Polyarthritis in Middle-aged Person

2014 ◽  
pp. 122-122
Author(s):  
Atul Kakar ◽  
Atul Gogia
Think India ◽  
2019 ◽  
Vol 22 (2) ◽  
pp. 512-514
Author(s):  
K. SUVARNA LAKSHMI ◽  
M. RAVICHAND ◽  
V. B. CHITHRA

Mosses Herzog is a disappointed middle-aged person. He always led his life in illusion. He is expecting more from his life and wants to lead a happy life with family.  But the things come to pass in his life are entirety fluctuate from his expectations. He spends the majority of his life time in illusion only. He has two wives and he predictable more affection and love from them, he disillusioned when he not get his expectations from them. At one stage he planned to murder his former wife. The protagonist, Professor Mosses Herzog has a tendency to write letters that will never be sent to the famous, the dead, his friends, and his family. A prolific Nobel Laureate Saul Bellow inspected the Moses mind with his unpublished letter. The writer exhibits the dissimilarity linking the expectations and reality of the protagonist life with his notable work Herzog.


2013 ◽  
Vol 4 (12) ◽  
pp. 1064-1066 ◽  
Author(s):  
Jude Rodrigues ◽  
Renny Furtado ◽  
Anant Ramani ◽  
Nivedita Mitta ◽  
Shantata Kudchadkar ◽  
...  

2019 ◽  
Vol 47 (3) ◽  
pp. 645-649
Author(s):  
Wendy Veronica Xin

Even before I heard about this celebration of Elaine Freedgood's work and mentorship, I was already thinking about how I'd come to know her and about the numerous ways she has shaped my writing and my writing life. This reflection was prompted, inadvertently, by Elaine herself. A little while back, Elaine wrote me an email with the always-thoughtful subject line, “How are you, my friend?” Except, Elaine had forgotten the comma after “you,” so it read instead, “How are you my friend?” This message made me laugh, as did her subsequent response about leaving out that crucial comma. Elaine came to be an unusually generous mentor through the most usual of circumstances. I was first put in touch with her when she came to Berkeley to give a talk called “The Secret Life of Diegesis,” five years ago. I have a vivid memory of the emails we'd exchanged about booking flights and reserving hotel rooms and all that—usually these would be somewhat tedious issues to sort through, but Elaine's typically dry humor enlivened even the driest of topics. When asked if she wanted to “be a trooper” and take a red-eye over to the West Coast, she responded, “Thanks so much. I would be a trooper if necessary but of course would rather be a pathetic middle-aged person (i.e., myself).”


2017 ◽  
Vol 10 (1) ◽  
pp. 91-93
Author(s):  
Jahan Afroze ◽  
Musavvir Samin

Double aortic arch (DAA) is one of the 2 most common forms of vascular ring, a class of congenital anomalies of the aortic arch system in which the trachea and esophagus are completely encircled by connected segments of the aortic arch and its branches. The aim of this study is to describe a case of DAA in a middle aged person. A 40 year old male came to outdoor patient department with cough and breathlessness since childhood which was diagnosed earlier as bronchial asthma, cold allergy, and dust allergy. The final diagnosis DAA was made after CT angiogram. Establishing a diagnosis of DAA in a middle aged person requires thorough understanding and clinical skills in performing steps.Cardiovasc. j. 2017; 10(1): 91-93


2011 ◽  
Vol 26 (S2) ◽  
pp. 489-489
Author(s):  
C. Lee

IntroductionThis is a case report of a Chinese middle-aged female who was first seen in 2006 for suspected depression. Over the course of the illness, her diagnosis was revised to that of Simple Schizophrenia and then Frontoparietal Dementia.CaseA 53 years old Chinese lady was first brought by a male friend (who has known her for past 21 years) in 2006 to continue management for her depression. For the preceding 3–4 years, her behaviour has been very child-like. She was described premorbidly to be stubborn and independent. Mental state examination then revealed that she was oriented to time, place and person. Her mood appeared depressed and reactive (secondary to some social stressors). Patient refused any basic blood investigations and her antidepressant was continued. Over the course of few months, she started to complain of forgetfulness and she was reported to go ‘missing’ for 1 to 2 hours. A differential diagnosis of chronic negative symptoms schizophrenia was entertained. In August 2007, she was arrested for shoplifting and was treated as an inpatient. Upon discharge, she was referred to a nursing home. By October 07, she was totally disoriented to time and place. Computed Axial Tomography (CAT) scan of brain was eventually performed which reported as ‘knife-shaped appearance’ of cortical gyri suggestive of frontoparietal dementia, possible Pick’s Disease. Patient is currently on antidementia therapy.ConclusionThe case report illustrates the importance of entertaining diagnosis of dementia in a middle-aged person especially with symptoms of regression and wandering behaviour.


2020 ◽  
Author(s):  
Yuanhua Li ◽  
Suhuan Liao ◽  
Haijun Zuo ◽  
Wei Yang ◽  
Di Jiang

Abstract Background: Tuberculosis (TB) is a major health problem worldwide. Even in highly prevalent countries, primary gastroduodenal tuberculosis is a rare manifestation of extrapulmonary tuberculosis. In recent years, as the incidence of tuberculosis has increased year by year, the occur of gastroduodenal tuberculosis has also increased. Endoscopy is an important tool for diagnosing gastroduodenal tuberculosis. The performance of gastroduodenal tuberculosis under endoscopy is often non-specific, which may imitate other benign or malignant gastroduodenal diseases. Diagnosis of gastroduodenal tuberculosis relies on a combination of endoscopy and guided biopsy. Case presentation: Here, we report a rare and interesting case of gastroduodenal tuberculosis with acute pancreatitis. The case initially mimicked gastroduodenal ulcers in morphology and appeared in a middle-aged person with normal immunity but with prolonged fever and abdominal pain. The disease was diagnosed through endoscopy and guided biopsy, and it responded well to antituberculosis drugs. Conclusions: Clinicians must remember that even in the absence of immunodeficiency, as in this case, tuberculosis can affect any part of the gastrointestinal tract.


Its object is principally to investigate the opinion hitherto entertained, that the nerves may be considered as chords that have no power of contraction within themselves, but only serve as a medium by means of which the influence of the brain may be communicated to the muscles, and the impressions made upon the different parts of the body may be conveyed to the brain. After pointing out the extreme difficulty of such an inquiry, owing to the few opportunities that offer for investigating the real state of the nerves in the living body, Mr. Home intimates that he resolved to avail himself of every opportunity that might offer of any operation in surgery performed upon nerves, either in a healthy state, or under the influence of disease, in order to elucidate this intricate point, without neglecting certain experiments he thought he could devise upon animal bodies, before they are wholly deprived of life. The first case, which explains some circumstances respecting the actions of the nerves when under the influence of disease, was that of a middle-aged person, who, having hurt his thumb by a fall, experienced long after an occasional swelling and convulsions in that part, attended with spasms, which at times extended in the direct course of the trunks of the radial nerve up to the head, the patient being at times afflicted with absolute insensibility. In order to put a stop to the progress of tips irritation, which seemed to constitute the disease, it was proposed to divide the nerve as it passes from under the annular ligament of the wrist. This operation was accordingly performed, but not altogether with the desired success, owing probably to the wound not healing by the first intention.


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