scholarly journals A Case of Mucinous Cystadenoma Carcinoma

2021 ◽  
pp. 148-152
Author(s):  
Vaibhav G. Hatwar ◽  
Ranjana Sharma ◽  
Mayur Wanjari ◽  
Pratibha Wankhede ◽  
Sagar Alwadkar ◽  
...  
Keyword(s):  
Team Member ◽  
Mucinous Cystadenoma ◽  
Bed Rest ◽  
Final Diagnosis ◽  
Chief Complaint ◽  
Nursing Management ◽  
Patient History ◽  
Random Blood Sugar ◽  
Cellular Debris ◽  
Loss Of Appetite

Introduction: Mucinous Cystadenoma carcinoma is a type of tumor in the cyst adenocarcinoma grouping it can occur in the breast as well as the ovary. Tumors are normally multiocular with various smooth thin-walled cysts. Within the cyst is found an emergence or cellular debris. Patient History: The female patient 63-year-old who was admitted to AVBRH on the date 21/05/2021 in the obstetric and gynae ward with a chief complaint of generalized weakness, loss of appetite, fever for 2 days 7 days ago, 2-3 fever spikes and burning micturition. All over investigation observed like blood and urine investigation, CT scan of the abdomen, histopathology then the final diagnosis is confirmed as mucinous Cystadenoma carcinoma. Pharmacology: The patient was treated with antibacterial medicine, antibiotics, and diabetics, thyroxin stimulating drugs, etc. Management: Inj. Ceftriaxone 1gm 12 hourly, Inj.-piptaz 4.45 gm, 8 hourly, tab. Gimipride 0.5 mg with tab. Metformin 500 mg 12 hourly, tab. Thyrox 62.5 mcg, tab telmisartan 40 mg with tab. Chlorthalidone 12.512.5 mg 12 hourly, Inj.-pan 40 mg, 12 hourly, Inj.- Neomol 100 ml, and Tablet- nitrofurantoin 6 hourly. Nursing Management: Monitor the vital sign, monitor nutritional status and monitor random blood sugar. Maintained bed rest of patient, managed the pain level of the patient. The patient was assessed for risk of bleeding. Conclusion: The patient was admitted to the hospital with the chief complaint of generalized weakness, loss of appetite, fever for 2 days 7 days ago, 2-3 fever spikes and burning micturition.  and the patient was admitted to AVBR Hospital in the obstetric and gynae ward, immediate treatment was started by a health team member and all possible treatments were given and now the patient's condition is satisfactory.

scholarly journals Mesenteric Cysts: A Retrospective Review. Its Not All That Simple

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S117-S118
Author(s):  
M Bourgeau ◽  
V Avadhani
Keyword(s):  
Cyst Wall ◽  
Imaging Techniques ◽  
Case Reports ◽  
Lymphatic Vessels ◽  
Mucinous Cystadenoma ◽  
Final Diagnosis ◽  
Cystic Mass ◽  
Pathological Examination ◽  
Urachal Cyst ◽  
Mesenteric Cysts

Abstract Introduction/Objective Mesenteric cysts are rare intra-abdominal lesions in adults. However, with the advanced imaging techniques and laparoscopic techniques, they are more often being identified and resected when clinically significant. There is a lack of detailed information in histopathology (except as case reports) since mesentery is generally neglected in our organ-based textbooks. The aim of our study is to highlight the importance of identifying and classifying mesenteric cystic lesions; they are not all that simple. Methods We performed a retrospective search on all mesenteric cysts submitted as excisions in our electronic database from 2013-2019. We classified them as per the de Perrot (PMID: 11053936) classification with modification. Results Our search showed: A. Lymphatic origin-11 (lymphangioma-10, Lymphangioma hamartomatous-1, associated with LAM-0), B. Mesothelial origin-68 (Benign mesothelial cysts-57, multilocular mesothelial cyst-11), C. Enteric origin- 3, D. Urogenital origin (Urachal cyst, mullerian inclusion cyst)-9, E. Mature cystic teratom-2, F. Pseudocyst-12, G. Epithelial cyst (not urogenital)- 11 (a/w LAMN-3, MCN-4, Mucinous cystadenoma-4), H. Associated with carcinoma-2. Case illustration: A 61-year-old male presented with worsening dysphagia, emesis and hiccups. A CT scan showed a 21.2 cm cystic mass with at least one septation (Fig 1). The cyst was resected. On gross pathological examination, the cyst measured 18 cm in greatest dimension with a thick, rough, tan-brown capsule. Microscopic examination showed a fibrous capsule, and cyst wall composed of numerous lymphatic vessels (CD31 positive) and prominent smooth muscle proliferation (Desmin positive). Scattered lymphoid aggregates were also present throughout the cyst wall. No definite epithelial lining was identified and was suspected to have been denuded. HMB-45 immunostain was negative, ruling out association with LAM. The final diagnosis of a Lymphangiomyoma, hamartomatous was rendered. Conclusion Though most of the mesenteric cysts are benign, some of them are significantly important such as Lymphangiomyoma (esp secondary to LAM), MCN, those associated with LAMN etc. and identifying and differentiating from their mimics has distinct clinical implications.

scholarly journals Solitary Plasmacytoma in the Mandible Resembling an Odontogenic Cyst/Tumor

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Fatemeh Rezaei ◽  
Hesamedin Nazari ◽  
Babak Izadi
Keyword(s):  
Multiple Myeloma ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Final Diagnosis ◽  
Chief Complaint ◽  
Solitary Plasmacytoma ◽  
Oral Medicine ◽  
Bony Lesion ◽  
The Right ◽  
Rule Out

A 46-year-old male patient referred to Department of Oral Medicine, with the primary chief complaint of a painless swelling in the right side of mandibular. A panoramic radiograph revealed a well-defined, multilocular radiolucent bony lesion with thin and straight septa in the right side of mandible extending from distal of canine to mesial of third molar. Histological examination showed a solid proliferation of atypical plasmacytoid cells, which was indicative of plasmacytoma. A systemic workup for the final diagnosis was performed to rule out multiple myeloma.

scholarly journals Idiopathic Juxtafoveolar Telangiectasis Type 1A. A Case Report

2014 ◽  
Vol 2 (3) ◽  
pp. 38-40
Author(s):  
A Pandey ◽  
A Anand ◽  
A Singh ◽  
A Chandra
Keyword(s):  
Incidental Finding ◽  
Late Phase ◽  
Final Diagnosis ◽  
Chief Complaint ◽  
Treatment Modalities ◽  
Medical Sciences ◽  
Hard Exudates ◽  
Corrected Visual Acuity ◽  
Disease Entities ◽  
Medical Drug

No Abstract AvailableIdiopathic juxtafoveolar telangiectasisis a descriptive term for various disease entities presenting with incompetence, ectasia, and/or irregular dilations of the capillary network affecting only the juxtafoveolar region of one or both eyes. A 65 years male presented with the chief complaint of painless progressive diminution of vision in his left eye for 6 months' duration. Past ocular, surgical, medical, drug and family history was non contributory. The patient was non hypertensive and non diabetic. His best corrected visual acuity was 6/60 right eye and 6/36 left eye. Right eye, fundus was grossly normal whereas, on the left eye, few microaneurysms and circinate pattern of hard exudates were noticed on the perifoveolar region. Fundal reflex was dull and the foveal depression was absent indicating thickening. Fluorescein angiography showed clusters of telangiectatic vessels around exudates, hyperfluorescent dots of microaneurysms with a circinate pattern of leakage in the late phase. Optical coherence tomography showed macular thickening of 487 micrometer with cystoid changes. Injection Bevacizumab 0.2ml was given after final diagnosis of Left Eye Idiopathic Juxtafoveolar Telangiectasis Type 1A. Three types of idiopathic juxtafoveolar telangiectasis has been defined. Its pathophysiology is also less understood and the treatment modalities are not established yet.This case was an incidental finding, as these patients do not oftenly have profound diminution of vision, unless neovascularization has occurred and the clinical features too are very subtle.DOI: http://dx.doi.org/10.3126/jucms.v2i3.11827 Journal of Universal College of Medical Sciences Vol.2(3) 2014: 38-40

Gallstone formation due to rapid weight loss through hyperthyroidism

2019 ◽  
Vol 32 (12) ◽  
pp. 1395-1398
Author(s):  
Satoshi Nakano ◽  
Mitsuyoshi Suzuki ◽  
Hidenori Haruna ◽  
Atsuyuki Yamataka ◽  
Toshiaki Shimizu
Keyword(s):  
Weight Loss ◽  
Cholesterol Metabolism ◽  
Gallstone Formation ◽  
Final Diagnosis ◽  
Thyroid Stimulating Hormone ◽  
Thyroid Function Tests ◽  
Rapid Weight Loss ◽  
Free Triiodothyronine ◽  
Thyrotropin Receptor Antibody ◽  
Loss Of Appetite

Abstract Background Cholesterol metabolism has dramatically changed under hyperthyroid status. However, a combination of hyperthyroidism and cholecystolithiasis is very rare. Case presentation We report a case of cholelithiasis accompanied by hyperthyroidism in a 13-year-old girl who had recently lost 13 kg of weight (from 53 to 40 kg) in 1 month without loss of appetite. Ultrasonography showed multiple hyperechoic areas with acoustic shadowing in the gallbladder. Thyroid function tests showed that her serum free triiodothyronine (T3) and thyroxine (T4) levels were elevated and the thyroid-stimulating hormone level was decreased. In addition, serum thyrotropin receptor antibody and thyroid-stimulating antibody were detected. The final diagnosis was cholelithiasis with Graves’ disease. Thiamazole ingestion was started immediately after the diagnosis, and laparoscopic cholecystectomy was performed 33 days after hospitalization. Conclusions Massive and sudden weight loss could be a risk factor for gallstone formation in children. In addition, hyperthyroidism has the potential to promote cholelithiasis via cholesterol metabolism.

scholarly journals Case Report on Subarachnoid Hemorrhage

2021 ◽  
pp. 274-278
Author(s):  
Reshma Tighare ◽  
Ranjana Sharma
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Communicable Disease ◽  
Past History ◽  
Disease Patient ◽  
Bed Rest ◽  
Final Diagnosis ◽  
Neurological Status ◽  
Hereditary Disease ◽  
Pia Mater ◽  
History Of

Introduction: Subarachnoid haemorrhage (SAH) is caused by intracranial bleeding into the cerebrospinal fluid-filled space between the arachnoid and pia mater membranes on the surface of the brain. Patient History: The 65-year-old female patient was hospitalised to AVBR hospital in neurosurgery ward on December 25, 2020 with the chief complaints of headache, vomiting and episodes of seizures since three days. The patients had episodes of seizures on 21/12/2020 and 24/12/2020. The day later she was admitted to the Intensive Care Unit.she underwent all routine investigations like blood tests, and CT scan. After a thorough examination, the final diagnosis was subarachnoid haemorrhage. Past History: Patient did not have any history of communicable disease, asthma, tuberculosis, or any hereditary disease. Patient was COVID – negative and did not have any significant surgical history. Pharmacology: Patient was treated with proton pump inhibitor, antiemetic, antiepileptic, calcium channel blocker, stool softener analgesic and antipyretic. Management: Inj. Levipril 500 mg, Inj.pan40-40mg, cap.nimodipine 60mg every four hourly, Inj.emset 4 mg, Inj. Neomol 100 ml, Syp. glycerol 30 ml, Syp. Zincovit 2tsp and Tablet Dolo 650mg. Nursing Management: Patient’s vital sign (including blood pressure) and neurological status were monitored with bed rest, pain management and assessment of risk of bleeding. Conclusion: Patient was hospitalised with a threeday history of headache, vomiting, and episodes of seizures actively managed; condition satisfactory.

scholarly journals Factors Affecting Length of Stay in the Emergency Department in Patients Who Presented with Abdominal Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Ar-aishah Dadeh ◽  
Pitshaya Phunyanantakorn
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Length Of Stay ◽  
Final Diagnosis ◽  
Chief Complaint ◽  
Factors Affecting ◽  
Examination Time ◽  
Baseline Characteristics ◽  
Attending Physicians ◽  
Significant Factors

Objective. We aimed to identify factors affecting length of stay in the emergency department in patients who presented with abdominal pain. Methods. A retrospective cohort study was conducted from 1 January 2017 to 31 December 2017. The medical records were reviewed from 217 patients older than 15 years with the chief complaint of abdominal pain. The patients were divided into emergency department length of stay (EDLOS) < 4 hours and ≥4 hours. The two groups were compared in terms of baseline characteristics, physical examination, time of presenting, attending physicians, interdepartmental consultations, investigations, ED disposition, final diagnosis, and mortality. The significant factors affecting longer EDLOS were examined using univariate and multivariate analyses by logistic regression. Results. Factors affecting longer EDLOS were age ≥50 (odds ratio (OR) 3.17, 95% confidence interval (CI) 1.36–7.42), interdepartmental consultation ≥2 specialists (OR 71.82, 95% CI 5.67–909.51), blood testing ≥2 rounds (OR 85.6, 95% CI 4.22–1734.6), and ultrasonography (OR 8.28, 95% CI 1.84–37.26). Conclusion. The study found that the statistically significant factors that prolonged EDLOS in patients with the chief complaint of abdominal pain were age, rounds of blood test, interdepartmental consultation, and the need for ultrasonography.

scholarly journals Atypical presentation of progressive young onset dementia

2018 ◽  
Vol 11 (1) ◽  
pp. bcr-2018-225754 ◽  
Author(s):  
Bushra Elhusein ◽  
Ahmed Radwan ◽  
Abdalla Khairi ◽  
Mohamed Ahmed
Keyword(s):  
Brain Mri ◽  
Poor Response ◽  
Final Diagnosis ◽  
Subcortical White Matter ◽  
Alzheimer’S Dementia ◽  
Alzheimer's Dementia ◽  
Young Onset ◽  
Early Onset Dementia ◽  
Young Onset Dementia ◽  
Loss Of Appetite

We present the case of a 34-year-old Jordanian woman who was referred to mainstream mental health services because of irritability, agitation, loss of appetite, withdrawal from family activities and sleeping difficulties. She was initially diagnosed with major depressive disorder but subsequently showed very poor response to antidepressant therapy. Her presentation gradually and dramatically progressed into full blown dementia within couple of years. Brain MRI showed atrophic cortical changes and subcortical white matter alterations consistent with Alzheimer’s dementia. Brain PET scan revealed reduction in cerebral glucose metabolism in temporoparietal areas bilaterally most consistent with Alzheimer’s dementia. There was a strong family history of early-onset dementia. A final diagnosis of young onset dementia was made, and unfortunately, she passed away at the age of 44 years.

Clinical and Epidemiologic Features of Visceral Leishmaniasis in Children: A 6-year Study from an Iranian Referral Hospital

2020 ◽  
Vol 20 (4) ◽  
pp. 461-466 ◽  
Author(s):  
Mohamadreza Abdolsalehi ◽  
Babak Pourakbari ◽  
Shima Mahmoudi ◽  
Mina Moradzadeh ◽  
Hossein Keshavarz ◽  
...  
Keyword(s):  
Visceral Leishmaniasis ◽  
Clinical Laboratory ◽  
Medical Center ◽  
Final Diagnosis ◽  
Laboratory Findings ◽  
Center Hospital ◽  
Regional Disease ◽  
Loss Of Appetite ◽  
And Control ◽  
Epidemiologic Features

Background:: Visceral leishmaniasis (VL) is an emerging zoonosis disease that is endemic in the northwestern and southern part of Iran. This study aimed to evaluate the clinical characteristics and laboratory findings of the children with VL hospitalized at Children Medical Center Hospital (CMC), Tehran, Iran. Methods:: A retrospective study was performed based on studied medical records of children with a final diagnosis of VL from 2011 to 2016. For each patient’s demographics, clinical laboratory findings and treatment were examined. Results:: The clinical features of 17 children were examined and the most frequent symptoms were fever (94.1%, n=16), pallor, loss of appetite (76.5%, n=13), splenomegaly (82.4%, n=14) and hepatomegaly (58.8%, n=10). The most frequent laboratory abnormalities were hematological including anemia (94.1%, n=16), leukopenia (52.9%, n=9) and thrombocytopenia (70.5%, n=12). In order to detect anti-Leishmania antibodies, DAT was performed in 11 patients and 82% of them were positive (titers ≥ 1: 3200). In addition, rK39 was used in 9 cases and 7 children (78%) had positive results. Direct parasitology revealed the presence of amastigotes of Leishmania in bone marrow aspirate (BMA) stained by Giemsa stain in 9 patients (69%, among 13 children). Conclusion:: Leishmaniasis is a regional disease therefore management and control of disease, particularly in an endemic area, as well as detection of new emerging foci are recommended.

Struma Ovarii : A Rare Monodermal Teratoma

JMS SKIMS ◽  
2017 ◽  
Vol 20 (1) ◽  
pp. 41-43
Author(s):  
Abdul Rasheed Rather ◽  
Shazia Bashir ◽  
Ather Hafiz Khan ◽  
Ashfaq Ul Hassan ◽  
Mohsin Ul Rasool ◽  
...  
Keyword(s):  
Ct Scan ◽  
Histopathological Examination ◽  
Final Diagnosis ◽  
Ovarian Tumors ◽  
Rare Tumor ◽  
Struma Ovarii ◽  
Lower Abdomen ◽  
Loss Of Appetite ◽  
Adnexal Lesion

Struma ovarii is a rare tumor of ovary which accounts for 1% of all ovarian tumors and 3% 0f all dermoid tumors. It belongs to the group of monodermal teratomas. We present a case of struma ovarii in a 55 year old women who presented with symptoms of pain in lower abdomen and loss of appetite for the last one month. Radiological investigations including USG, CT scan and MRI revealed a complex right adnexal lesion. Final diagnosis of struma ovarii was made on histopathological examination which revealed colloid filled thyroid follicles lined by cuboidal epithelium. JMS 2017; 20(1):41-43

Cancer of unknown primary

2019 ◽  
pp. 333-340
Keyword(s):  
Overall Survival ◽  
Patient Group ◽  
Poor Prognosis ◽  
Treatment Options ◽  
Unknown Origin ◽  
Final Diagnosis ◽  
Cancer Of Unknown Primary ◽  
Unknown Primary ◽  
Nursing Management

This chapter first considers how cancers of unknown primary (CUP) can be characterized and defined (alongside metastases of unknown origin), before moving on to the incidence of these cancers, associated survival, and overall poor prognosis. Subgroups of patients with CUP with better survival are described. The section then moves on to explore how, in the last 4 years, prior to publication, there has been a change in the approach to managing CUP in an effort to improve overall survival and the treatment options and modalities used to treat CUP. The chapter concludes with a summary of the nursing management of this patient group and how uncertainty around the final diagnosis can have clinical and psychological repercussions.

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