarce. We sought to determine whether serum digoxin concentrations are associated with signs and symptoms of digoxin toxicity in children.MethodsWe carried out a retrospective review of patients <19 years of age who received digoxin and had serum digoxin concentrations assessed between January, 2007 and June, 2013. Data collection included patient demographics, digoxin indication, serum digoxin concentrations, signs and symptoms of digoxin toxicity, electrocardiograms, and co-morbidities. Reviewers performing chart review and electrocardiogram analysis were blinded to digoxin levels. Descriptive statistical methods were used and comparisons were made between patients with and without toxic serum digoxin concentrations (>2 ng/ml).ResultsThere were 87 patients who met study criteria (male 46%, mean age 8.4 years). CHD was present in 67.8% and electrocardiograms were performed in 72.4% of the patients. The most common indication for digoxin toxicity was heart failure symptoms (61.5%). Toxic serum digoxin concentrations were present in 6.9% of patients (mean 2.6 ng/ml). Symptoms associated with digoxin toxicity occurred in 48.4%, with nausea/vomiting as the most common symptom (36.4%), followed by tachycardia (29.5%). Compared with those without toxic serum digoxin concentrations, significantly more patients with toxic serum digoxin concentrations were female (p=0.02). The presence of electrocardiogram abnormalities and/or signs and symptoms of digoxin toxicity was not significantly different between patients with and without serum digoxin concentrations (p>0.05).ConclusionSerum digoxin concentrations in children are not strongly associated with signs and symptoms of digoxin toxicity.

scholarly journals Dementia and Major Neurocognitive Disorders: Some Lessons Learned One Century after the first Alois Alzheimer’s Clinical Notes

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 5
Author(s):  
Donatella Rita Petretto ◽  
Gian Pietro Carrogu ◽  
Luca Gaviano ◽  
Lorenzo Pili ◽  
Roberto Pili
Keyword(s):  
Young Woman ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Neurocognitive Disorders ◽  
Lessons Learned ◽  
Alzheimer Dementia ◽  
Clinical Notes ◽  
Alois Alzheimer ◽  
Clinical Signs And Symptoms

Over 100 years ago, Alois Alzheimer presented the clinical signs and symptoms of what has been later called “Alzheimer Dementia” in a young woman whose name was Augustine Deter [...]

scholarly journals Correction to: Levoketoconazole improves clinical signs and symptoms and patient-reported outcomes in patients with Cushing’s syndrome

Pituitary ◽  
2020 ◽  
Author(s):  
Eliza B. Geer ◽  
Roberto Salvatori ◽  
Atanaska Elenkova ◽  
Maria Fleseriu ◽  
Rosario Pivonello ◽  
...  
Keyword(s):  
Cushing’S Syndrome ◽  
Patient Reported Outcomes ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Cushing's Syndrome ◽  
Original Version ◽  
Patient Reported ◽  
Author Group ◽  
Clinical Signs And Symptoms

The original version of the article unfortunately contained an error in the first name and the surname of one of the authors in the author group. The last author name was incorrectly published as ‘F. Pecori Giraldi’ and the corrected name is ‘Francesca Pecori Giraldi’ (First name: Francesca; Surname: Pecori Giraldi).

scholarly journals A 38-year demographic study of central and peripheral giant cell granulomas of the jaws

2016 ◽  
Vol 15 (2) ◽  
pp. 220-223 ◽  
Author(s):  
Shadi Saghafi ◽  
Reza Zare-Mahmoodabadi ◽  
Narges Ghazi ◽  
Mohammad Zargari
Keyword(s):  
Giant Cell ◽  
Medical Science ◽  
Age Distribution ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Posterior Maxilla ◽  
Frequent Site ◽  
Male Patients ◽  
Clinical Signs And Symptoms ◽  
Anterior Mandible

Objective: The purpose of this study was to retrospectively analyze the demographic characteristics of patients with central giant cell granulomas (CGCGs) and peripheral giant cell granulomas (PGCGs) in Iranian population.Methods: The data were obtained from records of 1019 patients with CGCG and PGCG of the jaws referred to our department between 1972 and 2010. This 38-year retrospective study was based on existing data. Information regarding age distribution, gender, location of the lesion and clinical signs and symptoms was documented. Results: A total of 1019 patients were affected GCGLs including 435 CGCGs and 584 PGCGs during the study. The mean age was 28.91 ± 18.16. PGCGs and CGCGs had a peak of occurrence in the first and second decade of life respectively. A female predominance was shown in CGCG cases (57.70%), whereas PGCGs were more frequent in males (50.85%). Five hundred and ninety-eight cases of all giant cell lesions (58.7 %) occurred in the mandible. Posterior mandible was the most frequent site for both CGCG and PGCG cases. The second most common site for PGCG was posterior maxilla (21%), whereas anterior mandible was involved in CGCG (19.45%). The majority of patients were asymptomatic. Conclusions: In contrast to most of previous studies PGCGs occur more common in the first decade and also more frequently in male patients. Although the CGCGs share some histopathologic similarities with PGCGs, differences in demographic features may be observed in different populations which may help in the diagnosis and management of these lesions.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.220-223

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