Cases reported "Chronic Disease"

Filter by keywords:



Filtering documents. Please wait...

1/45. Postpartum uterine retroversion causing bladder outflow obstruction: cure by laparoscopic ventrosuspension.

    A case of chronic urinary retention due to bladder outflow obstruction presenting at 7 months postpartum, following a history of early puerperal voiding difficulties, is outlined. The cause was found to be a markedly retroverted uterus obstructing the urethra. Laparoscopic ventrosuspension was performed, converting preoperative urinary residuals of over 400 ml to zero postoperatively.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

2/45. Chronic relapsing pancreatitis in a child. Use of the Puestow procedure to achieve ductal drainage.

    A case of chronic relapsing pancreatitis presenting in an 8-year-old African Jamaican girl is outlined. Aggressive supportive management failed to control pain and vomiting. The Puestow Procedure effectively procedure aborted these symptoms. The use of the Puestow procedure should not be inordinately delayed in chronic relapsing pancreatitis if symptoms persist, since it may not only control pain but also halt declining pancreatic function.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

3/45. delayed diagnosis of disseminated strongyloidiasis.

    We report the case of a 51-year-old woman who presented with a confusing spectrum of systemic symptoms after starting steroid therapy for a rheumatological disorder. The diagnosis of disseminated strongyloidiasis was made after a delay of 2 weeks. This paper outlines the symptom complex with which this critically ill woman presented, the course of her disease and the treatment of her disseminated strongyloidiasis.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

4/45. Viral hepatitis? Which test should I order?

    BACKGROUND: There are a multitude of viruses that may cause hepatitis. The laboratory diagnosis of viral hepatitis is important in order to plan immediate patient management, determine treatment choices and provide patient education in order to limit transmission of infections to others. OBJECTIVE: This article outlines laboratory investigations that may be routinely ordered to assist in determining the etiology of viral hepatitis and summarises some preventive and treatment strategies that may be adopted. DISCUSSION: Investigations to determine exposure to infection are routinely performed and include simple serological tests, while tests to follow the course of infection or response to treatment may involve newer molecular techniques, including polymerase chain reaction (PCR), genotyping and viral quantification.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

5/45. Partial calcanectomy in the treatment of chronic heel ulceration.

    Chronic decubitus ulceration of the heels is a common condition encountered by podiatric physicians, especially in diabetic patients. Very often these ulcerations can progress to osteomyelitis of the calcaneus. Many times, this in turn leads to a below-the-knee amputation. A partial calcanectomy is a viable alternative to below-the-knee amputation. A more functional limb both mechanically and cosmetically is achieved, and the morbidity and mortality associated with the calcanectomy is less than with a below-the-knee amputation. A brief overview of the history and outcomes associated with this procedure is outlined and a case utilizing a partial calcanectomy is presented.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

6/45. Juvenile fibromyalgia syndrome: proposed management using a cognitive-behavioral approach.

    In recent years, fibromyalgia has become an increasingly recognized chronic syndrome. Although it occurs more frequently in adults, it is also seen among school-age children and adolescents. In such cases, it is known as juvenile fibromyalgia syndrome (JFS). The widespread pain and other possible symptoms associated with JFS can have a negative impact on the occupational performance and developmental tasks of children and adolescents. As experts in the areas of occupational performance, daily functional skills, and child development, occupational therapists have a potential role to play in the assessment and management of children and adolescents with JFS. To date, however, no occupational therapy management approach for clients with JFS has been documented in the professional literature. In this paper, we outline the clinical features of JFS, pertinent assessment areas, and potential management strategies using a cognitive-behavioral approach.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

7/45. EMDR in the treatment of chronic pain.

    chronic pain presents a persistent and significant clinical challenge. research examining commonly used psychotherapeutic treatments suggests that the results are not always well maintained, and that pain often is unrelieved. Continued exploration of new and more effective approaches is necessary. This article outlines an application of eye movement Desensitization and Reprocessing (EMDR), developed to improve coping and reduce chronic pain and suffering. The effectiveness of the EMDR chronic pain Protocol was investigated with three adult chronic pain sufferers. Intervention effectiveness was measured at baseline, during, and postintervention, with a two-month follow-up. All clients reported substantially decreased pain levels, decreased negative affect, and increased ability to control their pain following treatment. These results indicate that EMDR may be efficacious in the treatment of chronic pain and that further research is warranted.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

8/45. Chronic pancreatitis and maldigestion.

    patients with chronic pancreatitis may suffer from maldigestion and malnutrition. Longstanding inflammation and fibrosis in the gland can destroy exocrine tissue, leading to inadequate delivery of digestive enzymes to the duodenum in the prandial and postprandial period and subsequent maldigestion. Maldigestion is augmented by inadequate bicarbonate delivery to the duodenum, with secondary inactivation of enzymes and bile acids by gastric acid. abdominal pain, sitophobia, nausea, vomiting, postprandial satiety, and on-going alcohol abuse may contribute to poor oral intake. Gastric dysmotility and mechanical gastric outlet obstruction from fibrosis in the pancreatic head may contribute to malnutrition and clinical decline. patients with chronic pancreatitis may at times experience profound steatorrhea and weight loss. In this article, we examine the natural history of exocrine insufficiency in chronic pancreatitis, outline the important nutritional issues in these patients, review the methods of diagnosis of maldigestion, and discuss the approach to therapy.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

9/45. Chronic illness in couples: a case for emotionally focused therapy.

    The onset of chronic illness is one of the most pervasive health problems facing North Americans today. Only recently have researchers and clinicians seriously examined chronic physical conditions in the context of close relationships. This article briefly reviews the literature on chronic illness in adult couples. Initially, the focus is on the reciprocal link between close relationships and chronic physical conditions. A number of clinical approaches for working with chronic illness in couples are outlined, a particular case is made for the utility of emotionally focused therapy, and a case study is presented.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

10/45. Late radiation associated neurological injury.

    Late radiation-associated neurological injury is a recognised and often fatal complication of therapeutic ionising radiation. This retrospective study outlines its highly variable presentation, radiological findings and prognosis over a 6 year period in a major teaching hospital.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)
| Next ->


Leave a message about 'Chronic Disease'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.