scholarly journals Primar Urinary Bladder Endometriosis: Laparoscopic Approach towards Therapeutic Mapping

2021 ◽  
pp. 1-3
Author(s):  
Sofoudis Chrisostomos ◽  
◽  
Papadopoulos Zacharias ◽  
Keyword(s):  
Therapeutic Strategy ◽  
Laparoscopic Approach ◽  
Endometrial Cavity ◽  
Bladder Endometriosis ◽  
Urine Bladder ◽  
Proper Diagnosis ◽  
Primary Bladder ◽  
Physical Symptomatology ◽  
Pathophysiologic Mechanisms

Endometriosis of genital tract consists a controversial entity arising from current bibliography. Many conducted studies suggested a variety of pathophysiologic mechanisms in order to establish proper diagnosis and treatment. In many cases development of endometrial tissue outside endometrial cavity, can lead to depiction of physical symptomatology with unexpected clinical route. Besides, dysmenorrhea, dyspareunia and decrease of fertility capability, endometriosis can infiltrate many intraperitoneal organs such as urine bladder, rectum, or even mesenterium and lungs. Primary bladder endometriosis represents a very rare entity among female reproductive patients. Ultimate scope remains fertility preservation and increase of patient’s quality of life. Aim of our study reflects assiduous diagnosis and depiction of proper therapeutic strategy

Cystoscopy Coagulation of Vesicovaginal Fistula. A Case Report and Mini Review of the Literature

2021 ◽  
Vol 2 (2) ◽  
pp. 01-04
Author(s):  
Chrisostomos Sofoudis
Keyword(s):  
Vesicovaginal Fistula ◽  
Vaginal Wall ◽  
Reproductive Capacity ◽  
Bladder Epithelium ◽  
Surgical Interventions ◽  
Urine Bladder ◽  
Proper Diagnosis ◽  
Female Genital

Myomas represent the most common benign type of female genital track. Therapeutic mapping is strongly associated with age of the patient, number and location of the myomas and patient’s reproductive capacity. Among the future operative and postoperative complications consist communication of vaginal wall with local organs, formation of a fistula. Adjunction and further anatomic penetration between vaginal wall and urine bladder epithelium, can depict a vesicovaginal fistula. After proper diagnosis, therapeutic mapping depends on the type of the fistula and surgical intervention in order to ensure patient’s quality of life. Aim of our study, consists proper diagnosis and conservative management of vesicovaginal fistula. Cystoscopy therapeutic strategy with proper follow up represents an alternative treatment of choice, avoiding compound surgical interventions.

Acquired acoria and iris pearls in leprosy: Case report

2021 ◽  
pp. 112067212110240
Author(s):  
Luciana Negrão Almeida Morais ◽  
Joacy Pedro Franco David ◽  
João Victor Peres Lima ◽  
Samia Demachki ◽  
Daniel Guerreiro Diniz ◽  
...  
Keyword(s):  
Case Report ◽  
Cataract Extraction ◽  
Ocular Involvement ◽  
Histopathological Diagnosis ◽  
Extracapsular Cataract Extraction ◽  
Ophthalmological Examination ◽  
Case Description ◽  
Leprosy Case ◽  
Proper Diagnosis

Purpose: To describe a case of a patient presenting with acquired acoria and iris pearls, a rare eye manifestation and pathognomonic finding for leprosy; to reinforce clinical, histopathological, and therapeutic aspects of ocular involvement in leprosy. Methods: Case report. Case description: A 62-year-old male presenting with acquired acoria and iris pearls in both eyes due to leprosy also had anterior uveitis and cataract. Histopathological diagnosis of iris pearls was confirmed by the presence of Hansen’s bacilli. Ophthalmological examination revealed improvement of the visual acuity after iridectomy and extracapsular cataract extraction. Conclusions: To our knowledge, this is the first reported case of acquired acoria in a leprosy patient. It led to impaired vision and reversible blindness. Proper diagnosis and ophthalmological treatment of patients with these conditions are essential for the maintenance of a good quality of life.

STUDY AND ANALYSIS OF MORPHOLOGICAL PATTERNS OF ANEMIA IN GERIATRIC PATIENTS

2021 ◽  
pp. 29-31
Author(s):  
Greeshma C.G ◽  
Vidhya Subramanian ◽  
Sahayaraj J
Keyword(s):  
Elderly Population ◽  
Geriatric Patients ◽  
Morphological Type ◽  
Poor Quality ◽  
Geriatric Population ◽  
Normocytic Normochromic Anemia ◽  
Normochromic Anemia ◽  
Proper Diagnosis ◽  
Morphological Patterns

INTRODUCTION:Anemia in elderly population is a frequently diagnosed problem and if it is untreated ,it can lead to impaired functional capacity, poor quality of life and increased morbidity and mortality. In view of high prevelance of anemia in geriatric population,the study was conducted to evaluate the morphological patterns of anemia in elderly population. METHODS:A Prospective observational study was conducted on 100 geriatric patients above 60 years of age,for a period of 3 months.Routine haematological investigations and peripheral smear study was done. RESULTS: In the present study, females were found to be more affected than males and patients in the age group of 60-69 years were affected the most. Normocytic normochromic anemia was the most common morphological type of anemia observed. CONCLUSION: Despite recent diagnostic advances, geriatric anemia remains under reported and inadequately investigated. Determining the morphological type of anemia can help in nding out the etiology and there by aid in proper diagnosis and better patient management.

scholarly journals “Complications of Gastrointestinal System in Diabetes Mellitus”- Neglected Part of Diabetic Management

2020 ◽  
Author(s):  
Jayanta Paul ◽  
Ambalathu Veettil Hussain SHIHAZ
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Daily Life ◽  
Clinical Suspicion ◽  
Complications Of Diabetes ◽  
Gi Symptoms ◽  
Liver And Pancreas ◽  
Proper Diagnosis ◽  
Prevalence Of Diabetes Mellitus

The incidence and prevalence of diabetes mellitus and its complications are increasing. Like other complications, most of the diabetes patients have gastrointestinal (GI) symptoms but in majority of cases GI complications are under diagnosed and not treated properly, resulting in impairment of the quality of daily life. GI system including liver and pancreas are involved in diabetes mellitus. These GI complications of diabetes mellitus need proper diagnosis and treatment to get a quality of life and clinician needs clinical suspicion to identify and proper knowledge to treat.

scholarly journals Diabetic peripheral neuropathy: epidemiology, pathogenesis, clinic, diagnostics, treatment

2016 ◽  
Vol 24 (4) ◽  
pp. 139-151 ◽  
Author(s):  
A N Belova ◽  
M N Kudykin ◽  
G E Sheiko
Keyword(s):  
Peripheral Neuropathy ◽  
Diabetic Peripheral Neuropathy ◽  
Peripheral Nerves ◽  
Pain Syndrome ◽  
Common Complication ◽  
Review Of Literature ◽  
Chronic Hyperglycemia ◽  
Progressive Degeneration ◽  
Pathophysiologic Mechanisms

The article contains the review of literature data dedicated to the most common complication associated with diabetes mellitus (DM) - the diabetic peripheral neuropathy (DPN). DPN is regarded as economic burden for any state and significantly influences the quality of patient’s life. DPN is characterized by progressive degeneration of peripheral nerves that leads to pain syndrome, movement disorders and loss of sensation. There is a set of theories of development of DPN, but the major etiological factor is the chronic hyperglycemia. The article describes pathophysiologic mechanisms of DPN development. It is noted that considering high variability of clinical pattern DPN has no unified classification. The article addresses issues related to diagnostics and criteria of establishing the diagnosis. Special attention of the article is dedicated to pathogenic and expected treatment methods.

Pain Assessment through Facial Expression

2016 ◽  
pp. 59-80
Author(s):  
Sanjay Kumar Singh ◽  
V. Rastogi ◽  
S. K. Singh
Keyword(s):  
Facial Expression ◽  
Facial Expressions ◽  
Pain Assessment ◽  
Medical Psychology ◽  
Important Symptom ◽  
The Face ◽  
Proper Diagnosis ◽  
Heath Care ◽  
Visual Changes

Pain, assumed to be the fifth vital sign, is an important symptom that needs to be adequately assessed in heath care. The visual changes reflected on the face of a person in pain may be apparent for only a few seconds and occur instinctively. Tracking these changes is a difficult and time-consuming process in a clinical setting. This is why it is motivating researchers and experts from medical, psychology and computer fields to conduct inter-disciplinary research in capturing facial expressions. This chapter contains a comprehensive review of technologies in the study of facial expression along with its application in pain assessment. The facial expressions of pain in children's (0-2 years) and in non-communicative patients need to be recognized as they are of utmost importance for proper diagnosis. Well designed computerized methodologies would streamline the process of patient assessment, increasing its accessibility to physicians and improving quality of care.

scholarly journals Partial cystectomy: Is it a reliable option for the treatment of bladder

2013 ◽  
Vol 5 (1) ◽  
pp. 11 ◽  
Author(s):  
Yun-fei Xu ◽  
Guang-chun Wang ◽  
Jun-hua Zheng ◽  
Bo Peng
Keyword(s):  
Quality Of Life ◽  
Young Patients ◽  
Partial Cystectomy ◽  
Mesenchymal Tumour ◽  
Center Stage ◽  
Primary Bladder

Bladder leiomyosarcoma is a unique mesenchymal tumour,accounting for less than 0.5% of all primary bladder malignancies.Bladder leiomyosarcoma used to be treated with radical surgeryin either old or young patients, often resulting in significantimpact on the patients’s quality of life after surgery. We reporton a case of bladder leiomyosarcoma in a 31-year-old femalewho was treated with partial cystectomy. Fortunately, no tumourmetastasis or relapse was observed during the 7-year follow-upperiod and the patient now has a good quality of life. We foundthat partial cystectomy may be an acceptable option to treat bladderleiomyosarcoma in the low MSKCC (Memorial Sloan-KetteringCancer Center) stage.

scholarly journals Scalp Pruritus: Review of the Pathogenesis, Diagnosis, and Management

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Ploysyne Rattanakaemakorn ◽  
Poonkiat Suchonwanit
Keyword(s):  
Therapeutic Strategy ◽  
Skin Diseases ◽  
Underlying Disease ◽  
Review Article ◽  
Skin Changes ◽  
Underlying Condition ◽  
Appropriate Treatment ◽  
Underlying Diseases ◽  
Frequent Problem

Scalp pruritus is a frequent problem encountered in dermatological practice. This disorder is caused by various underlying diseases and is a diagnostic and therapeutic challenge. Scalp pruritus may be localized to the scalp or extended to other body areas. It is sometimes not only associated with skin diseases or specific skin changes, but also associated with lesions secondary to rubbing or scratching. Moreover, scalp pruritus may be difficult to diagnose and manage and may have a great impact on the quality of life of patients. It can be classified as dermatologic, neuropathic, systemic, and psychogenic scalp pruritus based on the potential underlying disease. A thorough evaluation of patients presenting with scalp pruritus is important. Taking history and performing physical examination and further investigations are essential for diagnosis. Therapeutic strategy comprises removal of the aggravating factors and appropriate treatment of the underlying condition. All treatments should be performed considering an individual approach. This review article focuses on the understanding of the pathophysiology and the diagnostic and therapeutic management of scalp pruritus.

scholarly journals Primary oral manifestation of Langerhans cell histiocytosis refractory to conventional therapy but susceptible to BRAF-specific treatment: a case report and review of the literature

2019 ◽  
Vol 11 ◽  
pp. 175883591987801 ◽  
Author(s):  
Norbert Neckel ◽  
Andrej Lissat ◽  
Arendt von Stackelberg ◽  
Nadine Thieme ◽  
Mohemed-Salim Doueiri ◽  
...  
Keyword(s):  
Langerhans Cell Histiocytosis ◽  
Young Patients ◽  
Specific Treatment ◽  
Langerhans Cell ◽  
Adequate Treatment ◽  
Oral Manifestation ◽  
Stomatognathic System ◽  
Proper Diagnosis ◽  
Specific Agent

Langerhans cell histiocytosis (LCH) is a diagnostic and therapeutic challenge. We report on a rare case of its primary oral manifestation that was treated successfully with the BRAF-specific agent, vemurafenib, after insufficient standard LCH treatment. This case underlines the importance of proper diagnosis and the evaluation of targeted therapy as a valuable tool in LCH treatment. Furthermore, the close collaboration of surgeons, oncologists, and dentists is mandatory to ensure adequate treatment, restore the stomatognathic system in debilitating post-treatment situations, improve quality of life, and ensure effective disease control in infants and young patients.

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