Differential diagnosis of pain in the lower back and cancer diseases in vertebro-neurological ambulatory practice

2015 ◽  
Vol 9 (1) ◽  
pp. 0-0
Author(s):  
Мартыш ◽  
V. Martysh ◽  
Болдин ◽  
A. Boldin
Keyword(s):  
Medical Errors ◽  
Clinical Picture ◽  
Diagnostic Errors ◽  
Pain Syndrome ◽  
Lower Back ◽  
The People ◽  
Neurological Patients ◽  
Ambulatory Practice ◽  
Distinguishing Features ◽  
Cancer Diseases

A large number of diseases with different etiology and pathogenesis, at different stages of their development, can have a similar clinical manifestation - a pain in the lower back and proceed masked, namely, in the form of different variants of dorsopathies. Not all of these diseases are associated with degenerative-dystrophic processes in the vertebral motor segment and myofascial disorders. A number of cancer diseases may occur with lesions of the spine both primary and secondary. In turn, this causes a clinical picture that is similar to the symptoms of dorsopathy, however, it requires a completely different treatment. A latent cancer course, the absence of proper medical examination of the people, incomplete examination, at first glance "easy" patients can lead to serious diagnostic errors, and as a consequence, incorrect treatment, with all the ensuing irreparable to the patient´s health consequences. Such patients at any time may be on the appointments to specialist for vertebra-neurological patients (manual therapists, reflex therapists, osteopaths and others). Both beginners and experienced doctors should always remember this. The authors of this article draw attention to this. This article presents clinical picture and pain syndrome of the most common tumors and distinguishing features of it at the dorsopathies. This information, as well as clinical cases considered in this paper will allow the specialist to sus-pect possible oncological implications of pain in the patient and recommending further examination to avoid serious medical errors.

scholarly journals SPECIFIC MOMENTS IN THE DIAGNOSTICS OF UTERINE ADNEXA TORSION IN A 15-YEAR OLD GIRL

2019 ◽  
Vol 23 (3) ◽  
pp. 154-156
Author(s):  
L. V. Adamyan ◽  
E. V. Sibirskaya ◽  
S. M. Sharkov ◽  
A. K. Fayzulin ◽  
Anastasia V. Vechernina
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Ovarian Tumor ◽  
Inflammatory Process ◽  
Preventive Measures ◽  
Correct Diagnosis ◽  
Diagnostic Errors ◽  
Pain Syndrome ◽  
Differential Diagnostics ◽  
Adnexal Torsion

Currently, differential diagnostics and treatment of uterine adnexal torsion (UAT) in girls is not completely solved and is not an easy one because surgical and gynecological pathologies often intersect with each other. That is why, girls with abdominal pain are to be consulted by a gynecologist. The case discussed in the article demonstrates the problem with differential diagnostics in girls with “acute abdomen”. UAT differential diagnostics is not easy because this pathology has no clear clinical picture what complicates putting a correct diagnosis. UAT in girls is an acute pathology which has to be differentiated from the volume tumor-like formations in the ovaries, a frequent complication of which is an incomplete torsion of tumor leg or ovarian tumor which then leads to complete uterine adnexa torsion. Differential diagnostics should be done with other surgical pathologies such as acute appendicitis, omentum infiltration. Their clinical picture is characterized by a certain complex of symptoms which develops specific changes during the progress of the inflammatory process; this picture also depends on the anatomical peculiarities. Uterine adnexa torsion is met in 15-25% of girls with abdominal pain syndrome. The aim of this work is to demonstrate preventive measures so as to avoid possible diagnostic errors and complications associated with them in girls with abdominal pain syndrome.

scholarly journals Algorithm of Radiological Diagnostics of Dystrophic Damage to Ligaments of the Lumbosacral Spine in the Lower Back Pain Syndrome: the Potential of Sonography

2018 ◽  
pp. 109-114
Author(s):  
A. N. Mihailov ◽  
A. M. Yurkovskiy ◽  
I. V. Nazarenko
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Structural Changes ◽  
Clinical Manifestations ◽  
Diagnostic Errors ◽  
Diagnostic Algorithm ◽  
Pain Syndrome ◽  
Lumbosacral Spine ◽  
Lower Back ◽  
Magnetic Resonance Imaging Mri

Objective: to formulate the main points of the diagnostic algorithm in the lower back pain syndrome caused by pathology of the ilio-lumbar, posterior long sacroiliac, and sacrotuberal ligaments based on the limits and potential of visualization methods. Material. Data of X-ray, multispiral computer tomography (MSCT), magnetic resonance imaging (MRI) and sonography of 184 patients aged 19-79 with clinical manifestations of the lower back pain syndrome caused by pathology of the ilio-lumbar, posterior long sacroiliac, and sacrotuberal ligaments were analyzed. Results. The potential of the visualization methods in the assessment of structural changes of the ilio-lumbar, posterior long sacroiliac, and sacrotuberal ligaments has been identified. The main points of the algorithm which makes it possible to diagnose the lower back pain syndrome, caused by pathology of ilio-lumbar, posterior long sacroiliac and sacrotuberal ligaments have been formulated. Conclusion. The choice of the visualization method in the lower back pain syndrome, caused by ligamentosis of the ilio-lumbar, posterior long sacroiliac, and sacrotuberal ligaments must be made taking into account the limits and potential of MSCT, MRI and sonography, which will shorten the time of diagnostic search and reduce the risk of diagnostic errors.

scholarly journals Meloxicam in pain syndrome treatment of comorbid diseases patients

2021 ◽  
pp. 209-215
Author(s):  
O. A. Shavlovskaya ◽  
I. A. Bokova ◽  
N. I. Shavlovskiy
Keyword(s):  
Gastrointestinal Tract ◽  
Pain Syndrome ◽  
Cardiovascular Risks ◽  
Lower Back ◽  
Cyclooxygenase 1 ◽  
Inflammatory Drugs ◽  
Cox 2 ◽  
Comorbid Diseases ◽  
Per Oral ◽  
Cox 1

The issue nonsteroidal anti-inflammatory drugs (NSAIDs) use safety is associated with a high frequency of adverse events (AEs) from the gastrointestinal tract and cardiovascular risks. Patients with lower back pain (LBP) and osteoarthritis (OA), as a rule, have comorbid diseases, such as arterial hypertension (AH), coronary heart disease (CHD), gastrointestinal tract (GIT) diseases, which significantly complicates the appointment of NSAIDs. The main guideline in NSAIDs appointment is the selective ability to inhibit cyclooxygenase-1 and -2 (COX). The ratio of the activity of NSAIDs when blocking COX-1/COX-2 allows us to judge their potential toxicity. And, then higher the selectivity of NSAIDs, then lower its toxicity. For example, the ratio of COX-1/COX-2 in meloxicam is 0.33, diclofenac – 2.2, tenoxicam – 15, piroxicam – 33, indomethacin – 107. To the predominantly selective COX-2 NSAIDs include meloxicam, which has little effect on the GIT, the lowest relative risk (RR) of complications from the cardiovascular system (CVS). The therapeutic efficacy of meloxicam is comparable to piroxicam and diclofenac. A number of studies have shown the high efficacy of meloxicam, both with per oral (p/o) administration (7.5–15 mg/d), and with intramuscular (i/m) administration (1.5 ml), and when injected into trigger zones. Both with p/o and the injectable form of meloxicam has minimal GIT AEs and absence local reaction in the injection area. The drug can be recommended both as a combination therapy and prescribed in monotherapy.

STUDIES OF STABLE IODINE METABOLISM AS A GUIDE TO THE INTERPRETATION OF RADIOIODINE TESTS

1961 ◽  
Vol 37 (4) ◽  
pp. 597-606 ◽  
Author(s):  
D. A. Koutras ◽  
W. D. Alexander ◽  
W. W. Buchanan ◽  
J. Crooks ◽  
E. J. Wayne
Keyword(s):  
Clinical Features ◽  
Thyroid Function ◽  
Clinical Picture ◽  
Diagnostic Errors ◽  
Previous Treatment ◽  
The Body ◽  
High Uptake ◽  
Iodine Metabolism ◽  
Inorganic Iodine ◽  
Stable Iodine

ABSTRACT The results of radioiodine tests are dependent not only on thyroid function but also on the size of the iodine pools in which the radioiodine is diluted. The significance of the second factor is analysed in this paper and it is shown that there is a danger in interpreting radioiodine tests in isolation. The uptake of 131I is inversely related to the extrathyroidal inorganic iodine pool and the PB131I is inversely related to the intrathyroidal iodine pool. Both these pools may be diminished in euthyroid persons and thus a high uptake of 131I may be associated with a high PB131I and so lead to false diagnostic conclusions. In order to avoid diagnostic errors standard 131I tests should never be reported without some knowledge of relevant clinical features, for example, whether there is the possibility of prolonged iodine deficiency, of previous treatment, of Hashimoto's disease, or of dyshormonogenesis. In this way due weight can be given to factors which increase or decrease the iodine pools of the body and discrepancies between the clinical picture and radioiodine tests become obvious. More specific investigations can then be undertaken in appropriate cases.

Chronic Benign Pain

CNS Spectrums ◽  
1999 ◽  
Vol 4 (9) ◽  
pp. 24-31
Author(s):  
David A. Klein ◽  
Daniel P. Greenfield
Keyword(s):  
Back Pain ◽  
Sickle Cell Disease ◽  
Lower Back Pain ◽  
Reflex Sympathetic Dystrophy ◽  
Pain Syndrome ◽  
Peripheral Neuropathies ◽  
Cell Disease ◽  
Lower Back ◽  
Reflex Sympathetic Dystrophy Syndrome ◽  
Metastatic Process

AbstractChronic benign pain (CBP) can be defined as a type of unpleasant sensory experience that arises from inflammation, visceral stress or damage, or other such pathophysiologic process(es), and that is not associated with a metastatic process. A patient's complaint of pain should be taken seriously by the practitioner, both in terms of the discomfort evoked and the likelihood that the potential cause of the pain requires diagnostic evaluation. This article reviews the diagnosis and treatment of the following common conditions associated with CBP syndromes: fibromyalgia, lower back pain syndrome, sickle-cell disease, reflex sympathetic dystrophy syndrome, and peripheral neuropathies.

scholarly journals Human immunodeficiency virus infection and inflammatory arthritis: A review of clinical and imaging features

2017 ◽  
Vol 21 (2) ◽  
Author(s):  
Farhana E. Suleman ◽  
Mahmood M.T.M. Ally
Keyword(s):  
Human Immunodeficiency Virus ◽  
Pain Syndrome ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Imaging Features ◽  
The People ◽  
Immunodeficiency Virus ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Articular Pain

The reported prevalence of articular manifestations of human immunodeficiency virus (HIV) varies, but with sub-Saharan Africa accounting for almost 70% of the people living with HIV, this results in a considerable burden of disease in the region. The spectrum of clinical presentation described, includes articular pain syndrome, HIV-associated arthropathy and seronegative spondyloarthropathies, among others. This brief review serves to create awareness of the clinical and imaging presentation of this spectrum of disease as there is significant morbidity associated with these conditions if treatment is delayed.

scholarly journals FACTORS OF INFLUENCE ON PAIN INTENSITY AND FUNCTIONAL ACTIVITY OF PATIENTS WITH BACK PAIN OF DIFFERENT LOCALIZATION

2019 ◽  
pp. 35-43
Author(s):  
I. G. Maslova ◽  
N. O. Mykhailovska ◽  
T. M. Slobodin
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Back Pain ◽  
Pain Syndrome ◽  
Anxiety And Depression ◽  
Vital Activity ◽  
Lower Back ◽  
Sf 36 ◽  
Factors Of Influence ◽  
High Level

In order to identify the probable factors of the effect on the intensity of the pain syndrome and the parameters of the functioning of patients with back pain, depending on the location of the pain syndrome and concomitant pathology, 139 patients with non-specific back pain who were in inpatient treatment in the medical and sanitary part of JSC "Motor -Sich "with the first detected acute pain syndrome and acute exacerbation of chronic. The results of the study revealed a decrease in the level of physical functioning, deterioration of vital activity and the state of general and mental health (on the scale of SF-36) in patients with exacerbation of chronic pain, the lowest indicators of vital activity, social functioning, mental health and a high level of anxiety and depression - in patients with cervical and cranial localization of pain syndrome, despite the fact that patients with localized pain in the lower back are markedly higher levels of pain not only for YES, but also zg BP bottom axis scale SF-36. Patients with a combination of arterial hypertension and diabetes have been shown to have chronic pain syndrome.

scholarly journals The Design and Implementation of a Single-Actuator Soft Robot Arm for Lower Back Pain Reduction

2020 ◽  
Vol sceeer (3d) ◽  
pp. 25-29
Author(s):  
Alaa Al-Ibadi
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Artificial Muscle ◽  
Soft Robot ◽  
Pneumatic Artificial Muscle ◽  
Robot Arm ◽  
Design And Implementation ◽  
Lower Back ◽  
The People ◽  
High Degree

This paper presents a simple and fast design and implementation for a soft robot arm. The proposed continuum arm has been built by a single self-bending contraction actuator (SBCA) with two-fingers soft gripper. Because of the valuable advantages of the pneumatic artificial muscle (PAM), this continuum arm provides a high degree of safety to individuals. The proposed soft robot arm has a bending behaviour of more 180° at 3.5 kg, while, its weight is 0.7 kg. Moreover, it is designed to assist the people by reducing the number of backbends and that leads to a decrease in the possibility of lower back pain.

scholarly journals Idiopathic omentum infarction in children — the law of "paired cases": cases report

2021 ◽  
Vol 11 (3) ◽  
pp. 403-408
Author(s):  
Islam H. Shidakov ◽  
Bakhtiyar M. Kalniyazov ◽  
Maryam N. Urusova
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Histopathological Examination ◽  
Pain Syndrome ◽  
Complete Recovery ◽  
Greater Omentum ◽  
Surgical Strategies ◽  
Surgical Department ◽  
Omental Infarction ◽  
The Right

BACKGROUND: One of the rare causes of abdominal pain in children is an omental infarction. In the literature, there are few descriptions of this pathology in childhood. The disease is often diagnosed only intraoperatively because of its nonspecific clinical picture. Therefore, the clinical cases presented in the article may be of interest to pediatric surgeons. CASES REPORT: In the pediatric surgical department of our clinic, two patients aged five and six years old were treated after being admitted with abdominal pain syndrome, the clinical picture of which did not allow to exclude an acute surgical pathology. A laparoscopy was performed to clarify the diagnosis. Isolated lesions of the segments of the greater omentum were revealed without signs of torsion and pathology of other organs. The operations were completed by resection of the altered omental sections. Histopathological examination revealed hemorrhages and tissue necrosis. DISCUSSION: The localization of pain in the right abdomen necessitates differentiating the disease from acute appendicitis, cholecystitis, and acute gynecological pathology. In the treatment of patients with omental infarction, there are supporters of conservative and surgical strategies. We performed a resection of the affected omental segment, which enabled us to achieve complete recovery in both cases. CONCLUSION: Laparoscopy in unclear diagnostic situations permits the timely diagnosis of an omental infarction, and surgical minimally invasive intervention leads to a successful cure.

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