scholarly journals Horton’s disease: still an important medical problem in elderly patients: a review and case report

2017 ◽  
Vol 5 ◽  
pp. 510-513
Author(s):  
Krzysztof Gomułka ◽  
Joanna Radzik-Zając ◽  
Urszula Zaleska-Dorobisz ◽  
Bernard Panaszek
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Medical Problem ◽  
Horton’S Disease

A Blueprint for Undergraduate Students to Work on Medical Cases (Preprint)

2021 ◽  
Author(s):  
Alhad Mulkalwar
Keyword(s):  
Case Report ◽  
Undergraduate Students ◽  
Formal Education ◽  
Medical Literature ◽  
Medical Problem ◽  
Evidence Based ◽  
Medical Progress ◽  
Based Medicine ◽  
Publishable Case Report

UNSTRUCTURED A case report is a detailed narrative that describes the symptoms, signs, diagnosis, treatment, and follow-up of a medical problem of an individual patient. They usually describe an unusual or novel occurrence and although they lie at the bottom of the hierarchy of the Evidence Based Medicine Pyramid, they still remain one of the cornerstones of medical progress and provide key additions to the existing medical literature. Unfortunately, abysmally few physicians-in-training receive a formal education regarding what constitutes a publishable case report. The article throws light on this aspect of medical education

SURGICAL CORRECTION FOR GINGIVAL DEPIGMENTATION USING ELECTROSURGERY-A CASE REPORT

2021 ◽  
pp. 8-9
Author(s):  
Apoorva Arun ◽  
Mayur Kaushik ◽  
Roopse Singh ◽  
Nitin Tomar
Keyword(s):  
Case Report ◽  
Medical Problem ◽  
Surgical Correction ◽  
Gingival Depigmentation

The harmony of smile is determined not only by the shape, position and colour of the teeth but also by the colour of the gingival tissues. Excessive gingival pigmentation is a major aesthetic concern for many people. Though, it is not a medical problem but many people complain of dark gums as unesthetic. Aesthetic gingival depigmentation can be performed in such patients with excellent results. A case is reported here in which a simple and effective gingival depigmentation was performed with the use of electrosurgery which provides increased satisfaction in patients

scholarly journals Comminuted Patella Fracture in Elderly Patients: A Systematic Review and Case Report

2017 ◽  
Vol 8 (3) ◽  
pp. 135-144 ◽  
Author(s):  
Brent Matthews ◽  
Kaushik Hazratwala ◽  
Sergio Barroso-Rosa
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Treatment Options ◽  
The Elderly ◽  
Fracture Pattern ◽  
Patella Fracture ◽  
Level Of Evidence ◽  
Fixation Failure ◽  
Number Of Patients ◽  
Mesh Augmentation

Objectives: To review comminuted patella fracture in the elderly patients and examine the surgical options to avoid complications such as fixation failure and poor functional outcome. To provide an example of mesh augmentation in comminuted patella fracture in the elderly patients. Data Sources: A literature review was conducted by the authors independently using Ovid, Medline, Cochrane, PubMed, and Clinical Key in English. We aimed to review data on patients older than 65 with comminuted patella fracture. Search conducted between July and December 2015. Study Selection: Search terms included patella fracture, elderly, and fixation failure. Abstracts were included if they were a case report, cohort series, or randomized control trial. Further inclusion criteria were that they were available in full text and included patient age(s), operative details, follow-up, and outcome discussion. Data Extraction: Each study was assessed according to its level of evidence, number of patients, age of patients, fracture patterns described, complications of treatment, and results summarized. Data Synthesis: Paucity of data and heterogeneity of studies limited statistical analysis. Data are presented as a review table with the key points summarized. Conclusion: In patella fracture, age >65 years and comminuted fracture pattern are predictors of increased fixation failure and postoperative stiffness, warranting special consideration. There is a trend toward improved functional outcomes when augmented fixation using mesh or plates is used in this group. Further level 1 studies are required to compare and validate new treatment options and compared them to standard surgical technique of tension band wire construct.

Effects of virtual reality exergame on psychophysiological and postural disorders in elderly patients

2021 ◽  
Author(s):  
AE Khizhnikova ◽  
AS Klochkov ◽  
AA Fuks ◽  
AM Kotov-Smolenskiy ◽  
NA Suponeva ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Elderly Patients ◽  
Vascular Disease ◽  
Balance Control ◽  
Balance Training ◽  
Medical Problem ◽  
Rehabilitation Program ◽  
Advanced Age ◽  
Balance Impairment ◽  
Underlying Causes

Balance impairment at advanced age is a serious medical problem that often has significant implications and affects the quality of the patient’s life. Among the underlying causes are overall slowness of motor response and vestibular syndrome. Virtual reality exergames, including reaction and balance training, hold promise for managing balance dysfunction. The aim of this study was to investigate the effects of a combination rehabilitation program containing elements of virtual reality exergame on the postural and psychophysiological parameters of elderly patients with small vascular disease The study was conducted in 24 patients with small vascular disease (median age: 66 years). All patients underwent a virtual reality rehabilitation program. Psychophysiological, postural and clinical evaluations were performed at baseline and after the program was completed. Balance function measured on the Berg scale improved significantly and was 53 [52; 55] after the training program vs 50 [45; 54] at baseline (p < 0.05). The strategy of balance control also changed: the Romberg ratio was 266 [199.5; 478.5] before rehabilitation and 221 [149.25; 404] after the program was completed (p < 0.05). The most pronounced changes in the measured psychophysiological parameters occurred in the simple audiomotor reaction, which improved from 210 [174.25; 245.5] at baseline to 180.5 [170.5; 208] after rehabilitation (p < 0.05). Thus, the combination balance and reaction virtual reality training is an effective rehabilitation method for advanced-age patients with balance impairment.

scholarly journals Multifocal Toxoplasma Retinochoroiditis in a Nonimmunosuppressed Elderly Patient: Case Report and Brief Review of the Literature

2017 ◽  
Vol 1 (1) ◽  
pp. oapoc.0000023
Author(s):  
David A. Kilgore ◽  
Sami Uwaydat ◽  
Stephen Davis ◽  
Harry Brown ◽  
Ahmed B. Sallam
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Review Of The Literature ◽  
Chain Reaction ◽  
Patient Case ◽  
Diagnostic Challenge ◽  
Chorioretinal Biopsy ◽  
Polymerase Chain ◽  
Fundus Photographs ◽  
Vitreous Haze

Purpose To raise awareness of ophthalmologists that toxoplasmosis should be considered in the differential diagnosis of multifocal or diffuse necrotizing retinitis in nonimmunosuppressed elderly patients. Methods Interventional case report with serial color fundus photographs, indocyanine green angiography, fluorescein angiography, optical coherence tomography, and chorioretinal biopsy histology. Results A 77-year-old, nonimmunosuppressed man developed extensive multifocal retinochoroiditis with scattered focal hemorrhages and significant vitreous haze. This case posed a significant diagnostic challenge mimicking viral retinitis. Vitreous polymerase chain reaction and chorioretinal biopsy confirmed the diagnosis of toxoplasma retinochoroiditis. Conclusions As demonstrated in this case, toxoplasmosis should be considered as a cause of multifocal and/or diffuse necrotizing retinitis in elderly patients even in the absence of obvious systemic immunosuppression.

scholarly journals Durable Complete Radiological Response to Nivolumab in Two Heavily Pretreated Western Elderly Patients With Metastatic Gastric Cancer: A Case Report

2020 ◽  
Vol 10 ◽  
Author(s):  
Giuseppe Tirino ◽  
Angelica Petrillo ◽  
Luca Pompella ◽  
Annalisa Pappalardo ◽  
Maria Maddalena Laterza ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Case Report ◽  
Elderly Patients ◽  
Metastatic Gastric Cancer ◽  
Heavily Pretreated ◽  
Radiological Response

scholarly journals MICROSURGICAL CLIPPING IN THE RUPTURED AN ANEURYSM OF ANTERIOR COMMUNICATING ARTERY: A CASE REPORT

2017 ◽  
Vol 10 (10) ◽  
pp. 7
Author(s):  
Wayan Niryana ◽  
Aslesa Wangpathi Pagehgiri ◽  
Putu Eka Widyadharma
Keyword(s):  
Case Report ◽  
Intraoperative Monitoring ◽  
Cerebral Aneurysms ◽  
Medical Problem ◽  
Definitive Treatment ◽  
Anterior Communicating Artery ◽  
Microsurgical Technique ◽  
The Third ◽  
Microsurgical Clipping ◽  
Saccular Aneurysms

Objective: Ruptured saccular aneurysms are a common and serious medical problem. The prevalence of aneurysms is low during the first two decades of life and increases steadily after the third decade. Anterior communicating artery (AComA) aneurysms are regarded as the most complex of all intracranial aneurysms.Methods: Here, we report a case of an aneurysm of AComA patient with the development of microsurgical technique and intraoperative monitoring technique.Results: Permanent clipping was successfully performed in the neck of an aneurysm of AComA.Conclusion: Microsurgical clipping still remains a definitive treatment of ruptured cerebral aneurysms.

Unrecognized posterior dislocation of the humeral joint – a case report in the electronic decision-making system

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Jacek Dygut ◽  
Wiktor Boroń ◽  
Maria Gołda ◽  
Monika Piwowar
Keyword(s):  
Decision Making ◽  
Case Report ◽  
Correct Diagnosis ◽  
Electronic System ◽  
Medical Problem ◽  
Posterior Dislocation ◽  
Medical Procedure ◽  
Joint Dislocation ◽  
Course Of Action ◽  
Decision Making System

AbstractThe paper presents a description of a humeral joint dislocation case placed in full version in the electronic system of presenting content and making decisions. The purpose of the publication is to draw the attention of especially young, inexperienced adepts of medical art to the fact of making mistakes in the medical art. The process of dealing with the correct and incorrect procedures that occur while trying to identify a medical problem is discussed. The presented case gives the opportunity to have a broad view of the issue and is also faced with the need to make decisions by choosing the course of action, at every stage of analyzing the case. Mistakenly made decisions are explained. Finally, the correct diagnosis and medical procedure about the case of a humeral joint dislocation is presented.

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