Brunner’s gland adenoma of duodenum

A 78-year-old man presented to our hospital with a 1-year history of abdominal distension and constipation. Except for hypertension, he had no documented medical history. Physical examination was unremarkable. Laboratory examination confirmed no abnormality. Although no clues for abdominal distension were found, esophagogastroduodenoscopy demonstrated a large pedunculated duodenal mass with surface erosions.

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Large Brunner’s Gland Hyperplasia with Bleeding: A Case Report

Case Reports in Surgery ◽

10.1155/2021/8861308 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Yuki Okutomi ◽

Takaharu Kato ◽

Hidetoshi Aizawa ◽

Yuhei Endo ◽

Naoya Kasahara ◽

...

Keyword(s):

Duodenal Bulb ◽

Anterior Wall ◽

Severe Anemia ◽

Shortness Of Breath ◽

Fibrous Stroma ◽

Gastrointestinal Obstruction ◽

Resected Tumor ◽

History Of ◽

Brunner’S Gland ◽

Brunner's Gland

We report a rare case of a large Brunner’s gland hyperplasia (BGH) with severe anemia. A 33-year-old woman was transferred to our hospital with anemia and a duodenal mass. She had a 2-week history of melena and mild shortness of breath. Her hemoglobin level was 4.9 g/dl, and she required a blood transfusion. Abdominal computed tomography revealed a 7 cm tumor in the descending duodenum, and duodenoscopy revealed a polyp-like tumor with an ulcer at the duodenal bulb. We decided to perform surgery to prevent further bleeding. Intraoperatively, the tumor stalk was located at the anterior wall of the duodenal bulb; the ampulla was not involved, and we resected the tumor with the wall of the duodenal bulb. The resected tumor measured 7.0 × 4.0 × 2.3 cm , and pathologically, the tumor consisted of proliferated Brunner’s glands in a small amount of fibrous stroma. The histological diagnosis was BGH with no malignancy. Most cases of BGH are benign and asymptomatic; however, it is important to be aware that some patients have severe anemia, gastrointestinal obstruction, or malignant potential.

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Isolated Submental Lymphadenopathy

Journal of Clinical Case Reports and Studies ◽

10.31579/2690-8808/084 ◽

2021 ◽

Vol 2 (5) ◽

pp. 01-03

Author(s):

Lynnette J Mazur ◽

Micah Gibson ◽

Vikas Gupta ◽

Hunter Nolen

Keyword(s):

Physical Examination ◽

Medical History ◽

Blood Count ◽

Complete Blood Count ◽

Past Medical History ◽

Perioral Dermatitis ◽

History Of

A 5 year old female presented to clinic with a lump under her chin. She had a similar lump two months ago but the parents stated that it spontaneously resolved in a few days. There was no history of fever and there were no pets. Her past medical history was significant for epilepsy which was controlled with zonisamide. On physical examination a 3x2.5 cm, soft, nontender, nonmobile submental mass and perioral dermatitis were noted. (Figures 1, 2) A complete blood count (CBC) and an ultrasound (US) were ordered.

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A Medical History of Persia and the Eastern Caliphate

10.1017/cbo9780511710766 ◽

2009 ◽

Cited By ~ 11

Author(s):

Cyril Elgood

Keyword(s):

Medical History ◽

History Of

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How Valid are Patient Reports of Family History of Illness?

Methods of Information in Medicine ◽

10.1055/s-0038-1635275 ◽

1980 ◽

Vol 19 (03) ◽

pp. 162-164 ◽

Cited By ~ 1

Author(s):

Rachel Harris ◽

W. Margaret ◽

Kathleen Hunter

Keyword(s):

Family History ◽

Medical History ◽

Cancer Patients ◽

Cause Of Death ◽

Death Certificate ◽

Recall Rate ◽

Patient Reports ◽

Small Subgroup ◽

History Of ◽

Medical Histories

The recall rate of patients’ family medical histories was studied in 200 cancer and non-cancer patients. Data on age and cause of death for parents and grandparents were collected. Although most patients knew the age and cause of death of parents, less than half knew for grandparents. Cancer patients had significantly greater recall for maternally related relatives. A subsample of patients’ family medical histories was compared to death certificate data. Patients’ reports were found to be highly inaccurate. Since only a small subgroup could provide medical history data for grandparents, the generaliz-ability for history of family illness is questioned.

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A new multisystem inflammatory syndrome temporally associated with SARS-CoV-2 in a 6-year-old boy

Pediatria i Medycyna Rodzinna ◽

10.15557/pimr.2020.0054 ◽

2020 ◽

Vol 16 (3) ◽

pp. 295-300

Author(s):

Agnieszka Pawłowska-Kamieniak ◽

◽

Milena Wronecka ◽

Natalia Panasiuk ◽

Karolina Kasiak ◽

...

Keyword(s):

Child Health ◽

Physical Examination ◽

Medical History ◽

Royal College ◽

New Disease ◽

Imaging Findings ◽

Inflammatory Syndrome ◽

And Child Health

In December 2019, China reported cases of infections caused by a new zoonotic coronavirus, which gradually developed into a pandemic. The disease was initially believed to be mild in children. In April 2020, a possible relationship between a new paediatric multisystem inflammatory syndrome and SARS-CoV-2 was found. In May, the Royal College of Paediatrics and Child Health published the criteria for the diagnosis of this new disease. We present a case of a 6-year-old boy retrospectively diagnosed with SARS-CoV-2-related multisystem inflammatory syndrome based on medical history, physical examination, laboratory and imaging findings, as well as the available literature.

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The Role of HbA1c on Mortality in Patients with Medical History of Ischemic Stroke and Paroxysmal Atrial Fibrillation

Diabetes ◽

10.2337/db18-2406-pub ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 2406-PUB

Author(s):

KONSTANTINA KANELLOPOULOU ◽

IOANNIS L. MATSOUKIS ◽

ASIMINA GANOTOPOULOU ◽

THEODORA ATHANASOPOULOU ◽

CHRYSOULA TRIANTAFILLOPOULOU ◽

...

Keyword(s):

Atrial Fibrillation ◽

Ischemic Stroke ◽

Medical History ◽

Paroxysmal Atrial Fibrillation ◽

History Of

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THERAPEUTIC MANAGEMENT OF ASCITES IN SPITZ DOG IN BANGLADESH WITH A BRIEF REVIEW ON CANINE ASCITES

Journal of Veterinary Medical and One Health Research ◽

10.36111/jvmohr.2019.1(1).0005 ◽

2019 ◽

Vol 1 (1) ◽

Author(s):

M. A. Samad

Keyword(s):

Ascitic Fluid ◽

Clinical Examination ◽

Clinical Case ◽

Abdominal Distension ◽

Multiple Organ ◽

Therapeutic Management ◽

Vitamin Supplement ◽

Case Record ◽

Successful Recovery ◽

History Of

Background: Ascites is one of the most important clinical syndromes, caused by multiple organ disorders, characterized by abdominal distension with accumulation of fluid of various colors and consistencies depending on the etiology that are encountered commonly in canine practice worldwide. Although it has been reported from different countries including India but it has not yet been documented from Bangladesh. Objectives: To evaluate the successful therapeutic management of a clinical case of ascites in dog supported with its brief review for its appropriate application Materials and Methods: A female Spitz dog two and half years old brought for treatment with the history of abdominal distension on 1st November 2009. Clinical examination, abdominocentesis and laboratory examination of ascitic fluid were used for the diagnosis of ascites in dog. Results: Clinical examination revealed dyspnea, discomfort, lethargy, weakness, pale mucous membrane, normal rectal temperature 103.2 0F and distended abdomen with fluid thrill on palpation. Examination of ascitic fluid revealed clear white fluid (pure transudate) which is mainly hepatic origin resulting portal hypertension and hypoproteinaemia. Treatment with restricted sodium diet, antibiotic (amoxicillin), diuretic (furosemide; Lasix, Sanofi Aventis) and vitamin B-complex and C- vitamin supplement with regular monitoring assisted in successful recovery. The recovered dog survived for next five years up to 2014 and then died due to other reasons. Conclusions: This clinical case record on canine ascites with successful treatment along with review especially on the methods of diagnosis and cause-wise treatment would certainly help the clinician for proper management of the clinical cases of canine ascites. Keywords: Ascites, Spitz dog, Diagnosis, SAAG, Therapeutic management, Brief review

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The use of a Domain Ontology for the Management of Essential Hypertension (Preprint)

10.2196/preprints.25427 ◽

2020 ◽

Author(s):

Emma Chavez ◽

Vanessa Perez ◽

Angélica Urrutia

Keyword(s):

Decision Making ◽

Essential Hypertension ◽

Medical History ◽

Medical Records ◽

Medical Training ◽

Relevant Information ◽

Domain Ontology ◽

Free Text ◽

Snomed Ct ◽

History Of

BACKGROUND : Currently, hypertension is one of the diseases with greater risk of mortality in the world. Particularly in Chile, 90% of the population with this disease has idiopathic or essential hypertension. Essential hypertension is characterized by high blood pressure rates and it´s cause is unknown, which means that every patient might requires a different treatment, depending on their history and symptoms. Different data, such as history, symptoms, exams, etc., are generated for each patient suffering from the disease. This data is presented in the patient’s medical record, in no order, making it difficult to search for relevant information. Therefore, there is a need for a common, unified vocabulary of the terms that adequately represent the diseased, making searching within the domain more effective. OBJECTIVE The objective of this study is to develop a domain ontology for essential hypertension , therefore arranging the more significant data within the domain as tool for medical training or to support physicians’ decision making will be provided. METHODS The terms used for the ontology were extracted from the medical history of de-identified medical records, of patients with essential hypertension. The Snomed-CT’ collection of medical terms, and clinical guidelines to control the disease were also used. Methontology was used for the design, classes definition and their hierarchy, as well as relationships between concepts and instances. Three criteria were used to validate the ontology, which also helped to measure its quality. Tests were run with a dataset to verify that the tool was created according to the requirements. RESULTS An ontology of 310 instances classified into 37 classes was developed. From these, 4 super classes and 30 relationships were obtained. In the dataset tests, 100% correct and coherent answers were obtained for quality tests (3). CONCLUSIONS The development of this ontology provides a tool for physicians, specialists, and students, among others, that can be incorporated into clinical systems to support decision making regarding essential hypertension. Nevertheless, more instances should be incorporated into the ontology by carrying out further searched in the medical history or free text sections of the medical records of patients with this disease.

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