Epidemiological, Etiologic and Clinical Features of Cases with Chest Pain in the Pediatric Cardiology Outpatient Clinic

Author(s):  
Sibel TİRYAKİ ◽  
Ulviye KIRLI
2017 ◽  
Vol 12 (6) ◽  
pp. 751-755 ◽  
Author(s):  
Jimmy C. Lu ◽  
Manish Bansal ◽  
Sarina K. Behera ◽  
Jeffrey R. Boris ◽  
Brian Cardis ◽  
...  

PEDIATRICS ◽  
1982 ◽  
Vol 70 (4) ◽  
pp. 575-575
Author(s):  
R. J. Haggerty

The study reports on 100 children and adolescents evaluated in a pediatric cardiology department. The results state that 13% of the population met the criteria for Major Depressive Disorder based on DSM III. There were four patients who were referred because of chest pain. All of them were found to be free from cardiovascular disorders, but all were found to be in the depressed group. The authors emphasize the importance of chest pain in differential diagnosis of childhood depression.


2020 ◽  
Vol 13 (4) ◽  
pp. 325-328
Author(s):  
Satya Wydya Yenny

Although acne is usually recognized as an adolescent skin disorder, the prevalence of adults with acne is increasing. The clinical and epidemiological data of acne were evaluated with a view to establishing possible contributing etiological factors and observing whether clinical features differ from adolescent acne. Division of Dermatology and Venereology Outpatient Clinic Dr. M. Djamil hospital padang during January 2016 until December 2018.Retrospective study performed in Medical Cosmetic Division of Dermatology and Venereology Outpatient Clinic Dr. M. Djamil hospital padang during January 2016 until December 2018. Data was taken from medical records. Out of 224 patients included in the study 54.01% were women and 45.98 % were men. Majority of the patients had comedonal acne (45.53 %), whereas nodulocystic was the least common (13.39%). Most common predominant site of involvement was cheek (44.20 %), followed by chin (25.45 %), and mandibular area (14.58 %). Family history of acne was present in 57.70 %. Scarring was observed in a 39.2 %. Acne is predominant in women, with the most commonly involved of the cheeks, with the most common type was comedones type.


2018 ◽  
Vol 09 (02) ◽  
pp. 214-218 ◽  
Author(s):  
Hamid Assadeck ◽  
Moussa Toudou Daouda ◽  
Fatimata Hassane Djibo ◽  
Djibo Douma Maiga ◽  
Eric Adehossi Omar

ABSTRACT Background: Parkinson's disease (PD) is a chronic neurodegenerative pathology with unknown etiology. It is characterized clinically by the classic triad that associated tremors, bradykinesia, and rigidity. In Niger, there are no data on PD. Aims: We aimed to provide the demographic and clinical profile of PD in patients from Niger to create a database on PD in Niger. Patients and Methods: We conducted a retrospective study at the Neurology Outpatient Clinic of the Hôpital National de Niamey (HNN, Niger) over a period of 4.42 years from February 2009 to July 2013 collecting all cases of PD. The demographic and clinical features of all patients were collected and analyzed. Results: During the period of the study, 1695 patients consulted at the Neurology Outpatient Clinic of the HNN, among which 76 patients (4.48%) had secondary parkinsonism and 25 patients (1.47%) had features compatible with PD. Only patients with PD were included in this study. The mean age at onset of symptoms was 58 years (range: 42–74 years). The male sex was predominant (60%) with a sex ratio of 1.5. The mean time interval from the onset of symptoms to diagnosis of PD was 1.8 years (range: 1–5 years). The tremor was the most common symptom (84%). Bradykinesia represented 64% of the symptoms and rigidity 20%. At the time of the diagnosis of PD, 8 patients (32%) were in Stage I of the classification of Hoehn and Yahr, 16 patients (64%) in Stage II, and 1 patient (4%) in Stage III. The levodopa/carbidopa combination was the most used antiparkinsonian drug in our patients (88%). The mean time of follow-up of the patients was 2.5 years (range: 1–4.42 years). During the course of the disease, 9 patients (36%) were in Stage II of the classification of Hoehn and Yahr, 13 patients (52%) in Stage III, and 3 patients (12%) in Stage IV. Conclusion: Our study provides demographic and clinical data of PD in patients from Niger and shows that the hospital frequency of this disease is low (1.47%). The demographic and clinical features of our patients are similar to those of the patients of the prior studies reported in sub-Saharan Africa.


2016 ◽  
Vol 83 (1-2) ◽  
Author(s):  
Yusuf Kayar ◽  
Nüket Bayram Kayar ◽  
Tuncay Şahutoğlu ◽  
Venkatanarayana Gangarapu

<p>Spontaneous pneumomediastinum (SPM) is defined as the presence of interstitial air in the mediastinum without any apparent precipitating factor. We present a case of 23 year old male patient, who has been referred to our outpatient clinic with the complaints of sudden chest pain, dyspnea followed by pneumonia and was diagnosed as SPM. The patient was treated with ampicillin sulbactam (4 gr/day) and methylprednisolon (20 mg/day) for 4 days. and oral intake was stopped during treatment. Post treatment, it was observed that the crepitations were disappeared thoroughly and vesicular sounds were heard by oscultation. The control values of arterial blood gas was as following: pH:7,39 pO<sub>2</sub>:95 mmHg, pCO<sub>2</sub>:37 mmHg, SaO2: %97. In the 5th day his oral intake was started and he was discharged. </p>


2019 ◽  
Vol 26 (2) ◽  
pp. 146-152
Author(s):  
Ahmet İrdem ◽  
Ensar Duras ◽  
Soner Sazak ◽  
Muhammet Nurullah Yakut ◽  
Taciser Uysal ◽  
...  

2020 ◽  
Author(s):  
Selam Berhe ◽  
Naomi Amanuel

Abstract BackgroundChest pain is one of the common causes of visits to the emergency department. However, there is scarcity of studies on the causes and prevalence of this common symptom in Eritrea. This retrospective descriptive study was done to determine the prevalence, causes, clinical features, demographics, diagnostic modality and outcome of all patients with the chief complaint of chest pain who presented to the ED of Orotta national referral hospital in Eritrea and the association of demographic characters, diagnostic modality, and clinical features with final diagnosis and outcome.MethodsAfter securing approval by Ministry of Health ethical and research committee, Clinical Service Division and from Orotta National Referral Hospital in Asmara Eritrea, Records of patients 15 years and older presenting with the complaint of chest pain from 1st January 2018 through 31st December 2018 were assessed. Samples of patients who presented with chest pain and did ECG were also included. All data were collected in Microsoft excel software, cleaned and then analyzed using Statistical Package of Social Sciences (SPSS) software version 20.Results855 patients presented with chest pain to the emergency department, out of which 798 patient files were retrieved. Respiratory disease was the most common cause 441(51.6%), with pneumonia the most common diagnosis 415 (94.1%) followed by cardiac cause at 234( 27.4%).Out of the study population 253 study sample were taken with inclusion criteria of those who did an ECG. In these study samples the most common cause was cardiovascular 149(58.9%) out of which the most common illness was ST elevation myocardial infarction 60(23.7%). Out of 253 patients who did electrocardiogram 230(90.9%) were discharged and 23(9.1%) died. 6(26%) of those who died were smokers and 13(56.5%) of those who died were above 69 years old.ConclusionThe main cause of chest pain was found to be respiratory disease, followed by cardiovascular disease in the population study, which was reversed in the sample study (those who did ECG). Age and Smoking were found to affect the prognosis. There were highest mortality rates in STEMI and pulmonary embolism.


2018 ◽  
Vol 79 (5-6) ◽  
pp. 287-294 ◽  
Author(s):  
Qi Pan ◽  
Yixin Zhang ◽  
Ting Long ◽  
Wei He ◽  
Shanshan Zhang ◽  
...  

Background: Dizziness and vertigo are frequent complaints of outpatients in the neurological department. Our objective was to explore the epidemiological category and clinical features of patients with dizziness or vertigo in the neurological outpatient department of a tertiary hospital. Methods: We consecutively recruited all patients with dizziness and/or vertigo visiting the neurological outpatient clinic of the First Affiliated Hospital of Chongqing Medical University from January 2016 to June 2017. All patients were interviewed by 4 neurologists and they completed self-administered questionnaires. General physical and standardized neuro-otology bedside examinations were performed in all participants. Instrumental examinations and other related examinations were prescribed as needed. Results: A total of 392 patients, 272 female and 120 male, were enrolled and the ratio of males to females was 1: 2.27. The mean age was 52.39 ± 13.87 years (range 11–90). Elderly patients (≥60 years) accounted for about one-third of the patients. Peripheral vestibular disorders accounted for 54.6% of patients, central vestibular disorders (including vestibular migraine [VM]) accounted for 22.4% of patients, psychogenic vertigo in 64 (16.3%), other reasons in 9 (2.3%) and unknown in 17 (4.3%). Benign paroxysmal positional vertigo (BPPV; 30.8%), psychiatric dizziness (20.5%), and VM (14.4%) were the 3 major vestibular diseases in patients under 60 years of age; however, BPPV (27.9%), central vertigo (21.7%), and Meniere’s disease (11.7%) were more common in patients over 60 years of age. Conclusions: This study provided a classification and clinical features of vestibular disorders in a neurological outpatient department of a tertiary hospital in China. The spectrum of vertigo or dizziness is different between different age groups and clinicians should pay attention to this difference in clinical reasoning.


Sign in / Sign up

Export Citation Format

Share Document