Selected methods of pain evaluation in a pediatric patient based on Emergency Response Teams

Ból ◽  
2017 ◽  
Vol 18 (3) ◽  
pp. 55-66
Author(s):  
Karolina Wodzień ◽  
Dorota Ozga
Keyword(s):  
Effective Treatment ◽  
Pediatric Patient ◽  
Emergency Response ◽  
Tissue Damage ◽  
Pain Evaluation ◽  
Multidimensional Evaluation ◽  
Proper Diagnosis

Pain is defined as the unpleasant sensory and emotional sensation associated with actual or potential tissue damage. In analgesic care over children carried out by emergency response teams it is important to provide analgesia adequate to the painful symptoms. Comprehensive multidimensional evaluation is a prerequisite for a proper diagnosis and effective treatment of pain. It is essential to understand the essence of pain in a child based on its appropriate evaluation.

scholarly journals Gastric neuroendocrine tumor treated with endoscopic submucosal dissection

2016 ◽  
Vol 29 (4) ◽  
pp. 176-179
Author(s):  
Pawel Bojar ◽  
Jaroslaw Swatek ◽  
Jaroslaw Drabko ◽  
Katarzyna Golec ◽  
Anna Ostrowska ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Neuroendocrine Tumor ◽  
Effective Treatment ◽  
Male Patient ◽  
Microscopic Examination ◽  
Chromogranin A ◽  
Primary Diagnosis ◽  
Biopsy Sample ◽  
Submucosal Dissection ◽  
Proper Diagnosis

Abstract A case of a 59-year-old male patient with gastric neuroendocrine tumor which was misdiagnosed as adenocarcinoma, is presented. Herein, primary diagnosis was made due to the similarity of endoscopic pictures of both diseases and dues to the inappropriate interpretation of a small biopsy sample. The patient was qualified for endoscopic submucosal dissection. Microscopic examination of whole lesion, supplemented by immmunohistochemical reactions (chromogranin A, synaptophysin, cytokeratins 7 and 20, Ki67) revealed gastric neuroendocrine tumor (NET) G2. The lesson learnt is that to provide effective treatment to the patient, it is necessary to use all available methods to make a proper diagnosis and to distinguish the suspected disease from others with similar features.

Canine Bacterial Endocarditis: A Review

2007 ◽  
Vol 43 (5) ◽  
pp. 258-263 ◽  
Author(s):  
Gordon Peddle ◽  
Meg M. Sleeper
Keyword(s):  
Blood Culture ◽  
Effective Treatment ◽  
Antimicrobial Therapy ◽  
Clinical Presentation ◽  
Bacterial Endocarditis ◽  
Diagnosis And Treatment ◽  
High Morbidity ◽  
Culture Techniques ◽  
Proper Diagnosis ◽  
Echocardiographic Findings

Bacterial endocarditis is a disease of primarily middle-aged to older, large-breed dogs that is associated with high morbidity and mortality. It presents many challenges with respect to diagnosis and effective treatment. This paper reviews the pathogenesis, clinical presentation, progression, methods of diagnosis, and treatment of bacterial endocarditis in dogs. Methods for proper diagnosis, including echocardiographic findings and blood culture techniques, and recommendations for effective antimicrobial therapy are also provided.

Complications of Sodium Hydroxide Chemical Matrixectomy

2014 ◽  
Vol 104 (6) ◽  
pp. 649-651 ◽  
Author(s):  
Seher Bostancı ◽  
Pelin Koçyiğit ◽  
Hilayda Karakök Güngör ◽  
Nehir Parlak
Keyword(s):  
Young Adults ◽  
Effective Treatment ◽  
Sodium Hydroxide ◽  
Tissue Damage ◽  
Daily Life ◽  
Secondary Infection ◽  
Infection Rates ◽  
Nail Dystrophy ◽  
Postoperative Drainage ◽  
Ingrown Toenails

Ingrown toenails are seen most commonly in young adults, and they can seriously affect daily life. Partial nail avulsion with chemical matrixectomy, generally by using either sodium hydroxide or phenol, is one of the most effective treatment methods. Known complications of phenol matrixectomy are unpredictable tissue damage, prolonged postoperative drainage, increased secondary infection rates, periostitis, and poor cosmetic results. To our knowledge, there have been no reports about the complications related to sodium hydroxide matrixectomy. Herein, we describe three patients who developed nail dystrophy, allodynia, and hyperalgesia after sodium hydroxide matrixectomy.

scholarly journals Acute, severe cryptosporidiosis in an immunocompetent pediatric patient

2016 ◽  
Vol 6 (2) ◽  
Author(s):  
Caitlin Tallant ◽  
Patrick Huddleston ◽  
Asim Alshanberri ◽  
Subhasis Misra
Keyword(s):  
Pediatric Patient ◽  
Close Contact ◽  
Detection Techniques ◽  
Diarrheal Illness ◽  
Severe Diarrhea ◽  
Microbiological Testing ◽  
Proper Diagnosis ◽  
Stool Samples ◽  
Microbiological Agents ◽  
Bovine Species

Severe diarrheal illness in children can be attributed to a number of different microbiological agents. Without appropriate microbiological testing of stool samples, patients who present with multiple days of severe diarrhea might have a delay in proper diagnosis and treatment. Here, we report a case of an immunocompetent pediatric patient presenting with acute cryptosporidiosis. Humans and bovine species are known hosts of cryptosporidium and several studies have evaluated the zoonotic transmission of cryptosporidium from cattle to humans. Adding diagnostic tests for cryptosporidium like Ziehl-Neelsen staining of stool or fecal rapid antigen detection techniques should be considered in the workup of patients presenting with undifferentiated, severe diarrheal illness, especially in those who have close contact with livestock.

Anxiety disorders in patients with cardiac diseases

2021 ◽  
Vol 14 (3) ◽  
pp. 234-238
Author(s):  
Dominika Dudek
Keyword(s):  
Quality Of Life ◽  
Differential Diagnosis ◽  
Anxiety Disorders ◽  
Cardiovascular System ◽  
Effective Treatment ◽  
Treatment Options ◽  
Cardiac Diseases ◽  
Family Doctors ◽  
Proper Diagnosis

Anxiety disorders are a common problem in cardiac patients. They can be the basic condition with heart symptoms, or they can be associated with a disease of the cardiovascular system. Hence, their symptomatology and differential diagnosis is of interest not only to psychiatrists, but also family doctors, internists and cardiologists. Proper diagnosis and treatment affects not only the quality of life, but also cardiological prognosis. One of the safe and effective treatment options is pregabalin.

scholarly journals Review the experience: role of propranolol in infantile hemangioma (IHs) on pediatric patient

2018 ◽  
Vol 5 (7) ◽  
pp. 2543
Author(s):  
Santosh More ◽  
K. S. Budhwani ◽  
R. Kumar Ghritlaharey
Keyword(s):  
Adverse Effects ◽  
Effective Treatment ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Age Groups ◽  
Cost Effective ◽  
Infantile Hemangioma ◽  
Volume Reduction ◽  
Gandhi Medical College ◽  
Oral Propranolol

Background: Although not being licensed for the treatment of infantile hemangiomas (IHs) on pediatric patient 5 weeks or older than 5 months, propranolol is often used in these age groups to prevent or to treat potentially severe complications. The objective of the present study was to review the experience on pediatric patients with efficacy and adverse effects after use of oral propranolol treatment for IHs started before 5 weeks or after 5 months of age.Methods: This was an observational study performed pediatric patients with IHs treated with oral propranolol at the department of pediatric surgery, Gandhi Medical College and Associated Kamla Nehru Hospital, Bhopal from Nov 2012-Nov 2014. Using a proforma, data was collected on dosing, efficacy and adverse effects.Results: A total 40 patient of IHs from 2 months to 3yr were included in this study. The majority of patients were ≤6month of age 24 (60%) patient and 16 (40%) patients were >6month of age. Female 28 (70%) are more affected than male 12 (30%). The IHs most common lesion was 23 (57.5%) in head, face and nose region. No adverse effects were observed in our series; none of our patients had symptoms of hypoglycemia or hypotension. The patients with clinically significant more than 50% volume reduction were found in 26 (65%) patient and 25-50% volume reduction were found 14 (35%) patient after 5months long propranolol therapy for IHs.Conclusions: In present study of patients propranolol 2mg\kg\day divided into two doses was a well-tolerated and effective treatment of IHs. Propranolol is clinically more effective treatment with no adverse effect and cost effective. The percentage of regression of size and color clearance was sufficient to justify the use of propranolol as the first line option for treatment of IHs.

Patient satisfaction with tele-advice during the COVID-19 pandemic

2021 ◽  
Vol 17 (4) ◽  
pp. 25-29
Author(s):  
Weronika Gieniec ◽  
Beata Jurkiewicz
Keyword(s):  
Patient Satisfaction ◽  
Effective Treatment ◽  
Health Problem ◽  
Physical Contact ◽  
Medical Services ◽  
Medical Visit ◽  
Telemedicine Consultation ◽  
Specialist Services ◽  
Proper Diagnosis ◽  
Monitoring Treatment

Introduction: The coronavirus pandemic has shed a whole new light on telehealth, which has become an alternative for diagnosis, monitoring, treatment and support without physical contact between patient and healthcare professional. The aim of this study was to examine patient satisfaction with medical services provided with tele-advice during the Covid-19 pandemic. Material and methods: The study was conducted using our own questionnaire via Google Form that was correctly completed by 133 individuals between the ages of 18 and 76 years (mean 33.1 ± 13.1 years) who received medical services via tele-advice. Results: Patients with chronic conditions were statistically more likely to seek specialist services via tele-advice (p = 0.003). Slightly less than one-third of respondents (n = 39; 29.3%) were asked during the tele-advice to attend the clinic / office in person to complete the visit with a physical examination. The vast majority of subjects (n = 95; 71.4%) responded that their health status had not changed since the pandemic and the introduction of tele-advice. Nearly half (n = 64; 48.1%) believed that their health problem had been solved via tele-advice. Only 4.5% of the respondents (n = 6) strongly agreed with the statement that “tele-advice enables proper diagnosis and matching of effective treatment”, 18.0% (n = 24) tended to agree. The vast majority of respondents believed that everyone should be able to choose between tele-advice and a traditional medical visit (n = 121; 91.0%). Conclusions: The majority of people surveyed did not perceive a difference in their health since the pandemic and the introduction of tele-advice. Nearly half of respondents believed that their health problem had been resolved with a telemedicine consultation, with even fewer people convinced that “tele-advice allows for proper diagnosis and matching of effective treatment.” Patients would mostly like to have a choice between tele-visit and in-person visits, with no clear indication of the superiority of one or the other. Continuous improvement of current solutions will certainly contribute to increased patient satisfaction with the medical services provided.

Fine Structure of Type IV Glycogenosis

1981 ◽  
Vol 39 ◽  
pp. 464-465
Author(s):  
P.K. Simons
Keyword(s):  
Needle Biopsy ◽  
Tissue Concentration ◽  
Inborn Errors ◽  
Rare Type ◽  
Type Iv ◽  
Iron Copper ◽  
Proper Diagnosis ◽  
Type Iv Glycogenosis ◽  
Loss Of Appetite ◽  
Enzymatic Defect

Glycogenosis is defined as any condition in which the tissue concentration of glycogen is increased. There are currently ten recognized variants of glycogenosis that are heritable inborn errors of metabolism. The specific enzymatic defect in each of the variants is known or at least suspected. In all cases, the enzymatic defect prevents the proper metabolism or formation of the glycogen molecule. The clinical and histologic differences between the types of glycogenosis is important to a proper diagnosis after the presence of such a condition is realized. This study was initiated to examine the ultrastructure of the rare Type IV Glycogenosis (Amylopectinosis) of which there is very little morphologic characterization in the literature.Liver tissue was obtained by needle biopsy from a 12-month-old Oriental female who was originally admitted to the hospital after observation of poor development, loss of appetite, and hepatomegaly. The majority of the tissue was fixed for light microscopy in neutral buffered formalin and processed using routine and special staining procedures (reticulin, trichrome, iron, copper, PAS, PAS-diastase and PAS-pectinase.

Artifacts caused by dehydration and epoxy embedding in TEM

1991 ◽  
Vol 49 ◽  
pp. 338-339
Author(s):  
Hilton H. Mollenhauer
Keyword(s):  
Electron Microscopy ◽  
Electron Beam ◽  
Volume Change ◽  
Tissue Damage ◽  
Beam Specimen ◽  
Chemical Fixation ◽  
Resin Impregnation ◽  
Storage Vesicles ◽  
A Cell ◽  
Tissue Shrinkage

Various means have been devised to preserve biological specimens for electron microscopy, the most common being chemical fixation followed by dehydration and resin impregnation. It is intuitive, and has been amply demonstrated, that these manipulations lead to aberrations of many tissue elements. This report deals with three parts of this problem: specimen dehydration, epoxy embedding resins, and electron beam-specimen interactions. However, because of limited space, only a few points can be summarized.Dehydration: Tissue damage, or at least some molecular transitions within the tissue, must occur during passage of a cell or tissue to a nonaqueous state. Most obvious, perhaps, is a loss of lipid, both that which is in the form of storage vesicles and that associated with tissue elements, particularly membranes. Loss of water during dehydration may also lead to tissue shrinkage of 5-70% (volume change) depending on the tissue and dehydrating agent.

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