scholarly journals Development of Sciatic Neuropraxia following Abdominal Surgery in 3 Giant Breed Dogs

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Laura Marti ◽  
Julia P. Sumner
Keyword(s):  
Physical Therapy ◽  
Abdominal Surgery ◽  
Surgical Management ◽  
Postoperative Care ◽  
Clinical Course ◽  
Initial Presentation ◽  
Nerve Function ◽  
The Third ◽  
Saint Bernard ◽  
Intraoperative Positioning

This report describes the clinical course of three giant breed dogs (2 Great Danes and 1 Saint Bernard) that developed sciatic neuropraxia following successful surgical management of gastric dilatation and volvulus (GDV). All three patients received physical rehabilitation with varying degrees of success. Two patients died of unrelated causes within a year of their initial presentation. The third case recovered nerve function and is alive with minimal neurologic deficits at the time of publication. This paper is aimed at positing potential causes for this complication and highlighting the importance of proper management of giant-breed dogs during hospitalization. Special attention should be given in regards to intraoperative positioning and postoperative care including frequent walks or changes in positioning, deep kennel bedding, and physical therapy.

Multidisciplinary staged surgical management of bifrontal meningoencephalocele with long-term follow-up

2013 ◽  
Vol 11 (4) ◽  
pp. 478-484
Author(s):  
Jeffrey P. Blount ◽  
Amber S. Gordon ◽  
Paul M. Foreman ◽  
John H. Grant
Keyword(s):  
Surgical Management ◽  
Genetic Screening ◽  
Clinical Course ◽  
Initial Presentation ◽  
Careful Attention ◽  
Long Term Follow Up ◽  
Severe Epilepsy

The authors report on an infant with a bifrontal encephalocele that was associated with multisuture craniosynostosis, spasticity, and a progressively severe epilepsy. They describe the initial presentation, genetic screening results, staged multidisciplinary operative plans, clinical course, complications, and long-term surgical and developmental follow-up. To their knowledge, the comprehensive surgical management of this type of complicated congenital cranial anomaly has not been previously described. Surgical management was staged and multidisciplinary and required careful attention to all 3 components of the condition: 1) hydrocephalus, 2) frontal meningoencephalocele, and 3) epilepsy.

Features of the course and treatment of glaucoma during pregnancy

2020 ◽  
Vol 98 (3) ◽  
pp. 178-184
Author(s):  
T. V. Chernyakova ◽  
A. Yu. Brezhnev ◽  
I. R. Gazizova ◽  
A. V. Kuroyedov ◽  
A. V. Seleznev
Keyword(s):  
Pregnant Women ◽  
Laser Treatment ◽  
Progressive Disease ◽  
Clinical Course ◽  
The Other ◽  
Third Trimester ◽  
The Third ◽  
Chronic Progressive Disease ◽  
Hypotensive Therapy ◽  
Eye Pressure

In the review we have integrated all up-to-date knowledge concerning clinical course and treatment of glaucoma among pregnant women to help specialists choose a proper policy of treatment for such a complicated group of patients. Glaucoma is a chronic progressive disease. It rarely occurs among childbearing aged women. Nevertheless the probability to manage pregnant patients having glaucoma has been recently increasing. The situation is complicated by the fact that there are no recommendations on how to treat glaucoma among pregnant women. As we know, eye pressure is progressively going down from the first to the third trimester, so we often have to correct hypotensive therapy. Besides, it is necessary to take into account the effect of applied medicines on mother health and evaluate possible teratogenic complications for a fetus. The only medicine against glaucoma which belongs to category B according to FDA classification is brimonidine. Medicines of the other groups should be prescribed with care. Laser treatment or surgery may also be a relevant decision when monitoring patients who are planning pregnancy or just bearing a child. Such treatment should be also accompanied by medicines.

Metastatic Colorectal Cancer: Prognostic and Predictive Factors

2020 ◽  
Vol 27 (17) ◽  
pp. 2779-2791 ◽  
Author(s):  
Anna Nappi ◽  
Guglielmo Nasti ◽  
Carmela Romano ◽  
Massimiliano Berretta ◽  
Alessandro Ottaiano
Keyword(s):  
Colorectal Cancer ◽  
Metastatic Colorectal Cancer ◽  
Predictive Factors ◽  
Cancer Biology ◽  
Clinical Course ◽  
Molecular Signatures ◽  
Biological Drugs ◽  
The Third ◽  
Therapeutic Context ◽  
Prognostic And Predictive Factors

: Colorectal cancer represents the third most frequently occurring cancer worldwide. In the last decade, the survival of patients affected by metastatic colorectal cancer (mCRC) has improved through the introduction of biological drugs. However, in this new and dynamic therapeutic context, research about prognostic and predictive factors is important to guide the oncologists to effective therapies as well as to improve the understanding of colorectal cancer biology. Their identification is an intensive area of research and our future goal will be to depict tumour-specific "molecular signatures" in order to predict the clinical course of the disease and the best treatments. : In this report, we describe clinical, pathological and molecular biomarkers that can play a role as prognostic or predictive factors in mCRC.

Invasive Squamous Cell Carcinoma with Osteomyelitis of the Foot

2015 ◽  
Vol 105 (4) ◽  
pp. 374-376
Author(s):  
Morteza Khaladj ◽  
Rose-Mary Mbibong ◽  
Nisha Shah ◽  
Ayesha Mohiuddin ◽  
Aqsa Siddiqui
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Chronic Wounds ◽  
Squamous Cell Carcinomas ◽  
Initial Presentation ◽  
Invasive Squamous Cell Carcinoma ◽  
The Sun ◽  
The Third

Squamous cell carcinomas are often seen on the sun-exposed areas of the skin and are rarely observed on the digits of the foot. However, there have been incidences of squamous cell carcinoma developing in the presence of chronic wounds with osteomyelitis, thus complicating the treatment. We present a patient with osteomyelitis who developed invasive squamous cell carcinoma of the third digit. We conclude that wounds with osteomyelitis may have underlying pathologic abnormalities that are not obvious on initial presentation.

To the study of early dementia

1902 ◽  
Vol 2 (9) ◽  
pp. 480-481
Author(s):  
V. Serbskiy
Keyword(s):  
Clinical Course ◽  
Mental Illnesses ◽  
Dementia Praecox ◽  
The Third ◽  
Current State ◽  
Early Dementia

In the first part of his article, the author examines the current state of the issue of secondary dementia and proves that a group of psychoses, known under the name secondary dementia, should be left in the classification of mental illnesses. The second part is devoted to the analysis of Krpelin's scholarship on dementia praecox, and the author fundamentally disagrees with many of the provisions of the latter. In the third part, the ethiology, clinical course and recognition of premature dementia are analyzed.

Trends in the Surgical Management and Outcomes of Complicated Peptic Ulcer Disease

2020 ◽  
Vol 86 (7) ◽  
pp. 856-864
Author(s):  
Olubode A. Olufajo ◽  
Amanda Wilson ◽  
Bruke Yehayes ◽  
Ahmad Zeineddin ◽  
Edward E. Cornwell ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Surgical Management ◽  
Postoperative Care ◽  
National Inpatient Sample ◽  
Trend Analyses ◽  
Ulcer Disease ◽  
Preoperative Optimization ◽  
Obstruction Group ◽  
Perforation Group

Background Older data indicate that less patients undergo surgery for complicated peptic ulcer disease (PUD). We evaluated contemporary trends in the surgical management and outcomes of patients with complicated PUD. Methods The National Inpatient Sample (2005-2014) was queried for patients with complicated PUD (hemorrhage, perforation, or obstruction). Trend analyses were used to evaluate changes in management and outcomes. Results There were 1 570 696 admissions for complicated PUD during the study period. Majority (87.0%) presented with hemorrhage, 10.6% presented with perforation, and 2.4% had an obstruction. The average age was 67 years. Overall, admissions with complicated PUD decreased from 180 054 in 2005 to 150 335 in 2014. The proportion of patients managed operatively decreased from 2.5% to 1.9% in the hemorrhage group, 75.0% to 67.4% in the perforation group, and 26.0% to 20.2% in the obstruction group (all P-trend < .05). Overall, among patients managed operatively, the use of acid-reducing procedures decreased from 25.9% to 13.9%, mortality decreased from 11.9% to 9.4% (both P-trend < .001), while complications remained stable (10.4% to 10.3%, P-trend = .830). Conclusions There are fewer admissions with complicated PUD and more patients are treated nonoperatively. Despite subtle improvements, significant proportions of patients still die from complicated PUD indicating the need for improved preoperative optimization and postoperative care among these patients.

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