scholarly journals Tibia vara or Blount’s disease: Why an early diagnosis and treatment are important?

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Angelo V. Vasiliadis ◽  
Alexandros Maris ◽  
Srinivas Gadikoppula
Keyword(s):  
Early Diagnosis ◽  
Health Outcomes ◽  
Proximal Tibia ◽  
Three Dimensional ◽  
Good Health ◽  
Diagnosis And Treatment ◽  
Tibia Vara ◽  
Blount’S Disease ◽  
History Of ◽  
Anterior Knee

Tibia vara is an asymmetrical disorder of the proximal tibia that produces a three-dimensional deformity, which was first described by Blount in 1937. A 6-year-old boy presented with a history of anterior knee pain with progressive bowing of his right leg over the last 1 year after having a fall while playing soccer. An early diagnosis and treatment of this disease can have a great functional impact and lead to very good health outcomes.

COVID-19 WITH RHINO-ORBITO-CEREBRAL MUCORMYCOSIS : A SUDDEN SURGE

2021 ◽  
pp. 130-133
Author(s):  
Seema Patel ◽  
A. Z. Nitnaware ◽  
R. T. Pawar ◽  
Ashish Keche ◽  
Tanvi Rekhade
Keyword(s):  
Diabetes Mellitus ◽  
Early Diagnosis ◽  
Prospective Study ◽  
Previous History ◽  
Diagnosis And Treatment ◽  
Temporal Association ◽  
Concomitant Infection ◽  
History Of ◽  
A Prospective Study

Recently an increase in the incidence of mucormycosis is noticed in COVID-19 cases. The main aim of this study is to present our experience of rhino-orbito-cerebral mucormycosis in COVID-19 patients and thereby aid its early diagnosis and treatment. This is a prospective study of 12 cases diagnosed as Rhino-orbito-cerebral mucormycosis . Presentation of mucormycosis in COVID-19, their temporal association and outcome of treatment was studied. Pre-existing comorbidities were seen in 91.67% patients, Diabetes Mellitus (83.33%). Previous history of COVID-19 infection and treatment for the same in 41.67% cases, concomitant infection in 16.67% and asymptomatic undiagnosed covid (antibodies positive) was detected in 41.67%. All patients showed improvement in general and nasal condition (100%). Early diagnosis is must.

scholarly journals Advanced metastatic breast carcinoma in sickle cell disease

2019 ◽  
Vol 38 (2) ◽  
pp. 139
Author(s):  
Marcellinus Uchechukwu Nwagu ◽  
Ologo Thompson ◽  
Akinola Oyekemi
Keyword(s):  
Breast Cancer ◽  
Family History ◽  
Sickle Cell Disease ◽  
Early Diagnosis ◽  
Sickle Cell ◽  
Positive Family History ◽  
Metastatic Breast ◽  
Diagnosis And Treatment ◽  
Cell Disease ◽  
History Of

Background<br />Breast cancer is the leading cancer in women leading to over 400,000 deaths per year worldwide. It begins in the breast tissue and can metastasize to other organs if early diagnosis and treatment is not instituted. Women with sickle cell disease are usually spared from breast cancer and other solid tumours due to the tumoricidal effect of sickled erythrocytes. Breast cancers are rare among these group of patients. Despite its rare occurrence, this paper was to emphasize the need for breast cancer screening among female sickle cell disease patients who have positive family history of breast cancer.<br /><br />Case description<br />OO was a 30-year old woman with sickle cell disease who presented to the hospital one and half years ago with a seven months history of right breast swelling and pains. She had lost her mother to breast cancer about 15 years ago. Mammography and histology of breast biopsy confirmed diagnosis of invasive ductal carcinoma of the right breast. Financial constraint was a major challenge in managing this patient as she was unable to buy her chemotherapy. She developed features suggestive of metastasis such as seizures and hepatomegaly. She was stabilized and discharged home but we lost her to follow up. She died at home.<br /><br />Conclusion    <br />Breast cancer is rare among females with sickle cell disease; any of them with a family history should be routinely screened for early diagnosis and treatment.

scholarly journals Review of Trillat, Dejour and Couette on ‘Diagnosis and treatment of recurrent dislocations of the patella’

2020 ◽  
Vol 5 (6) ◽  
pp. 389-396
Author(s):  
Ricardo Bastos ◽  
Daniel Wascher ◽  
Charles Fiquet ◽  
John P Fulkerson ◽  
João Espregueira-Mendes ◽  
...  
Keyword(s):  
Recurrent Dislocation ◽  
Diagnosis And Treatment ◽  
Tibial Tubercle ◽  
Chirurgie Orthopédique ◽  
Tibial Tubercle Transfer ◽  
Anterior Tibial ◽  
César Roux ◽  
History Of ◽  
Anterior Knee ◽  
Dislocation Of The Patella

‘Numerous operations have been described for correction of recurrent dislocation of the patella. The number in itself predicates that the problem has not been solved’.This classic discusses the original publication ‘Diagnosis and treatment of recurrent dislocations of the patella’ from Trillat A, Dejour H, Couette A. Published in 1964 at the Revue de Chirurgie Orthopedique et Reparatrice de L'appareil Moteur, where the authors described a surgical procedure modifying Elmslie’s original surgery for patients with objective patellar dislocations and also for patients with anterior knee pain who had the sign of the ‘baïonnette’. Medialisation of the anterior tibial tubercle (ATT) has been known worldwide as the Elmslie-Trillat procedure, but the history of procedure has its roots going back to 1888. The history of the publications of the Elmslie-Trillat technique is really something special. César Roux published in 1888 the original technique that is similar to Elmislie’s procedure. In 1944 in London, Trillat met Selddon and became aware about Elmslie’s procedure for the ATT medialisation. Back to France, Trillat published and named it as the Elmslie’s technique. Later, after the ‘Journées du Genou’, the technique was disseminated as ‘The Elmslie-Trillat’ procedure. Nowadays, isolated ATT medialisation, the ‘true’ Elmslie-Trillat operation, is still occasionally performed. Too few surgeons use these elegant operations largely because the details of the techniques are not taught routinely. This classic section has the objective to encourage young surgeons to learn tibial tubercle transfer operations and the benefits they bring to patients when performed for proper indications.

INDEX OF SUSPICION

1996 ◽  
Vol 17 (8) ◽  
pp. 291-294
Author(s):  
J. Peter Harris ◽  
Carol J. Buzzard ◽  
Liliana D. Gutierrez ◽  
Franz E. Babl ◽  
Susan K Ratzan
Keyword(s):  
Early Diagnosis ◽  
Good Health ◽  
Left Shoulder ◽  
High School Senior ◽  
Left Chest ◽  
School Senior ◽  
History Of ◽  
Female High School ◽  
Case Presentations ◽  
The Right

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation While driving to work, a 17-year-old female high school senior who has been in good health has an abrupt syncopal episode resulting in a headon collision at 40 miles per hour. She is alert and oriented right after the accident, but complains of sternal pain as well as pain in her left chest, left shoulder, and the right side of her jaw. Evaluation in the emergency department reveals slight tachypnea of 26 breaths/min, blood pressure of 90/60 mm Hg, a midsternal abrasion, a left pneumothorax, and nondisplaced fractures of the left clavicle and right mandible. Results of her neurologic examination, including mental status, are normal. She denies the use of any medication, street drugs, or alcohol, but she does report a 9-month history of brief spells of lightheadedness, diaphoresis, nausea, and visual blackouts, with one previous episode proceeding to complete syncope.

ADVANCED IMAGING METHODS FOR THE ASSESSMENT OF HIP DYSPLASIA

1999 ◽  
Vol 03 (01) ◽  
pp. 19-32
Author(s):  
Steven L. Frick ◽  
Hui Taek Kim ◽  
Dennis R. Wenger
Keyword(s):  
Early Diagnosis ◽  
Hip Dysplasia ◽  
Three Dimensional ◽  
Careful Analysis ◽  
Diagnosis And Treatment ◽  
Residual Deformity ◽  
Advanced Imaging ◽  
Plain Radiographs ◽  
And Function ◽  
Dislocation Of The Hip

Developmental dislocation of the hip is an important orthopedic condition whose early diagnosis and treatment greatly improves the life of a patient with the condition. Despite a worldwide focus on early diagnosis and treatment, many children and adolescents present with residual hip dysplasia. This group includes those that have not had prior diagnosis or treatment and often present in adolescence, as well as those who have been treated nonoperatively and yet continue to have residual dysplasia. Decisions determining when hip dysplasia should be surgically corrected have traditionally been dependent upon two-dimensional images (plain radiographs) to analyze the nature and degree of residual deformity. To better understand residual hip dysplasia in children, we have utilized three-dimensional computerized tomographic (3-D CT) methods to evaluate the pathoanatomy of hip dysplasia in children. Careful analysis of these images has allowed us to more fully understand the nature of residual hip dysplasia and to better plan corrective hip osteotomies designed to improve the longevity and function of the hip joint.

Early Diagnosis and Treatment of Cerebral Palsy in Children with a History of Preterm Birth

2018 ◽  
Vol 45 (3) ◽  
pp. 409-420 ◽  
Author(s):  
Alicia J. Spittle ◽  
Catherine Morgan ◽  
Joy E. Olsen ◽  
Iona Novak ◽  
Jeanie L.Y. Cheong
Keyword(s):  
Cerebral Palsy ◽  
Preterm Birth ◽  
Early Diagnosis ◽  
Diagnosis And Treatment ◽  
History Of

scholarly journals Buffering effects of safe, supportive, and nurturing relationships among women with childhood histories of maltreatment

2017 ◽  
Vol 47 (15) ◽  
pp. 2628-2639 ◽  
Author(s):  
S. R Jaffee ◽  
R. Takizawa ◽  
L. Arseneault
Keyword(s):  
Health Risk ◽  
Health Outcomes ◽  
Childhood Maltreatment ◽  
Later Life ◽  
Good Health ◽  
Poor Health ◽  
Risk Behaviours ◽  
Physical And Mental Health ◽  
Health Risk Behaviours ◽  
History Of

BackgroundAdults who were victims of childhood maltreatment tend to have poorer health compared with adults who did not experience abuse. However, many are in good health. We tested whether safe, supportive, and nurturing relationships buffer women with a history of childhood maltreatment from poor health outcomes in later life.MethodsParticipants included women from the Environmental Risk (E-Risk) Longitudinal Twin Study who were involved in an intimate relationship at some point by the time their twin children were 10 years old. Women were initially interviewed in 1999–2000 (mean age = 33 years) and 2, 5, and 7 years later. They reported on their physical and mental health, and their health-risk behaviours.ResultsCompared with women who did not experience abuse in childhood, women with histories of maltreatment were at elevated risk for mental, physical, and health-risk behaviours, including major depressive disorder, sleep, and substance use problems. Cumulatively, safe, supportive, and nurturing relationships characterized by a lack of violence, emotional intimacy, and social support buffered women with a history of maltreatment from poor health outcomes.ConclusionsOur findings emphasize that negative social determinants of health – such as a childhood history of maltreatment – confer risk for psychopathology and other physical health problems. If, however, a woman's current social circumstances are sufficiently positive, they can promote good health, particularly in the face of past adversity.

INDEX OF SUSPICION

1994 ◽  
Vol 15 (7) ◽  
pp. 289-291
Author(s):  
John C. Leopold ◽  
Andrew P. Sirotnak ◽  
Joseph Ryan ◽  
Vincent J. Menna
Keyword(s):  
Emergency Department ◽  
Early Diagnosis ◽  
Good Health ◽  
Burning Sensation ◽  
Periorbital Edema ◽  
Pediatric Clinic ◽  
General Pediatrician ◽  
The Family ◽  
History Of ◽  
Case Presentations

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation A 13-year-old boy who has been in good health previously comes to the pediatric clinic with a history of a pruritic red rash that comes and goes for several hours after he has been swimming. This rash has been a problem for the last 5 days. Two days ago, after swimming, he developed a diffuse rash together with periorbital edema and a burning sensation on his back. He suddenly became lightheaded and collapsed into his mother's arms, losing consciousness briefly. By the time he arrived at the emergency department, the rash was gone and his examination was normal. No treatment was prescribed. Yesterday, while washing the family car with cold soapy water, his right arm and hand swelled and turned solidly red in a "glove" distribution.

Submucous Cleft Palates Presenting with a Perforation

2003 ◽  
Vol 40 (2) ◽  
pp. 203-206 ◽  
Author(s):  
Felicity V. Mehendale ◽  
Brian C. Sommerlad
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Cleft Palate ◽  
Diagnosis And Treatment ◽  
Minor Trauma ◽  
Rare Occurrence ◽  
Submucous Cleft Palate ◽  
History Of ◽  
Symptoms And Signs

Objective The development of a perforation in a submucous cleft palate (SMCP) is a rare occurrence, with only a few cases reported in the literature. We describe and illustrate four cases of SMCPs with a perforation in the palate. Results and Conclusions Recognition of the symptoms and signs of an SMCP should enable early diagnosis and treatment of this condition in symptomatic patients. However, in patients in whom the diagnosis has been missed or in those who have been asymptomatic, the development of a perforation may be the presenting feature of an SMCP. A history of possible trauma to the palate was found in two cases. Relatively minor trauma may cause perforation of the thin translucent central mucosa in an SMCP. In neonates, perforations surrounded by very thin mucosa may increase in size. The perforation can be closed at the same time as the SMCP repair and does not significantly alter the surgical treatment of an SMCP.

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