scholarly journals Marbelization of the gallbladder, a variant of acute gangrenous cholecystitis

2021 ◽  
Vol 55 (3) ◽  
pp. 226-228
Author(s):  
Ismail Burud ◽  
Mahadevan D. Tata ◽  
Kogaan Selvaraja ◽  
Sherreen Y. El Hariri
Keyword(s):  
Diabetes Mellitus ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Biliary Colic ◽  
Diagnostic Modality ◽  
Clinical Signs And Symptoms ◽  
Diagnosed Diabetes ◽  
Newly Diagnosed Diabetes

Cholelithiasis can present from a milder form of biliary colic to a more severe and complicated one like empyema gallbladder and a lesser-known variant of gangrenous gallbladder called marbleization of the gallbladder. The clinical signs and symptoms are similar to acute cholecystitis. Diabetes mellitus could have a role in the process of marbleization. Diagnosing marbleization of the gall bladder is not easy preoperatively. Computerized tomography is a better diagnostic modality when compared to laboratory investigations. Urgent cholecystectomy is the only option, and there is no role of conservative treatment. We report a case of a 36-year-old man with newly diagnosed Diabetes Mellitus diagnosed initially as acute cholecystitis and managed conservatively. He did not respond to treatment and hence underwent cholecystectomy and intraoperatively was found to have marbleization of the gall bladder.

scholarly journals Study of clinical profile of chronic kidney disease in non-diabetic patients

2021 ◽  
Author(s):  
Ravi Kumar U. ◽  
Shashank J. ◽  
Narayana Swamy
Keyword(s):  
Diabetes Mellitus ◽  
Cardiovascular Disease ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Diabetic Patients ◽  
Hypertensive Nephropathy ◽  
Major Health Problem ◽  
Clinical Signs And Symptoms

Background: Chronic kidney disease (CKD) encompasses a spectrum of different pathophysiological processes associated with abnormal kidney function and a progressive decline in glomerular filtration rate. Cardiovascular disease is one of the major cause of morbidity and mortality in patients at every stage of CKD. Diabetes mellitus and hypertension together being major cause for CKD. Hypertension is a common cause for CKD and an independent risk factor for cardiovascular disease. This study mainly focused on the causes of CKD other than diabetes mellitus. An early detection and appropriate intervention of these patients will possibly help prevent progression of renal disease.Methods:We assessed 55 non diabetic CKD patients who presented to the OPD/IPD in Victoria hospital, Bowring and Lady Curzon hospital and other hospitals affiliated to Bangalore medical college and research institute during period June 2018 to December 2019. A detailed history and clinical examination was performed and patients were subjected to necessary investigations.Results: The commonest etiology for CKD was found to be hypertensive nephropathy followed by glomerulonephritis. Common symptoms were generalized weakness, lower limb swelling. Commonest signs are pallor, pedal edema and hypertension.Conclusions:CKD is a major health problem. Diabetic nephropathy is the commonest cause for CKD followed by hypertensive nephropathy and glomerulonephritis. Anaemia, pedal oedema, oliguria and generalised weakness were the major presenting clinical signs and symptoms in CKD. This condition when detected in early stages and managed can slow down the progression of CKDs and delay the need of renal replacement therapy.  

scholarly journals HIPOSSALIVAÇÃO: ETIOLOGIA, DIAGNÓSTICO E TRATAMENTO

2016 ◽  
Vol 7 (2) ◽  
Author(s):  
Iomara Jossiérica de Oliveira Silva ◽  
Ana Raiza Paiva Almeida ◽  
Nayana Coutinho Falcão ◽  
Amilcar Chagas Freitas Junior ◽  
Patrícia Meira Bento ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Literature Review ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Salivary Flow ◽  
Treatment Protocols ◽  
Drug Of Choice ◽  
Clinical Signs And Symptoms ◽  
As Stress ◽  
Head And Neck Radiotherapy

The hyposalivation is the decreased salivary flow or when the saliva has a change of its components. Its causes can be linked to many factors such as stress, Sjögren’s syndrome, diabetes mellitus, salivary glands diseases and as a result of head and neck radiotherapy. It might often be associated with prolonged intake of specific medications. The diagnosis is made by sialometry and through clinical signs and symptoms. The treatment in salivation is primarily palliative and preventative, with emphasis on the use of substitute and / or salivary stimulants that can improve the lubrication and hydration of the oral tissues alleviating the discomfort reported by the patients. Currently, pilocarpine, has been suggested as drug of choice for severe cases. This literature review aims to present the etiology and diagnosis of hyposalivation as well as the different treatment protocols of their causes. We conclude that the various protocols for the treatment of hyposalivation should be directed assessing the consequences of changes in salivary flow and its interrelated factors. Therefore, a history and physical examination are important for diagnosis.

Abstract #502: Newly Diagnosed Diabetes Mellitus Presenting as Chylomicronemia Syndrome an Uncommon Presentation of a Common Disease

2016 ◽  
Vol 22 ◽  
pp. 116
Author(s):  
Maha Sulieman ◽  
Delamo Isaac Bekele ◽  
Jennifer Marquita Carter ◽  
Rabia Cherqaoui ◽  
Vijaya Ganta ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Common Disease ◽  
Newly Diagnosed ◽  
Uncommon Presentation ◽  
Diagnosed Diabetes ◽  
Newly Diagnosed Diabetes

A Clinical Study of Microvascular Complications in Newly Diagnosed Diabetes Mellitus Patients

2011 ◽  
Vol 4 (2) ◽  
pp. 12-14
Author(s):  
Dr Yash Patel ◽  
◽  
Dr Ashay Shingare ◽  
Dr Gautam Kalita ◽  
Dr Vinaya Bhandari
Keyword(s):  
Diabetes Mellitus ◽  
Clinical Study ◽  
Microvascular Complications ◽  
Newly Diagnosed ◽  
Diagnosed Diabetes ◽  
Newly Diagnosed Diabetes

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 Prescription medication burden in patients with newly diagnosed diabetes: A SUrveillance, PREvention, and ManagEment of Diabetes Mellitus (SUPREME-DM) study

2014 ◽  
Vol 54 (4) ◽  
pp. 374-382 ◽  
Author(s):  
Julie A. Schmittdiel ◽  
Marsha A. Raebel ◽  
Wendy Dyer ◽  
Stanley Xu ◽  
Glenn K. Goodrich ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Prescription Medication ◽  
Newly Diagnosed ◽  
Diagnosed Diabetes ◽  
Newly Diagnosed Diabetes

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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