A Study of Pulse, Tongue, and Abdominal Palpation Signs as Measured by Kampo Medicine Diagnostic Techniques on Subjects who Received a Full Physical Examination.

AbstractBackgroundWe carried out this study in order to evaluate the causes of chest pain in teenagers and the role of anxiety and depression in this age group compared with the normal population.MethodsIn this prospective case–control study, all patients aged 11–18 years with chest pain and no history of trauma and referred to a paediatric cardiology clinic from March, 2009–April, 2010 were selected. A chest pain protocol including a detailed history, full physical examination, required blood tests, electrocardiography, and echocardiography was performed for all. The presence of depression and anxiety and their severity were assessed by Beck questionnaires. The patients were compared with age- and sex-matched, randomly selected healthy controls.ResultsIn total, 194 patients with a mean age of 14±2 years were selected. The most frequent presentation was idiopathic chest pain (43.3%), followed by the psychological group (29.9%). These groups had no abnormal points in history, physical, and para-clinical tests. Moderate-to-severe depression was found in 45.9% in the patients group, compared with 17.6% of controls, which was statistically significant (p=0.016). Moreover, anxiety was detected in 67.5% of patients versus 15.4% in controls, which is a statistically significant difference (p=0.009). Cardiac chest pain with 9.27% was the most common type of organic causes.ConclusionChest pain during teenage is more prevalent, but not risky. Undergoing a detailed history and full physical examination can help diagnose the causes in the majority of cases. Given the prevalence of a psychological group as well as role of anxiety and depression in most patients, referring to a psychiatrist is suggested.

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Complete laparoscopic excision of a hepatic cyst and omentopexy in a Persian cat

Journal of Feline Medicine and Surgery Open Reports ◽

10.1177/2055116918817631 ◽

2018 ◽

Vol 4 (2) ◽

pp. 205511691881763

Author(s):

Sofía Lafuente ◽

Laura Fresno ◽

Carlo Anselmi ◽

Albert Lloret ◽

Ivonne Espada ◽

...

Keyword(s):

Physical Examination ◽

Liver Cyst ◽

Hepatic Cyst ◽

Laparoscopic Technique ◽

Abdominal Ultrasonography ◽

Hepatic Cysts ◽

First Case ◽

Laparoscopic Excision ◽

Abdominal Palpation

Case summary Congenital or acquired hepatic cystic lesions in cats are a rare condition. Congenital hepatic cysts are often present as part of a systemic polycystic disease involving several organs. Most cats with hepatic cysts remain clinically normal for their lives, although some patients may show abdominal distension, vomiting, abdominal pain and jaundice. An 11-year-old female neutered Persian cat was presented to our institution 3 days after the onset of inappropriate defecation and urination. This patient had a history of polycystic kidney disease and a small hepatic cystic lesion. Physical examination showed pain on abdominal palpation. Abdominal ultrasonography revealed an increase in the size of the hepatic cyst and a partial obstruction of the biliary tract. Owing to the progression of the hepatic cyst, laparoscopic excision and omentalisation were performed. The cyst was completely resected using a 5 mm laparoscopic vessel sealer/divider device. It was removed from the abdomen through one of the portals and was submitted for histological study. After cyst excision, omentopexy was performed using 4-0 USP braided absorbable material. At follow-up examination 5 days later, the physical examination was normal and abdominal palpation was not painful. A biopsy report confirmed the diagnosis of a liver cyst. A follow-up abdominal ultrasonography performed 6 months after surgery revealed no recurrence of the liver cyst. Relevance and novel information To our knowledge, this is the first case report describing the laparoscopic technique of liver cystectomy and omentopexy in veterinary medicine. Minimally invasive surgery is gaining widespread acceptance within the veterinary community because of its benefits. However, further investigation with prospective studies are necessary.

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Laparoscopic Treatment of Testicular Torsion in a Puppy

Journal of the American Animal Hospital Association ◽

10.5326/jaaha-ms-6055 ◽

2015 ◽

Vol 51 (2) ◽

pp. 97-100 ◽

Cited By ~ 4

Author(s):

Jennifer G. Carr ◽

Hock Gan Heng ◽

Jeffrey Ruth ◽

Lynetta Freeman

Keyword(s):

Physical Examination ◽

Testicular Torsion ◽

Acute Onset ◽

Laparoscopic Treatment ◽

Abdominal Ultrasonography ◽

Telephone Contact ◽

First Report ◽

Abdominal Palpation ◽

Abdominal Testis

A 6 mo old male puppy was presented as an emergency for an acute onset of lethargy, ptyalism, and vomiting. On physical examination, the dog was painful on abdominal palpation. A torsed intra-abdominal testis was diagnosed via abdominal ultrasonography and radiography. Laparoscopy was used to identify and remove the torsed testis. The dog recovered uneventfully and was described as doing well by the owners at the 6 mo follow-up telephone contact. This is the first report of an abdominal testicular torsion treated with laparoscopy.

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P182 Is it useful to perform a full physical examination in asymptomatic patients with late syphilis?

Sexually Transmitted Infections ◽

10.1136/sextrans-2012-050601c.182 ◽

2012 ◽

Vol 88 (Suppl 1) ◽

pp. A70.1-A70

Author(s):

R Dabis ◽

K Radcliffe

Keyword(s):

Physical Examination ◽

Asymptomatic Patients ◽

Full Physical Examination ◽

Late Syphilis

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High prevalence of risk factors for physical illness in a long-stay psychiatric unit

Irish Journal of Psychological Medicine ◽

10.1017/s0790966700010223 ◽

2007 ◽

Vol 24 (2) ◽

pp. 55-58 ◽

Cited By ~ 5

Author(s):

Sinead O'Brien ◽

Enda Devitt ◽

Mohamed Ahmed ◽

Colm McDonald

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Physical Examination ◽

Psychiatric Patients ◽

Physical Illness ◽

Psychiatric Unit ◽

The Metabolic Syndrome ◽

High Prevalence ◽

Full Physical Examination ◽

Physical Risk Factors

AbstractObjective: The aim of this study was to determine the prevalence of risk factors for physical illness in a long stay psychiatric unit, where all care (both psychiatric and physical) is provided by the psychiatric team.Method: All patients in the long-stay ward had a full physical examination including calculation of BMI. All patients had blood sampling including FBC, U&E, LFTs, TFTs, lipid profile (total cholesterol, triglycerides, HDL and LDL), glucose, HbA1c, and prolactin. ATP111 criteria were used to determine the presence of the metabolic syndrome.Results: We found the mean number of comorbid medical diagnosis was 2.7. The prevalence of metabolic syndrome was 40.7% (44.4% of females and 24.1% of males). The prevalence of obesity was 51%, and 51% also had a total cholesterols in excess of 5.0mmol/l. Prolactin was elevated in two-thirds of female patients.Conclusion: We conclude that the annual physical examination is of limited value in long-stay psychiatric unit. The high prevalence of physical illness and physical risk factors warrants primary care involvement in screening and treatment of long-stay psychiatric patients.

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