Treatment of hormonal menstrual disorders with new hormonal drugs

1936 ◽  
Vol 32 (9) ◽  
pp. 1150-1151
Author(s):  
Е. Klaften

A prerequisite for successful treatment is a thorough clinical and biological investigation and differential diagnosis of each individual case.

Author(s):  
Amol Ajit Patil

Failure in treating number of patients of joint disorders with diagnoses other than Vaatarakta made to think in depth about the concept of Vaatrakta. Objective of the article is to understand a disease as mentioned in ancient classical texts of Ayurveda (samhitas) without making any alterations which helps not only in treating cases of joint disorders successfully but also help understand various important principles of Ayurveda treatments. Understanding aetiology (hetu), clinical features (linga), pathophysiology (samprapti),differential diagnosis and prognosis (sadhyasadhyata)are essentials factors to reach absolute diagnosis upto vyakta and bhed levelof kriya kaal of the disease which is the first and foremost important part of classical approach. Charts of hetu, lakshan and sadhyasadhyata make it easy to chalk out samprapti and hence samprapti vighatan becomes relatively easier. Line of Treatment, its principles to be followed and cautions mentioned while considering line of treatment is second essential part to decide classical way of treatment as mentioned in Samhitas. Treatment (Chikitsa) of vaatrakta is mentioned stepwise to counter samprapti systematically which seems to be easier task if diagnosis is precise and error free. This approach seems to be very effective which can prevent reoccurrence of the disease i.e. apuanrbhav chikitsa. Most of the times diagnosis Vaatrakta is confused with Aamavaata samprapti(a stage of a disease) which hasn’t been given any importance in Bruhatrayee as it seem to be ancondition of several diseases and not a separate disease entity. Importance of classical approach towards vaatrakta assures its successful treatment to achieve Dhatu Samya and Apunarabhava.


2007 ◽  
Vol 12 (5) ◽  
pp. 1-4, 12-16
Author(s):  
Robert J. Barth ◽  
Robert Haralson

Abstract Complex regional pain syndrome (CRPS) is a controversial, ambiguous, and often unreliable concept that presents significant clinical and rating challenges, to the extent that, for any individual case, many of the differential diagnostic issues provide a far more probable explanation of symptoms than does CRPS. The International Association for the Study of Pain (IASP) introduced CRPS in 1994 specifically to replace “reflex sympathetic dystrophy” [RSD] and “causalgia.” The IASP diagnostic protocol for assessing CRPS has led to overdiagnosis, as well as questions regarding the protocol's reliability, validity, and high error rate during field trials. Using the IASP protocol and the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, the authors discuss the mental health and general medical evaluations that are part of the differential diagnosis of CRPS, which involves both psychological and general medical components. Finally, examiners should be aware that the probability rates for a diagnosis of CRPS following a thorough and extensive differential diagnosis is very small and is further limited by the general lack of scientific credibility for the concept of CRPS. A diagnosis of CRPS in the absence of ruling out all potential differentials is not credible. A sidebar discusses several chapters that are relevant to rating impairment due to causalgia, RSD, and CRPS.


Author(s):  
Irina V. Dorofeeva ◽  
Inna V. Danilycheva ◽  
A E Shuljenko

Differential diagnosis of chronic spontaneous urticaria (CSU) and urticarial vasculitis (UV) is carried out in the case of an atypical clinical picture of urticaria. Wheals lasting longer than 24 hours, often accompanied by burning and pain, leaving behind purpura or residual hyperpigmentation. This article describes a case of urticarial vasculitis in a patient that required differential diagnosis of CSU and UV several years after the onset of the disease. Successful treatment was carried out with a combination of antihistamines, glucocorticosteroids, hydroxychloroquine and omalizumab.


2013 ◽  
Vol 95 (1) ◽  
pp. e5-e6 ◽  
Author(s):  
MJ Welck ◽  
P Vetpillai ◽  
V Balaji ◽  
R Jennings ◽  
WD Goodier

We detail the unusual occurrence of successive episodes of diabetic myonecrosis in both lower and upper limbs in a young woman with diabetic end organ dysfunction. We highlight the importance of recognising this as a differential diagnosis for acute limb pain in diabetic patients and advocate conservative measures for successful treatment and return to function.


1998 ◽  
Vol 12 (5) ◽  
pp. 367-372 ◽  
Author(s):  
Mark A. Jabor ◽  
Donald L. Greer ◽  
Ronald G. Amedee

Scopulariopsis, a soil saprophyte, rarely produces disease and has not been reported to cause invasive nasal destruction in a nonimmunocompromised host. We report the first case of Scopulariopsis in the otolaryngology literature. Prompt surgical debridement is required and usually adequate. Disagreement exists on the use of antifungals as an effective treatment. A case of invasive Scopulariopsis involving the nasal septum of a 72-year-old man is detailed, and successful treatment consisted of local debridement without antifungal drugs. His diagnosis, clinical course, and outcome illustrates the expanding differential diagnosis faced by the otolaryngologist in patients with nasal disease.


2020 ◽  
Vol 10 (1) ◽  
pp. 81-88
Author(s):  
Anna A. Shchukina ◽  
Olga G. Mokrushina ◽  
Alexandra S. Gurskaya ◽  
Elena Yu. Dyakonova ◽  
Dinara M. Akhmedova

Purpose. Presentation of clinical cases of rare combination of omphalocele with pylorostenosis in the postoperative period and additional liver lobe. Materials and methods. In National Medical Research Center for Childrens Health of health surgical ward of newborns and infants for the 2019 us operated 2 children who performed surgery involving intra-operative decision making about further surgical tactics. Results. the results of surgical treatment of newborns with omphalocele combined with hypertrophic pylorostenosis and extra liver lobe are presented. Conclusions. In patients with malformations of the anterior abdominal wall in the postoperative period, when regurgitation syndrome appears, it is necessary to make a differential diagnosis between the functional and organic causes of obstruction. When confirming the organic nature of the obstruction, surgical intervention is indicated. It is necessary to be able to timely and objectively assess the risks and expediency of the approach when choosing surgical tactics in each individual case.


2020 ◽  
Vol 4 (2) ◽  
pp. 111-115
Author(s):  
Eric Friedman ◽  
J. David Gatz ◽  
Zachary Dezman ◽  
Laura Bontempo

Introduction: Dyspnea is a common presenting complaint for many patients in the emergency department. Case Presentation: A 55-year-old man with type I diabetes presented to the emergency department with one month of intermittent palpitations and dyspnea. His lungs were clear to auscultation, and his chest radiograph was normal. Discussion: This case takes the reader through the differential diagnosis and systematic work-up of dyspnea with discussion of the diagnostic study, which ultimately led to this patient’s diagnosis and successful treatment.


Blood ◽  
1962 ◽  
Vol 19 (6) ◽  
pp. 724-737 ◽  
Author(s):  
VICTOR PERMAN ◽  
EUGENE P. CRONKITE ◽  
VICTOR P. BOND ◽  
DALE K. SORENSEN

Abstract 1. Successful treatment of the hemopoietic phase of the acute irradiation syndrome in dogs at the LD100 (400 r) dose is possible on an individual case basis with good nursing care. 2. The onset and rate of regeneration is related to the radiation dose. Partial regeneration with subsequent death occurs with a 550 r dose. 3. The control of infection during the critical period prior to regeneration appeared to be the limiting factor in successful treatment at the dose levels used in this study.


2021 ◽  
Vol 93 (3) ◽  
pp. 337-342
Author(s):  
Angelina Yu. Kraposhina ◽  
Elena A. Sobko ◽  
Irina V. Demko ◽  
Anna B. Kacer ◽  
Olga V. Kazmerchuk ◽  
...  

The review provides data on one of the phenotypes of severe bronchial asthma it is asthma with fixed airway obstruction. According to data published today, there is no single pathway for the formation of fixed airway obstruction in patients with severe asthma. Increasing knowledge of the pathophysiology of fixed airway obstruction, as well as identifying the most significant risk factors, is essential for the successful treatment of such patients. In addition, the development of fixed obstruction is associated with a worse and sometimes fatal prognosis. Expanding the existing views is also necessary to overcome the difficulties of differential diagnosis between bronchial asthma with fixed airway obstruction and bronchial asthma in combination with COPD. All this will optimize the approach to the management of patients with bronchial asthma to prevent the formation of fixed airway obstruction.


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