Intranasal abuse of prescription hydrocodone/acetaminophen results in oronasal fistula: A case report

2018 ◽  
Vol 5 (6) ◽  
pp. 383-385 ◽  
Author(s):  
Paul A. Sloan, MD ◽  
Oksana Klimkina, MD
Keyword(s):  
Chronic Pain ◽  
Case Report ◽  
Foreign Body ◽  
Chronic Back Pain ◽  
Oronasal Fistula ◽  
Body Sensation ◽  
Nonmalignant Pain ◽  
Hypernasal Speech ◽  
Chronic Nonmalignant Pain ◽  
Unusual Symptoms

Opioids are becoming more common in the treatment of chronic nonmalignant pain. With increased availability of opioids for chronic pain we may expect an increased misuse of these as analgesics as well. The authors describe the case report of a young woman with chronic back pain and intranasal abuse of prescribed hydrocodone/acetaminophen who was diagnosed after presenting for hypernasal speech and foreign body in the nose. This case report highlights the need for vigilance on the part of the physician for any aberrant drug-related behaviors. Any unusual symptoms or signs such as hypernasal speech, chronic nasal infection, or unexplained foreign body sensation in the nose should be thoroughly investigated.

scholarly journals Recurrent keratoconjunctivitis as the sole manifestation of COVID-19 infection: A case report

2021 ◽  
pp. 112067212110065
Author(s):  
Satria Audi Hutama ◽  
Firas Farisi Alkaff ◽  
Ryan Enast Intan ◽  
Citra Dewi Maharani ◽  
Luki Indriaswati ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Body Sensation ◽  
Polymerase Chain Reaction Test ◽  
Nasopharyngeal Swab ◽  
Conjunctival Hyperemia ◽  
Blurred Vision ◽  
Ocular Symptoms ◽  
Body Sensation ◽  
Fluorescence Test

Introduction: Ocular symptoms are uncommon manifestations of coronavirus disease 2019 (COVID-19) infection. Earlier study reported that dry eye, blurred vision, foreign body sensation, tearing, itching, conjunctival secretion, conjunctival congestion, ocular pain, and photophobia are among the ocular symptoms that could be found in COVID-19 patients. However, there are only a few reports available regarding corneal involvement in this disease. Here we report a case of keratoconjunctivitis as the only symptom of COVID-19 infection. Case description: A 27-year-old man who worked as an obstetrics and gynecology resident came to the outpatient clinic with the chief complaints of eye discomfort, foreign body sensation, conjunctival hyperemia, lacrimation, and photophobia in his right eye for the past 3 weeks. Fluorescence test showed a small corneal lesion. The patient was then diagnosed with keratoconjunctivitis. A week after the treatment, all symptoms were resolved. A month later, the patient came to the emergency room with the same eye complaints but with a more severe pain. The fluorescence test showed wider corneal lesion compared to last month. The result from the corneal swab is negative for bacterial or fungal infection, indicating a viral infection. Afterwards, reverse transcriptase polymerase chain reaction test from nasopharyngeal swab was performed and revealed that the patient was positive for COVID-19. Conclusions: This case report showed that keratoconjunctivitis may occur as the only manifestation of COVID-19 infection. Thus, patient presented with unexplainable eye symptoms should be evaluated for COVID-19 infection.

Management of Chronic Nonmalignant Pain

1998 ◽  
Vol 11 (5) ◽  
pp. 374-381 ◽  
Author(s):  
James T. O'Donnell ◽  
Moriah B. Richie ◽  
Lori A. Nesbitt
Keyword(s):  
Chronic Pain ◽  
Clinical Research ◽  
Interpersonal Relationships ◽  
State Level ◽  
Social Consequences ◽  
High Quality ◽  
Level Of Functioning ◽  
Nonmalignant Pain ◽  
Chronic Nonmalignant Pain

Although advances in knowledge about the pathophysiology of pain have been impressive in recent years, high-quality clinical research in patients with chronic pain has not been abundant. Because chronic pain often leads to profound changes in psychologic state, level of functioning, and interpersonal relationships, treatment requires attention not only to the pathophysiologic cause of the pain (if one can be found) but also to the psychologic and social consequences (and antecedents).

A STUDY OF COMPARISON OF PURE TISSUE REPAIR (DESERDA) AND PROSTHETIC REPAIR (LICHTENSTEIN) METHODS FOR INGUINAL HERNIA REPAIR-A COMPARATIVE STUDY

2021 ◽  
pp. 1-4
Author(s):  
Harish Chauhan ◽  
Daxesh Patel ◽  
Nishan Gaudani
Keyword(s):  
Chronic Pain ◽  
Foreign Body ◽  
Hernia Repair ◽  
Operative Time ◽  
Late Complication ◽  
Normal Activity ◽  
Foreign Body Sensation ◽  
Prosthetic Repair ◽  
Body Sensation

INTRODUCTION: An ideal hernia repair should be tension free, tissue based, with no potential damage to vital structures, no long term pain or complications and no recurrence. Although Lichtenstein's prosthetic repair is simple and safe, but it is also correlated with risk of infections, recurrence, chronic pain, testicular atrophy and infertility, foreign body sensations and chronic groin sepsis. Desarda hernia repair does not require mesh and provide more physiological support. It is simple, easy to learn. AIMS AND OBJECTIVES: a) To compare the operative time, postoperative stay and time required to return normal activity between two groups. b) To compare early complication rate and late complication rate between two groups. MATERIALAND METHODS: This observational study was conducted among patients admitted with the diagnosis of primary inguinal hernia in SMIMER, Surat. The patients were randomly allocated to either Lichtenstein or Desarda method of hernia repair. Operating time, post operative stay and duration of return to normal activity were recorded. Early complications were noted and the patients were followed up to 12 months for late complications (chronic pain, foreign body sensation, and recurrence). RESULTS: The mean operative time and postoperative stay did not show signicant differ for both groups. Patients operated by Desarda technique returned to normal activity signicantly early by 12.2 ± 2.54 days as compared to patients operated by Lichtenstein techniques (14.0 ± 2.76 days, p = 0.01). Most common early complication in both groups was pain (D group; 40.0%, Lgroup: 45.2%) followed by wound infection (D group; 8.0%, Lgroup: 6.5%) and seroma (D group; 0.0%, Lgroup: 3.2%). Occurrence of chronic pain was more in Lgroup (58.1%) as compared to D group (16.0%, p=0.001). None of the patients from D group had foreign body sensation. Foreign body sensation was observed only in ve patients of Lgroup (16.1%). Recurrence rate during one year in Lgroup (6.5%) was higher than D group (4.0%). CONCLUSION: Early return to work was potential benet of Desarda repair. Early complications were similar in both procedures. Desarda repair has lower incidence of chronic pain and foreign body sensation. However, there is no signicant difference for chronic pain in Desarda group when compared in same patients operated bilaterally with different technique. This study was conducted with small sample size with short follow up. Therefore, result of late complication in the present study may insufcient to conclude the probability of occurrence as longer follow up and larger sample size is required.

Is Chronic Pain a Disease in Its Own Right? Discussions from a Pre-OMERACT 2014 Workshop on Chronic Pain

2015 ◽  
Vol 42 (10) ◽  
pp. 1947-1953 ◽  
Author(s):  
Ann M. Taylor ◽  
Kristine Phillips ◽  
Justin O. Taylor ◽  
Jasvinder A. Singh ◽  
Philip G. Conaghan ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Outcome Measures ◽  
Outcome Measure ◽  
Disease State ◽  
Nonmalignant Pain ◽  
Chronic Nonmalignant Pain

At the pain workshop held prior to the Outcome Measures in Rheumatology (OMERACT) 12 conference, chronic nonmalignant pain (CP) as a “disease” was discussed, in response to growing interest in this concept and in terms of the effect on the OMERACT Filter 2.0 framework. CP is often assessed as a unidimensional outcome measure; however, if CP is a disease, then outcome measures need to define the disease state and identify all its manifestations as well as its effects, as specified by Filter 2.0. The aim was to write a discussion piece, reflecting the workshop contributions and debate, as an important step in opening a dialogue around future OMERACT Filter 2.0 Framework developments.

scholarly journals Giant tonsillolith: a case report and review of literature

2015 ◽  
Vol 1 (1) ◽  
pp. 89
Author(s):  
Hitesh Verma ◽  
Arjun Dass ◽  
Surinder K. Singhal ◽  
Nitin Gupta
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Oral Cavity ◽  
Rare Clinical Entity ◽  
Review Of Literature ◽  
Tonsillar Fossa ◽  
Body Sensation ◽  
The World ◽  
History Of ◽  
One Year

<p class="abstract">We had a sixty years old male patient, who had one year history of foreign body sensation in throat and the history of odynophagia for the last ten days. The NCCT neck showed 3.08×2.28 cm homogenous calcified mass in left tonsillar fossa. The stone was removed and tonsillectomy was performed. Giant tonsillolith is a rare clinical entity. As per available literature, 54 cases of giant tonsilloliths have been reported and to the best of our knowledge, this is one of the largest tonsillolith in the world till date. </p><strong>Keywords:</strong> Tonsillolith, Oral cavity<strong></strong>

scholarly journals An Unusual Presentation of Retinal Detachment and Conjunctivitis: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 446-449
Author(s):  
Bailey Pierce ◽  
Scott Alter ◽  
Kyle Gerakopoulos ◽  
Jeniel Parmar
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Vision Loss ◽  
Point Of Care ◽  
Healthcare Providers ◽  
Medical Attention ◽  
Body Sensation ◽  
Point Of Care Ultrasonography ◽  
Visual Changes

Introduction: Vision loss is an ophthalmologic emergency with broad differential requiring prompt medical attention. Case Report: We describe a 55-year-old male presenting to the emergency department (ED) with unilateral, painless visual field deficit with ipsilateral conjunctivitis induced by a presumed foreign body. The patient described a foreign body sensation nine days prior to developing visual changes. In the ED, the patient was diagnosed with a retinal detachment using point-of-care ultrasonography, and emergent ophthalmologic consultation was obtained. Conclusion: Concurrent retinal detachment and conjunctivitis in a patient is extremely rare. Healthcare providers should be aware that foreign body-induced conjunctivitis could lead to retinal detachment.

scholarly journals Desarda versus Lichenstein technique for primary inguinal hernia treatment: one year results of a randomised clinical trial

2020 ◽  
Vol 7 (7) ◽  
pp. 2147
Author(s):  
Pinak Pani Dhar ◽  
Upasana Mohanty ◽  
Raman Kumar Shankar
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Foreign Body ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Operative Time ◽  
Foreign Body Sensation ◽  
Primary Inguinal Hernia ◽  
Body Sensation

Background: The ideal operation to treat inguinal hernia is still far to define. The Shouldice method and other tissue-based techniques are still acknowledged to be acceptable for primary inguinal hernia repair according to European Hernia Society guidelines. Desarda’s technique, presented in 2001, is an original hernia repair method using an undetached strip of external oblique aponeurosis. This randomized trial compared outcomes after hernia repair with Desarda and mesh-based Lichtenstein techniques.Methods: A total of 42 participants (40 males and 2 females) were randomly assigned to the Desarda (group 1) and Lichtenstein (group 2), 19 vs 23 respectively. The primary outcomes measured were recurrence (for maximum follow up of 1 year and minimum of 5 months) and chronic pain. Additionally, operative time, early and late complications, foreign body sensation, and return to everyday activity were examined in hospital and at 7, 30 days, and 6, 12 months after surgery.Results: During the follow-up, one recurrence was observed in Desarda group after 10 months of surgery. Chronic pain was experienced by 10.5% and 8.7% of patients from groups Desarda and Lichtenstein respectively. Foreign body sensation and return to activity were comparable between the two groups. Operative time was less in Desarda group. There was significantly less seroma production in the Desarda group.Conclusions: The results of primary inguinal hernia repair with the Desarda and Lichtenstein techniques are comparable at the 1 year follow up. The technique may potentially increase the number of tissue-based methods available for treating groin hernias. 

scholarly journals Ocular Complication of a Child with Confirmed 2019 Novel Coronavirus Disease: A Case Report

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Anahita Sanaei Dashti ◽  
Zahra Mehdipour Namdar
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Lower Eyelid ◽  
Ocular Complication ◽  
Ocular Complications ◽  
Case Presentation ◽  
Body Sensation ◽  
The World ◽  
Conjunctival Swab ◽  
Novel Coronavirus

Introduction: The first cases of coronavirus disease 2019 (COVID-19) were identified in Wuhan, China, in December 2019, and then it immediately spread to other parts of the world. Conjunctivitis has been reported as one of the manifestations of the disease. In this study, we report a three-year-old child with a confirmed diagnosis of COVID-19 developing conjunctivitis in Iran. Case Presentation: The patient was a three-year-old male child who was referred to Namazee Hospital (Shiraz) due to fever, dry cough, tachypnea, and respiratory distress. He was admitted with the impression of a COVID-19 infection. On the sixth day of admission, the patient developed unilateral red-eye and foreign body sensation in the left eye. A conjunctival swab was done for collecting tears and conjunctival secretions from the lower eyelid fornix without topical anesthesia and was sent for assessing the presence of SARS-CoV-2 RNA, which was demonstrated to be positive after two days. Conclusions: Our findings suggest that the COVID-19 virus can be present in tears and conjunctiva. Additionally, it should be taken into account that ocular complications may not appear in the early stages of infection.

scholarly journals Eagle's syndrome: A case report of a 39-year-old male

2020 ◽  
Vol 12 (2) ◽  
pp. 68-70
Author(s):  
Farzaneh Pakdel ◽  
Maryam Hossinpour Sarmadi ◽  
Salar Payahoo ◽  
Golchin Jabbari ◽  
Farshad Javadzadeh
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Carotid Artery ◽  
The Other ◽  
Foreign Body Sensation ◽  
Cold Weather ◽  
Eagle’S Syndrome ◽  
Body Sensation ◽  
Panoramic Images ◽  
Stylohyoid Ligament

Ossifying stylohyoid ligament can be seen accidently in panoramic images. Sometimes this status is asymptomatic. However, in the presence of symptoms such as pain in the pharynx, a foreign body sensation, tinnitus or otalgia it is called Eagle’s syndrome. The other symptoms due to the pressure on carotid artery including migraines, aphasia or vertigo and syncope especially in turning head to suffering side may be reported. This case was a thirty-nine-year-old man by thick ossified stylohyoid ligament in both sides along with five pseudoarticles together with a background of head and neckache specially in cold weather.

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