Osteoid Osteoma

2007 ◽  
Vol 97 (5) ◽  
pp. 405-409 ◽  
Author(s):  
Scot Freschi ◽  
Nicholas B. Dodson
Keyword(s):  
Osteoid Osteoma ◽  
Clinical Presentation ◽  
Clinical History ◽  
Magnetic Resonance Images ◽  
Benign Bone Tumor ◽  
Induced Stress ◽  
Second Metatarsal ◽  
Detailed Clinical History ◽  
History Of ◽  
Surgically Induced

An osteoid osteoma located in the forefoot can be difficult to diagnose, and the diagnosis is frequently delayed. We present a clinical case of a patient with pain, erythema, and swelling of the left forefoot with no history of trauma. Although rarely seen in the metatarsal, osteoid osteoma should be included in the differential diagnosis of foot pain. Findings from radiographs, magnetic resonance images, and a detailed clinical history led to the diagnosis of osteoid osteoma of the left second metatarsal. The lesion was surgically excised using curettage. This process significantly weakened the lateral cortex of the metatarsal shaft. To correct this surgically induced stress riser, an external fixator was applied to provide stability, allow for callus distraction, and allow the patient to walk as early as possible. We review osteoid osteoma, including the classic clinical presentation and treatment associated with this benign bone tumor. (J Am Podiatr Med Assoc 97(5): 405–409, 2007)

scholarly journals Early complete remission of osteoid osteoma with conservative medical management

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Masahiro Yokouchi ◽  
Satoshi Nagano ◽  
Hirofumi Shimada ◽  
Shunsuke Nakamura ◽  
Takao Setoguchi ◽  
...  
Keyword(s):  
Osteoid Osteoma ◽  
Magnetic Resonance Images ◽  
Complete Disappearance ◽  
Benign Bone Tumor ◽  
Imaging Studies ◽  
Ablation Therapy ◽  
Radiological Features ◽  
History Of ◽  
Inflammatory Drugs ◽  
Repeat Imaging

Osteoid osteoma is a benign bone tumor and causes persistent pain that is usually treated by surgery or ablation therapy. Conservative management with non-steroidal anti-inflammatory drugs (NSAIDs) is also used to avoid the morbidity associated with surgery or ablation therapy; however, it usually takes several years for the condition to resolve using conservative treatment. Our patient, a 10-year-old boy, presented with a 3-month history of a painful lesion in his leg. Plain radiography, bone scanning, computed tomography and magnetic resonance images showed the presence of a lesion with radiological features consistent with an osteoid osteoma of the cortex in the tibial diaphysis. The patient was treated with a usual dose of ibuprofen for 3 weeks. Within 3 weeks, his symptoms were almost completely resolved; he no longer needed NSAIDs and returned to normal life. Repeat imaging studies showed complete disappearance of the nidus within 2.5 years after the resolution of symptoms.

scholarly journals Workplace eye safety: a neglected essential

2020 ◽  
Vol 7 (11) ◽  
pp. 4518
Author(s):  
Aastha N. Patel ◽  
Shankar S. Ganvit
Keyword(s):  
Significant Proportion ◽  
Working Hours ◽  
Clinical History ◽  
Significant Loss ◽  
Working Environment ◽  
Age Group ◽  
Female Ratio ◽  
Chemical Hazards ◽  
Detailed Clinical History ◽  
History Of

 Background: An occupational hazard is a hazard experienced in the workplace. This includes many types of hazards like chemical hazards, biological hazards, psychosocial hazards and physical hazards. Occupational ocular trauma holds significant proportion of visual morbidity worldwide. This can be prevented with the use of proper protective eyewear and strict compliance. This survey was conducted to study occupational related ocular hazard in our tertiary health care system hospital having patients involved in various occupations.Methods: A total of 90 occupational ocular injuries were recorded during study period. The age group of the patients to be studied was between 20 to 60 years. Brief history of present complaints, detailed clinical history and occupation history as like type of work, working environment, place, working hours was recorded. Required ophthalmological check-up was done. All valid responses were tabulated and analysed. Appropriate treatment was given.Results: Our study showed that majority (85.6%) of patients were not wearing protective eye equipment. Male to female ratio was approximately 3:1. Major age group affected was between 31-40 years (41.1%). Welders (40%) were more prone to injury occupation wise.Conclusions: Occupational eye injury is often severe and it contributes to significant loss. Incompliance of appropriate protective eye wear can lead to potential eye damage and permanent blindness.

scholarly journals Evaluation of elderly patients with hearing impairment.

2020 ◽  
Vol 27 (10) ◽  
pp. 2154-2158
Author(s):  
Syed Ali Naqi ◽  
Syed Maisam Ali ◽  
Arslan Akhtar ◽  
Tabassum Aziz ◽  
Tahira Sajid ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Past History ◽  
Clinical History ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Variable Degree ◽  
Cross Sectional ◽  
Detailed Clinical History ◽  
History Of ◽  
Study Setting

Hearing is decreased in later age is due to aging and is normally seen in most of the elderly people all over the world. Objectives: To ascertain the degree of hearing in elders in relation to age, pattern and extent of hearing weakness in old age so that interventional strategies can be planned to improve their wellbeing. Study Design: Cross Sectional Study. Setting: ENT Outdoor Clinic of Akbar Niazi Teaching Hospital of Islamabad Medical and Dental College, Bhara Kahu, Islamabad. Period: December 2017 to October 2018. Material & Methods: 200 patients were part of the study with age > 50 years and no past history of drug therapy. Data was gathered by detailed clinical history, clinical examination and audiometric findings. Result: 57% patients were found with normal hearing and 43% had variable degree of hearing deterioration. Highest number of hearing weakness was found in 9th decade. Most of hearing deterioration was found in both the ears and that of sensorineural in type. Conclusion: Sensorineural type of hearing impairment is very frequently occurring problem seen in the latter part of life in our community. The frequency and severity of decreased hearing is directly proportional to age.

Unilateral Congenital Choanal Atresia in a 48-Year-Old Patient

2017 ◽  
Vol 9 (1) ◽  
pp. 28-31
Author(s):  
Lília Ferraria ◽  
Sílvia Alves ◽  
Helena Rosa ◽  
Mário Santos ◽  
Luis Antunes
Keyword(s):  
Surgical Repair ◽  
Choanal Atresia ◽  
Diagnostic Procedures ◽  
Clinical History ◽  
Accurate Diagnosis ◽  
Live Births ◽  
Major Symptom ◽  
Detailed Clinical History ◽  
Congenital Condition ◽  
History Of

ABSTRACT Aim To report a case of unilateral choanal atresia diagnosed in a 48-year-old, presenting with fatigue as the major symptom. To highlight the importance of a detailed clinical history and physical examination for an accurate diagnosis. Background Choanal atresia is an uncommon and often poorly recognized cause of unilateral or bilateral nasal obstruction. It is a congenital condition that occurs in approximately 1 in 5,000 to 8,000 live births. Case report This study reports a case of unilateral choanal atresia diagnosed in a 48-year-old presenting with fatigue as the major symptom. The patient presented with a lifelong history of tiredness investigated in cardiology. She was treated by a combined transseptal and transnasal endoscopic surgical technique. Topic use of mitomycin was performed with no use of stents, with clinical regression of the symptoms. Conclusion Unilateral choanal atresia usually presents in younger patients but can be undiagnosed until adulthood due to the nonspecific nature of the symptoms. This diagnosis should be, therefore, considered in all ages and bedside diagnostic procedures should, then, be done. Nasal endoscopy and computed tomography (CT) scan are the gold standard for the diagnosis. The use of stents and mitomycin C topically as an adjunct to the surgical repair of choanal atresia is a controversial subject. How to cite this article Ferraria L, Alves S, Rosa H, Santos M, Antunes L. Unilateral Congenital Choanal Atresia in a 48-Year-Old Patient. Int J Otorhinolaryngol Clin 2017;9(1):28-31.

scholarly journals (Doctor…My child keeps falling over) unexpected MRI findings in children with history of frequent falls and dizziness: a case series

2019 ◽  
Vol 12 (7) ◽  
pp. e229849 ◽  
Author(s):  
Ashraf Nabeel Mahmood ◽  
Osama Abulaban ◽  
Arshad Janjua
Keyword(s):  
Physical Examination ◽  
Case Series ◽  
Clinical History ◽  
Brain Stem Glioma ◽  
Mri Findings ◽  
Group Management ◽  
Wide Range ◽  
Detailed Clinical History ◽  
History Of ◽  
Low Threshold

Frequent falls and dizziness are common complaints in children. These symptoms can be caused by wide range of underlying pathologies including peripheral vestibular deficits, cardiac disease, central lesions, motor skills delay and psychogenic disorders. We report three paediatric cases who presented with complaints of repeated falls and imbalance. MRI scan revealed underlying brain lesions (frontal lobe arteriovenous malformation, exophytic brain stem glioma and cerebellomedullary angle arachnoid cyst with cerebellar tonsillar ectopia). By reporting these cases, we would like to emphasise the importance of a thorough assessment of children with similar symptoms by detailed clinical history, physical examination and maintaining low threshold for investigations, including radiological imaging. Taking in consideration, the wide range of differential diagnosis, the challenge of obtaining detailed history and difficulty of performing reliable physical examination in this age group. Management of underlying disorders can be medical, surgical or just observational.

Psychogenic Non-Epileptic Seizures: A Case Report

2018 ◽  
pp. 1-6
Keyword(s):  
Psychiatric Comorbidity ◽  
Clinical Presentation ◽  
Epileptic Seizures ◽  
Clinical History ◽  
The United States ◽  
Modern Medicine ◽  
Serum Prolactin ◽  
Pharmacological Interventions ◽  
History Of ◽  
Epileptiform Seizures

Psychogenic non-epileptiform seizures (PNES) are a common condition that affects over 400,000 individuals within the United States. PNES are a challenging entity in modern medicine, for they are located at the interface between neurology and psychiatry regarding clinical presentation and pathophysiology. The experiences and symptomatology of the patients resemble those associated with epileptic seizure activity, however many patients present with co-occurring psychiatric comorbidity. A combination of video-electroencephalography and a concise, welldocumented clinical history of the event helps in a definitive clinical diagnosis of PNES. Measuring the levels of serum prolactin may prove useful as an adjunctive laboratory test in diagnosing PNES. Management of PNES involves prompt patient education regarding the condition and treating the psychiatric comorbidity as well. A combined approach of both psychotherapeutic and pharmacological interventions helps in the optimal treatment of PNES.

scholarly journals Cutaneous Adverse Drug reactions: A Four-Year Study from Western Nepal

2018 ◽  
Vol 10 (2) ◽  
pp. 21-26 ◽  
Author(s):  
S Neupane ◽  
B Basnet
Keyword(s):  
Adverse Drug Reactions ◽  
College Teaching ◽  
Clinical History ◽  
Stevens Johnson Syndrome ◽  
Drug Reactions ◽  
Medical College ◽  
Johnson Syndrome ◽  
Detailed Clinical History ◽  
Life Threatening ◽  
History Of

Background: Cutaneous adverse drug reactions (CADRs) range from minor reactions to several life threatening complications. Objectives: To study the clinical spectrum of cutaneous adverse drug reactions, determine the causative drugs responsible for the reactions and to assess the preventability.Methods: The study was carried out in the Department of Dermatology of Gandaki Medical College Teaching Hospital from June 2011 to June 2015. All the patients attending the Dermatology Outpatient Department and the patients admitted in the wards with suspected cutaneous adverse drug reactions to systemic drugs were included in the study. A detailed clinical history, including the history of drug intake was noted. Each case was assessed for its causality by using the WHO definitions. Data analysis was done using SPSS software.Results: There were 102 patients in total. The mean age of the patient was 32 ±15.7 years. Maximum patients belonged to the 21 to 30 years age group. There were 59 female patients and 43 male patients. Severe type of cutaneous adverse drug reactions was noted in 7.8% of patients. Antibiotics were responsible for most of the cutaneous adverse drug reactions. Cefixime was the most commonly incriminated drug. Exanthematous drug reaction was the most common type seen in 45%. Stevens-Johnson syndrome was the commonest type noted among the serious adverse drug reactions. Drug preventability was noted in 6% of patients.Conclusions: The commonest type of CADR noted was exanthematous type. Antibiotics were the commonest drug group involved in CADR. Six percent of CADR were preventable. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 21-26

Desmoplastic Fibroma of the Cranium: Case Report and Review of the Literature

Neurosurgery ◽  
2003 ◽  
Vol 52 (4) ◽  
pp. 950-954 ◽  
Author(s):  
Doron Rabin ◽  
Lee Cyn Ang ◽  
Joseph Megyesi ◽  
Donald H. Lee ◽  
Neil Duggal
Keyword(s):  
Soft Tissues ◽  
Clinical Presentation ◽  
Pathological Examination ◽  
Long Bones ◽  
Benign Bone Tumor ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Desmoplastic Fibroma ◽  
Large Tumor ◽  
History Of

Abstract OBJECTIVE AND IMPORTANCE Desmoplastic fibroma is a benign bone tumor that can be locally aggressive. It usually occurs in the long bones and mandible. We report on a patient with a desmoplastic fibroma arising in the temporal bone and review previously published cases of desmoplastic fibroma originating within the cranium. CLINICAL PRESENTATION A 43-year-old woman presented with a 12-year history of progressively worsening head asymmetry. Magnetic resonance imaging and computed tomography demonstrated a mass originating from the bone and involving the adjacent soft tissues. INTERVENTION A temporal parietal craniectomy was performed with excision of a large tumor involving the bone. An acrylic cranioplasty was used to replace the bone. Pathological examination of the lesion identified desmoplastic fibroma of the cranium. After surgery, the patient's cranial asymmetry was corrected. CONCLUSION Desmoplastic fibroma of the cranium is rare. Surgical resection is the treatment of choice.

scholarly journals A study of autoimmune thyroiditis in thyroid swellings

2019 ◽  
Vol 6 (12) ◽  
pp. 4238
Author(s):  
Yugandhar Gollapalli Reddy ◽  
Losari Surender
Keyword(s):  
Autoimmune Thyroiditis ◽  
Clinical Presentation ◽  
Management Strategies ◽  
Clinical History ◽  
Needle Aspiration ◽  
Medical College ◽  
Detailed Clinical History ◽  
Scan Data ◽  
Group B

Background: The present study aimed to study occurrence, clinical presentation, biochemical status and management strategies, complications and clinical improvement during follow up of autoimmune thyroiditis in patients presenting with thyroid swellings.Methods: The prospective study was carried out from 18 months i.e., from January 2016-June 2017 at Department of General Surgery, Bhaskar Medical College, Yenkapally, Moinabad, Ranga Reddy, Hyderabad, Telangana, India. A detailed clinical history was taken from all patients followed by clinical examination. Following investigations were performed on all patients. Haematological investigations (T3, T4, TSH, thyroid antibodies), fine needle aspiration cytology, Histopathology report and Thyroid scan. Data was analyzed using SPSS software (V.23.0).Results: The occurrence of autoimmune thyroiditis was determined in 15 (22.73%) patients. Most of the patients were females. About clinical presentation; goitre was present in all 66 (100%) cases. In group A; following complications were seen at the time of 1 year follow up: 1(6.67 %) patient developed Graves disease, 2 (13.33%) patients who were initially euthyroid developed hyperthyroidism and thyroid lymphoma was detected in 2 (13.33%) patients. In group B, following complications were seen at the time of 1 year follow up; 4 (7.84%) patients who were initially euthyroid developed hyperthyroidism and 2 (3.92%) patients developed follicular thyroid carcinoma and mortality observed was 1 (1.96%) patient.Conclusions: All cases of goitre should thus be comprehensively evaluated even though they might be asymptomatic.

scholarly journals Study of Clinico-Radiological Profile in Childhood Tuberculosis

2020 ◽  
Vol 8 (1) ◽  
pp. 09-14
Author(s):  
Triya Malde ◽  
Gaurang Pabani ◽  
O.P. Shukla
Keyword(s):  
Clinical History ◽  
Childhood Tuberculosis ◽  
Clinical Profile ◽  
Age Group ◽  
Female Ratio ◽  
Childhood Tb ◽  
Detailed Clinical History ◽  
History Of ◽  
Epidemiological Profile ◽  
Systemic Examination

Background: Tuberculosis still is one of the deadliest diseases in the world killing nearly 2 million people every year. In India, two deaths occur every three minutes from tuberculosis. The actual global disease burden of childhood tuberculosis is not known, as childhood Tuberculosis is notoriously difficult to diagnose because of the absence of a ‘gold standard’ as bacteriologic confirmation is rarely achieved. The present study was designed to study clinical profile of various forms of childhood TB. Objective of this study was to study clinic-epidemiological profile of various forms of childhood TB.Subject and Method:Retrospective analysis of clinical profile of 100 patients of childhood TB in the age group of 6 months to 12 years. A detailed clinical history, family history of contact with Koch’s disease, history of BCG vaccination of each child was recorded. A complete examination was carried out and findings regarding the general and systemic examination were recorded. Result:Age distribution in our study showed that 51% cases in the age of 5-12 years, 47% cases in the age group 1-5 years and  2 % cases falling in the age group 0-1 years, with male to female ratio of a 1.27:1. 95% of the patients belonged to the lower socio-economic class. The distribution of TB was- pulmonary tuberculosis(42%),TBME(30%),pleural effusion(12%),abdominal TB (12%), TB lymphadenitis(4%), Osteotuberculosis(2%), miliary TB(2%). 12% of the patients had mild to moderate malnutrition (PEM Grade I, II)and 57 % were severely malnourished. 72% of the patients were BCG vaccinated and history of Koch’s contact were present in 21% of all cases. The most frequently seen symptoms were fever (88%), cough (65%), weight loss in 50%, anorexia in 35% of cases and in physical examination cachexia was the most common (50%) followed by hepatomegaly (40%),lymphadenopathy(16%) and Splenomegaly (8%) of  cases. Conclusion:childhood TB is commonly seen in children more than 1 year, lower socioeconomic class and in severely malnourished children.

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