scholarly journals Adjunctive Physiotherapy – A Case Report on the Management and Effective Treatment of Diabetic Neuropathic Foot Ulcer Using Adjunctive Physiotherapy

2021 ◽  
Vol 20 (5) ◽  
pp. 81-84
Author(s):  
M. Colpin
Keyword(s):  
Case Report ◽  
Historical Context ◽  
Foot Ulcer ◽  
Intervention Context ◽  
Rehabilitation Facilities ◽  
Foundational Work ◽  
Neuropathic Foot ◽  
Primary Management

Physiotherapy must be considered and reprioritized as an adjunctive medical service for long term health and rehabilitation. Comprehensive physiotherapy has the potential to be administered in out-patient rehabilitation facilities, hospitals, and Thermal Health Centers. A review of select adjunctive physiotherapy methods will be presented along with a case report of the successful treatment, with rationally selected physiotherapeutic agents, of a Diabetic Neuropathic Foot Ulcer scheduled for surgical amputation. By highlighting this case, the author is attempting to bring attention to familiar and time-tested therapies that have fallen out of use in a primary intervention context. This case report aims to exemplify that the role for rational physiotherapeutic methods stretches beyond current mainstream applications. Historical Context. Will supply the historical and foundational work in the field of physiotherapy that contextualizes the rational basis for the applications described in the case. Therapies. Lists the physiotherapy methods highlighted in this case, reviews the mechanism of action, discusses the therapeutic application, and provides modern citation for the rationalization of the therapy. Case Report. Reviews a detailed narrative of the case in review. Covers intake, case history, progression of case, as well as clinical applications for physiotherapy as they arise in the course of case management. Conclusion. Reviews the emphasis for reconsidering the role of Physiotherapy in the primary management of acute and chronic illness.

People, Place, and Politics: The Role of Place Attachment and Conflict in Forest Communities

2008 ◽  
Vol 23 (4) ◽  
pp. 232-235 ◽  
Author(s):  
Janean H. Creighton ◽  
Keith A. Blatner ◽  
Matthew Carroll
Keyword(s):  
Land Use Planning ◽  
Growth Management ◽  
Historical Context ◽  
Management Plan ◽  
Forest Landowners ◽  
Family Forest ◽  
Western Washington ◽  
Attachment To Place

Abstract For this study we wanted to identify the meanings (shared and contested) that family forest landowners in rural western Washington assigned to their properties in the context of a rapidly urbanizing environment. Two categories of family forest landowners emerged with respect to the acceptance of the proposed growth management plan and corresponded to the degree of attachments the interviewees exhibited regarding where they lived and in how they described themselves with respect to the community and a dispute regarding the plan. For the long-term residents, their attachment to place provides the foundation for their ties to family and tradition. Although the newcomers interviewed expressed emotional attachments to the area, their attachments were not necessarily tied to their identity, or within any historical context. For the newcomers, involvement in local land-use planning may serve to reinforce the significance of the attachments they developed to their adopted home and strengthen their desire that the area remain pristine.

scholarly journals Effect of Early Initiation of Combination Therapy of Anti-Inflammatory and Anti-Fibrotic Drugs on Post COVID-19 Interstitial Lung Disease: A Case Report

2021 ◽  
Vol 7 (3) ◽  
Keyword(s):  
Case Report ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Oral Prednisone ◽  
Evidence Based ◽  
Limited Evidence ◽  
Anti Inflammatory ◽  
Short Time

The persistence of lung parenchymal changes Post COVID-19 is increasingly recognized as a vital outcome observed on some patients recovering from SARS-CoV2 infection with limited evidence-based management so far. Here we present a 64-year-old male developed extensive interstitial lung changes post SARS-CoV2 infection and was successfully managed with oral prednisone, pirfenidone, and azithromycin maintenance regimen with significant improvement in his clinical and radiographic parameters noted within a relatively short time. The role of a combined therapeutic approach with anti-inflammatory and anti-fibrotic drugs might be provocative action in patients with COVID-19 related interstitial lung disease, especially those at risk for persistent long-term abnormalities and pulmonary fibrosis development.

scholarly journals Treatment of Posaconazole-Induced Peripheral Neuropathy With Methylprednisolone and Magnesium Infusions: A Case Report

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Sadia Hussain ◽  
Susan Nissen ◽  
Steven M Holland ◽  
Paola Sandroni ◽  
Michail S Lionakis
Keyword(s):  
Case Report ◽  
Peripheral Neuropathy ◽  
Potential Role ◽  
Tablet Formulation

Abstract The tolerability of long-term posaconazole use remains poorly defined. We present a patient who developed peripheral neuropathy following long-term exposure to the tablet formulation of posaconazole, which was treated with methylprednisolone and magnesium infusions. The potential role of methylprednisolone and magnesium infusions in managing this potentially irreversible triazole-associated complication requires further study.

scholarly journals Use of Corticosteroid as an Adjunct with Antitubercular Therapy in the Management of Miliary Tuberculosis Associated with Organizing PneumoniaA Case Report

2019 ◽  
Vol 2 (1) ◽  
pp. 5-11
Author(s):  
Abdullah Al Shekeili Nasser ◽  
◽  
Muhammad Tareq Khan Yaseer ◽  
Ismail Mousa Tia Khalid ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Miliary Tuberculosis ◽  
Antitubercular Therapy ◽  
Organizing Pneumonia ◽  
Short And Long Term ◽  
Tuberculosis Therapy

In miliary TB, the role of steroid remains to be unclear. Till date, extremely limited studies have been conducted to evaluate corticosteroids’ role in miliary TB. We report a patient with miliary TB and co-existing organizing pneumonia (OP), a condition that was managed successfully by anti-TB chemotherapy in adjunct with the corticosteroid. To the best of our knowledge, this association has not been reported or extremely infrequently reported in the existing literature. The adjunctive use of corticosteroids does not appear to diminish the efficacy of ‘adequate’ anti-tuberculosis therapy. The use of corticosteroids has significant short- and long-term benefits in most forms of tuberculosis.

scholarly journals Trans-Arterial Embolization On A Catastrophic Primary Postpartum Hemorrhage Due To Arterial Aneurysm With Arteriovenous Fistula At Bilateral Lower Vagina: A Case Report

2021 ◽  
Author(s):  
Cheng-Hsien Wu ◽  
Yon-Cheong Wong ◽  
Patricia Wanping Wu ◽  
Ho-Yen Chueh
Keyword(s):  
Case Report ◽  
Postpartum Hemorrhage ◽  
Post Partum ◽  
Arterial Embolization ◽  
Arterial Aneurysm ◽  
Post Partum Hemorrhage ◽  
Arteriovenous Fistulas ◽  
Arterial Aneurysms ◽  
Primary Management

Abstract Background: Failure of the primary management at controlling the post-partum hemorrhage (PPH) is occasionally encountered. A catastrophic cause of PPH as vagina arterial aneurysms with AVF is rare and not reported in English literature.Case presentations: We present a 34-year-old woman of arterial aneurysms with arteriovenous fistulas (AVF) at bilateral lower vagina causing intractable PPH with aggressive bleeding. By trans-arterial embolization (TAE) the bleeding is successfully controlled, and patient then could recover smoothly.Conclusion: These vascular anomalies being fierce culprit of the PPH would result in primary management failure. Knowledge of the possible etiology of post-partum hemorrhage is crucial for treatment management. This case report aims to point out a pivotal role of TAE at detecting and treating this unusual cause of PPH.

Atypical Femur Fracture in the Setting of Long-Term Bisphosphonate use for Osteogenesis Imperfecta: A Case Report

2022 ◽  
Vol 5 (1) ◽  
pp. 01-09
Author(s):  
Parker J. Prusick ◽  
Steven D. Jones Jr. ◽  
Jesse Roberts ◽  
Nathan Donaldson
Keyword(s):  
Case Report ◽  
Osteogenesis Imperfecta ◽  
Femur Fracture ◽  
Mineral Density ◽  
Mineral Research ◽  
Femur Fractures ◽  
Atypical Femur Fractures ◽  
Impending Fracture

Bisphosphonate (BP) therapy for moderate to severe osteogenesis imperfecta (OI) has become a mainstay of treatment in the last three decades. Given the significant improvements in bone mineral density and theoretical reductions in fracture risk, many patients are treated with bisphosphonates for prolonged periods of time. There currently lacks consensus in the optimal duration of BP therapy for patients with OI, and patients are often treated on a case-by-case basis. Long-term BP therapy has been associated with atypical femur fractures in adult patients treated for osteoporosis. The American Society for Bone and Mineral Research concluded that the median duration of BP therapy in patients with atypical femur fractures was 7 years. The role of long-term BP therapy in OI patients with atypical femur fractures remains unclear. Here, a case report is presented of an adolescent patient with type V OI that sustained a subtrochanteric femur fracture with features of an atypical pattern following treatment with intravenous pamidronate for 10.5 years. At the time of injury, the contralateral femur was also found to have atypical features suggestive of an impending fracture. The completed fracture was treated with closed reduction and cephalomedullary nail fixation. The impending fracture was prophylactically stabilized using the same technique. Prior to the injury, limb-length radiographs obtained to evaluate lower extremity alignment demonstrated features of an impending fracture but went unnoticed. Further studies are needed to clarify the role of long-term BP therapy in patients with OI suffering from atypical femur fractures.

Cross-Leg Pedicled Free Scapular Flap For Neuropathic Foot Ulcer: Case Report

2000 ◽  
Vol Volume 16 (Number 8) ◽  
pp. 0597-0602 ◽  
Author(s):  
M. Hamdi ◽  
E. M. Weiler-Mithoff ◽  
M. H. Webster
Keyword(s):  
Case Report ◽  
Foot Ulcer ◽  
Ulcer Case ◽  
Scapular Flap ◽  
Neuropathic Foot

Short-lasting retroorbital pain attacks as a form of ictal epileptic headache: Case report

Cephalalgia ◽  
2019 ◽  
Vol 39 (9) ◽  
pp. 1195-1199
Author(s):  
Pedro F Viana ◽  
Harumoto Hasegawa ◽  
Josef Jarosz ◽  
Ata Siddiqui ◽  
Richard P Selway ◽  
...  
Keyword(s):  
Case Report ◽  
Focal Cortical Dysplasia ◽  
Epileptic Seizures ◽  
Tension Type Headache ◽  
Intracranial Eeg ◽  
History Of ◽  
Ictal Epileptic Headache ◽  
Type Headache

Background and objectives Ictal epileptic headache is a rare form of painful seizure, habitually consisting of migrainous or tension-type headache. We describe a case of a patient with short-lasting, severe retroorbital pain attacks caused by frontal lobe epilepsy. Case report A 25-year-old male patient presented with recurrent attacks of paroxysmal, short-lasting, excruciating left periorbital and facial pain mainly occurring from sleep. After intracranial EEG exploration and resection of a right prefrontal focal cortical dysplasia, long-term seizure and headache remission was obtained. Discussion Our case extends the clinical and neuroanatomical spectrum of ictal epileptic headache and suggests that long-term remission can be obtained by resective epilepsy surgery. It also reinforces the role of the prefrontal cortex in the pain matrix and pain generation. Conclusion Despite its rarity, ictal epileptic headache should be suspected in selected patients, particularly those with other ictal symptoms and signs, history of epileptic seizures, or neuroimaging abnormalities.

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