scholarly journals Case Report on Chiari Syndrome

2021 ◽  
pp. 406-411
Author(s):  
Asawari Meshram ◽  
Vaishali Tembhare ◽  
Seema Singh ◽  
Ranjana Sharma ◽  
Ruchira Ankar ◽  
...  
Keyword(s):  
Physical Examination ◽  
Chiari Malformation ◽  
Rare Condition ◽  
Health Care Team ◽  
Left Hand ◽  
Professional Management ◽  
Comprehensive Health ◽  
Chiari Syndrome ◽  
Arterial Pulses ◽  
Pedal Edema

Chiari Malformation is a rare condition. A condition known as Chiari malformation occurs when brain tissue spreads into the spinal canal. When a portion of your skull is excessively small or malformed, it presses on your brain and forces it downward. Chiari malformation is a rare occurrence, although the increased use of imaging testing has resulted in more diagnosis. Case Presentation: A 18-year-old boy was admitted to the hospital with the following symptoms: Tingling sensation, numbness over left hand since 2 to 3 months. Neck bend toward right side, pain in left hand since 6 month. Difficulty during eating by hand since 2 to 3 month. On physical examination, indicated a bright attentive person with pale conjunctiva and no symptoms of icterus. He had a tachycardia, bilateral pitting pedal edema and a swollen abdomen with shifting dullness, all of which pointed to as cites. He had a history of intermittent abdominal pain. On admission he complaint of new onset of dyspnea on exertion, fatigue and abdominal swelling. The rest of all physical examination was normal, with no skin changes and an intact arterial pulses in all four extremities. Conclusion: The primary focus of this case study is on professional management and outstanding nursing care, which may provide the holistic care that Chiari Syndrome necessitates while also effectively managing the challenging case. After a full recovery, the patient's comprehensive health care team collaborates to help the patient regain his or her previous level of independence and satisfaction.

scholarly journals Fournier Gangrene: Case Report & Litarature Review

2021 ◽  
pp. 642-646
Author(s):  
Ankit Selokar ◽  
Sonali Kolhekar ◽  
Shalini Lokhande ◽  
Suwarna Ghugare ◽  
Ruchira Ankar ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Trauma Surgery ◽  
Health Care Team ◽  
Complex Case ◽  
Fournier Gangrene ◽  
Professional Management ◽  
Human Bites ◽  
Show Evidence ◽  
Comprehensive Health ◽  
Vaginal Pain

Introduction: Necrotizing fasciitis of the perineal and vaginal region is a symptom of Fournier's gangrene, which is caused by a synergistic polymicrobic infection. The clinical presentation varies depending on the original aetiology, ranging from anorectal or vaginal pain with limited evidence of cutaneous necrosis to a rapidly spreading necrosis of the skin and soft tissue, to systemic sepsis without any obvious signs or symptoms. Case history: A 65-year-old male who was admitted in hospital with the chief complaint of Scrotal enlargement, discomfort, hyperemia, pruritus, crepitus, and fever. There may also be a foul-smelling discharge. Symptoms usually appear during a two- to seven-day period. Soft-tissue gas may be present before clinical crepitus is detected. The patient with Fournier gangrene frequently seems poorly on physical examination, with prodromal signs of fever and lethargy lasting 2-7 days. Edema of the overlaying skin is usually present, as is acute pain and tenderness in the genitalia; pruritus may also be present.Skin may show evidence of trauma, surgery, insect or human bites or injection sites, In Respiratory system, B/L Air entry present. In cardiovascular system, S1 and S2 sound heard and Patient get conscious and well oriented to time, place, and person. Then, as quickly as possible, treatment was began; he did not improve after treatment, and treatment would continue till the conclusion of my care. Conclusion: We focus on professional management and superior nursing care in this study so that we may provide the complete treatment that Fournier Gangrene requires while also effectively managing the complex case. After a full recovery, the patient's comprehensive health care team collaborates to help the patient regain his or her previous level of independence and happiness.

scholarly journals Guillain Barre Syndrome: A Case Report and Literature Review

2021 ◽  
pp. 158-161
Author(s):  
Ragini Joshi ◽  
Deeplata Mendhe ◽  
Mayur Wanjari
Keyword(s):  
Health Care Team ◽  
Lower Limbs ◽  
Guillain Barre Syndrome ◽  
Professional Management ◽  
Reflected Light ◽  
Guillain Barré Syndrome ◽  
Comprehensive Health ◽  
Chief Complaints ◽  
Gag Reflex ◽  
Guillain Barré

Introduction: The arrival of Guillain-Barre Syndrome is sudden. It’s a type of neuropathy caused by the immune system. Nutrition is very crucial. In impoverished countries, it is a disabling disease. Autoantibodies against diverse antigens can be seen in the outlying site. The occurrence links 0.4 to 1.7 million individuals per year. Case Presentation: A 5-year-old boy was taken to the hospital with chief complaints of Weakness in bilateral upper and lower limbs, trouble in swallowing, inability to hold the neck, mouth-frothing, fever spikes. On physical examination, the patient has experienced weakness in bilateral upper and lower limbs, Bulbar weakness is present, pain experienced in both legs, the gag reflex is absent, In Cardiovascular System, S1 and S2 sound are present, In Respiratory System, Air entry is bilaterally equal, pupils are reflected light, tone, and power of upper and lower limbs are decreased, then treatment was started as soon as possible, he has not improved after receiving treatment, and the patient is on ventilator support, with treatment continuing until the end of my care. Conclusion: In this study, we primarily focus on professional management, and outstanding nursing care may give the holistic care that Guillain Barre Syndrome requires while also effectively managing the challenging case. The comprehensive health care team collaborates to help the patient achieve their prior level of independence and satisfaction after a full recovery. 

Lipofibromatous Hamartoma of the Median and Ulnar Nerves at the Ipsilateral Wrist

2016 ◽  
Vol 21 (01) ◽  
pp. 116-120 ◽  
Author(s):  
Sho Kohyama ◽  
Toshikazu Tanaka ◽  
Eriko Okano ◽  
Takaji Yanai ◽  
Naoyuki Ochiai
Keyword(s):  
Physical Examination ◽  
Median Nerve ◽  
Peripheral Nerves ◽  
Rare Condition ◽  
First Dorsal Interosseous ◽  
Imaging Studies ◽  
Left Hand ◽  
Lipofibromatous Hamartoma ◽  
History Of ◽  
History Of Pain

Lipofibromatous hamartoma (LFH) is a rare condition of the peripheral nerves that typically affects the median nerve. To the best of our knowledge, this is the first report of LFH of both, the median and ulnar nerves, at the wrist of a 63-year-old female patient. The patient presented to our hospital with a 40-year history of pain, numbness, and dysesthesia affecting all fingers of her left hand. Atrophy of the thenar muscles and the first dorsal interosseous was observed upon physical examination. Imaging studies and a surgery revealed that the patient's median and ulnar nerves were significantly enlarged, confirming the LFH diagnosis. The patient's dysesthesia and numbness improved after Carpal tunnel and Guyon canal release, and her pinch ability improved after opponensplasty. LFH has been known to be solitary, typically affecting median nerve, but it must be noted that the tumor may affect multiple nerves like in our case.

scholarly journals The Art of Surgery: Balancing Compassionate With Virtual Care (Preprint)

2020 ◽  
Author(s):  
Elisheva Tamar Anne Nemetz ◽  
David Robert Urbach ◽  
Karen Michelle Devon
Keyword(s):  
Health Care ◽  
Physical Examination ◽  
Health Care Team ◽  
Body Language ◽  
Surgical Practice ◽  
Good Communication ◽  
Academic Literature ◽  
Virtual Care ◽  
Patient Groups

UNSTRUCTURED The recent drive to include virtual care in surgical practice has been accelerated due to the COVID-19 pandemic. Many physicians feel that communicating via telehealth is unlike traditional methods of providing health care, and thus guidance on maintaining excellence in communication is necessary, especially as academic literature on virtual care in surgery is nonexistent. Challenges faced in transitioning to virtual care include the inability to utilize body language, barriers to traditional physical examination, exacerbation of existing vulnerabilities and inequities in patient groups, the declining quality of medical education, and the fragmentation of the multidisciplinary health care team. This paper seeks to resolve these challenges by focusing on the pillars of good communication, including preparation, professionalism, empathy, respect, and the virtual physical examination.

scholarly journals Clinical Chiari syndrome or anatomical Chiari malformation? A conundrum revisited

2019 ◽  
Vol 162 (7) ◽  
pp. 1527-1528
Author(s):  
Ekkehard M Kasper ◽  
Tiit Illimar Mathiesen ◽  
Andreas Demetriades
Keyword(s):  
Chiari Malformation ◽  
Chiari Syndrome

scholarly journals Transvaginal uterine evisceration during labor in a Bengal queen

2019 ◽  
Vol 5 (2) ◽  
pp. 205511691987230
Author(s):  
Mila Freire ◽  
Mouhamadou Diaw
Keyword(s):  
Physical Examination ◽  
Surgical Intervention ◽  
Patient Survival ◽  
Uterine Prolapse ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Rapid Identification ◽  
Urethral Catheterization ◽  
Case Summary ◽  
History Of

Case summary A 2.5-year-old Bengal queen was admitted with a 12-h history of a mass protruding from the vulva during labor. At that time, three healthy kittens had already been delivered. Physical examination identified the mass as a portion of the uterus that was eviscerated without eversion of the mucosa. Exploratory laparotomy revealed a vaginal vault rupture with a large portion of the uterus herniated through the tear and eviscerated through the vulva. Ovariohysterectomy was performed, and a dead fetus was removed with the uterus. Reconstruction of the vaginal rupture required careful dissection and urethral catheterization. The queen recovered without complications. Relevance and novel information Uterine evisceration through a vaginal tear is a very rare condition that sometimes is erroneously referred to as ‘prolapse’. Uterine prolapse and uterine evisceration may have similar presenting signs; however, proper identification and surgical correction is key when the uterus is eviscerated. This case highlights the importance of differentiating these two conditions and of rapid identification and surgical intervention for successful patient survival.

scholarly journals New Reduction Technique for Traumatic Posterior Glenohumeral Joint Dislocations

2020 ◽  
Vol 4 (1) ◽  
pp. 105-106
Author(s):  
Morteza Khodaee
Keyword(s):  
Physical Examination ◽  
Clinical Presentation ◽  
Glenohumeral Joint ◽  
Rare Condition ◽  
Plain Radiography ◽  
Reduction Technique ◽  
Posterior Aspect ◽  
Acute Trauma ◽  
Joint Dislocations ◽  
Direct Pressure

Traumatic posterior glenohumeral joint (GHJ) dislocation is a rare condition which can be missed if it is not suspected. Clinical presentation may be subtle, but limitation in range of motion in patient with acute trauma should warrant obtaining a thorough history, performing a comprehensive physical examination, and acquiring at least a 3-view plain radiography. Reduction can be achieved with a direct pressure to the posterior aspect of the humeral head.

A Case of Congenital Supernumerary Teeth in an Ovine Dental Pad

2017 ◽  
Vol 34 (4) ◽  
pp. 279-281
Author(s):  
Juan Alberto Corbera ◽  
Immaculada Morales ◽  
Sergio Martin ◽  
Alberto Arencibia ◽  
Carlos Gutierrez
Keyword(s):  
Physical Examination ◽  
Rare Case ◽  
Congenital Abnormalities ◽  
Rare Condition ◽  
Congenital Defect ◽  
Supernumerary Teeth ◽  
Routine Physical Examination

A rare case of congenital supernumerary teeth, also known as hyperdontia, observed in a healthy 8-month-old female ewe is presented. The congenital defect consisted of the presence of 2 incisor teeth embedded in the lateral areas of the dental pad. The anomaly was found during a routine physical examination and no other congenital abnormalities were found in the patient. No prior congenital abnormalities had been seen in the herd and the study of possible associated teratogenic factors was inconclusive. To the authors’ knowledge, this ovine odontogenic abnormality has not been described in the literature and appears to be an extraordinarily rare condition.

scholarly journals Acute Budd–Chiari syndrome caused by inferior vena cava compression from a congenital diaphragmatic hernia

2020 ◽  
Vol 102 (8) ◽  
pp. e202-e204
Author(s):  
KM Wcislo ◽  
CE Hall ◽  
N Abbassi-Ghadi
Keyword(s):  
Inferior Vena Cava ◽  
Diaphragmatic Hernia ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Condition ◽  
Acute Onset ◽  
Budd Chiari Syndrome ◽  
Extrinsic Compression ◽  
Chiari Syndrome ◽  
Hepatic Venous Outflow

Acute Budd–Chiari syndrome is a rare condition characterised by obstruction of hepatic venous outflow. We describe the case of a 52-year-old man, with a congenital Morgagni diaphragmatic hernia, who presented with acute onset abdominal pain, shortness of breath, lactic acidosis, hyperbilirubinaemia and transaminasaemia. Computed tomography revealed strangulation of the diaphragmatic hernia and extrinsic compression of the inferior vena cava from the herniated viscera. Emergency surgery was carried out to repair the hernia with a biosynthetic mesh, with complete resolution of the Budd–Chiari syndrome.

scholarly journals Budd Chiari syndrome in a patient with Celiac disease: A rare entity

2021 ◽  
Vol 12 (9) ◽  
pp. 156-159
Author(s):  
Hina Ismail ◽  
Zain Majid ◽  
Zahid Shah ◽  
Ghazi Abrar ◽  
Raja Taha Yaseen Khan ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Autoimmune Diseases ◽  
Ct Scan ◽  
Abdominal Distension ◽  
Gluten Free ◽  
Rare Entity ◽  
Budd Chiari Syndrome ◽  
Immune Mediated ◽  
Chiari Syndrome ◽  
Pedal Edema

Celiac disease is an immune mediated enteropathy that causes malabsorption. It is associated with a number of autoimmune diseases, however is rarely associated with Budd chiari syndrome. We present a case of a young girl who was a diagnosed case of celiac disease and had presented with abdominal distension along with pedal edema. Her initial workup was all negative while ultrasound abdomen along with CT scan abdomen had given the impression of Budd chiari syndrome. She was managed with gluten free diet, diuretics along with anticoagulants.

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