Psoas Abscess: Diagnosis and Treatment

2006 ◽  
Vol 5 (1) ◽  
pp. 13-16
Author(s):  
Raj Kandasamy ◽  
◽  
Asha Srikanth ◽  
SM Rutter ◽  
CJ Butcher ◽  
...  
Keyword(s):  
Clinical Features ◽  
Case History ◽  
Diagnostic Tests ◽  
Psoas Abscess ◽  
Diagnosis And Treatment ◽  
Uncommon Presentation ◽  
Appropriate Treatment ◽  
History Of

Psoas abscess is an uncommon presentation on the acute medical take. However recognition and appropriate treatment is essential. This review is designed to highlight the clinical features, microbiology, diagnostic tests and treatment for this condition. In order to illustrate some of the pitfalls and complexities in the management of psoas abscess we have included a case history of a patient who was recently treated in our department.

scholarly journals Clinical course, diagnosis and treatment of gastrointestinal stromal tumors

2011 ◽  
Vol 3 (1) ◽  
pp. 59-64
Author(s):  
Yulyi V. Ivanov
Keyword(s):  
Prognostic Factors ◽  
Gastrointestinal Tract ◽  
Case History ◽  
Gastrointestinal Stromal Tumors ◽  
Clinical Course ◽  
Target Therapy ◽  
Diagnosis And Treatment ◽  
Successful Operation ◽  
Stromal Tumors ◽  
History Of

The article summarizes up-to-date data of the pathogenesis, diagnosis, and treatment conceptions of the stromal tumors of gastrointestinal tract (GIST). Prognostic factors for progression (recurrence or metastasis) for GIST are reported. Special attention is given to immuno-histochemical method of diagnostics and target therapy for these kinds of tumors. We present the case history of successful operation in a patient with giant intestinal stromal tumor of the stomach, sprouting into neighbouring organs and tissues.

The diagnosis and treatment of adrenal insufficiency during childhood and adolescence

2016 ◽  
Vol 101 (9) ◽  
pp. 860-865 ◽  
Author(s):  
Julie Park ◽  
Mohammed Didi ◽  
Joanne Blair
Keyword(s):  
Adrenal Insufficiency ◽  
Clinical Features ◽  
Diagnostic Tests ◽  
Adrenal Function ◽  
Diagnosis And Treatment ◽  
Childhood And Adolescence ◽  
Test Results ◽  
Pragmatic Approach ◽  
Advantages And Disadvantages ◽  
Cortisol Responses

The diagnosis and treatment of adrenal insufficiency in childhood and adolescence poses a number of challenges. Clinical features of chronic adrenal insufficiency are vague and non-specific, and mimic many other causes of chronic ill health. A range of diagnostic tests are available for the assessment of adrenal function, all of which have advantages and disadvantages. Cortisol responses to these tests may vary with age and between genders. Knowledge of normal cortisol levels during health and ill health in childhood is also limited, and the cortisol replacement therapies available in clinical practice enable only crude mimicry of physiological patterns of cortisol secretion. An awareness of the limitations of diagnostic tests and treatments is important, and critical clinical assessment, integrating clinical and biochemical data, is essential for the diagnosis and treatment of children with suspected adrenal insufficiency. The aim of this review is to draw on data from clinical studies to inform a pragmatic approach to the child presenting with symptoms of chronic adrenal insufficiency. Clinical features of primary and secondary adrenal insufficiency, and syndromes associated with these diagnoses are described. Factors to consider when selecting a diagnostic test of adrenal function and interpretation of test results are considered. Finally, the limitations of cortisol replacement therapy are also discussed.

scholarly journals Therapeutic and diagnostic algorithm for colon lipoma

2021 ◽  
Vol 1 (5) ◽  
pp. 101-103
Author(s):  
I. Yu. Korzheva ◽  
N. E. Chernekhovskaya ◽  
E. V. Galaeva ◽  
N. V. Vychuzhanina ◽  
E. A. Khoreva
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Features ◽  
Case History ◽  
Clinical Relevance ◽  
Clinical Case ◽  
Clinical Observation ◽  
Diagnostic Algorithm ◽  
Morphological Examination ◽  
History Of ◽  
Colonic Lipoma

Clinical relevance: Colon lipomas are not rare tumors, but they occur with blurred clinical features and patients arrive with complications- obstructive intestinal obstruction or bleeding. In this regard, the authors presented a clinical case of a 57-yearold patient whose diagnosis was established only by morphological examination of the surgical material.The purpose of the study was to demonstrate clinical observation of colon lipoma.Materials and methods: The case history of a 57-year-old patient diagnosed with colonic lipoma is presented.

scholarly journals Treatment of Colocutaneous Fistula in the Left Thigh

2019 ◽  
Vol 05 (03) ◽  
pp. e113-e119
Author(s):  
Tanweerul Huda ◽  
Bharati Pandya
Keyword(s):  
Surgical Management ◽  
Psoas Abscess ◽  
Relevant Literature ◽  
Left Thigh ◽  
Treatment Modalities ◽  
Fecal Fistula ◽  
Chronic Fistula ◽  
Appropriate Treatment ◽  
Colocutaneous Fistula ◽  
History Of

Abstract Aim There are few publications on the surgical management of a colocutaneous fistula in the thigh. Here, we describe a patient who presented with a 2-year history of fecal fistula in the left thigh, following a history of drainage of a psoas abscess. This is followed by a discussion of appropriate treatment modalities for this type of fistula. Methods To determine the appropriate treatment for our patient with chronic fistula, we thoroughly reviewed the relevant literature in an Internet-based search and selected a staged operative approach for our patient. Results Using a staged surgical procedure, we were able to resolve the colocutaneous fistula without the occurrence of comorbidities. Conclusion Substantial morbidity is associated with the presence of colocutaneous fistulas. The best possible approach is prevention of its occurrence, but this is not always feasible. Measures for management of an acute fistula differ from those in patients with chronic fistula. Medical management can be more effective in acute cases, while chronic cases require surgical management. We used a staged surgical method with a few risks for our patient and he is in good health 1 year after treatment.

Special Considerations for Evaluation and Treatment of Spanish-Speaking Patients with Cleft Palate

2016 ◽  
Vol 1 (5) ◽  
pp. 41-49
Author(s):  
Ellen Moore
Keyword(s):  
Cleft Palate ◽  
The United States ◽  
Culturally Competent ◽  
Speech Language Pathology ◽  
Spanish Speaking ◽  
Appropriate Treatment ◽  
Oral Pressure ◽  
Language Pathology ◽  
History Of ◽  
Spanish Speaking Population

As the Spanish-speaking population in the United States continues to grow, there is increasing need for culturally competent and linguistically appropriate treatment across the field of speech-language pathology. This paper reviews information relevant to the evaluation and treatment of Spanish-speaking and Spanish-English bilingual children with a history of cleft palate. The phonetics and phonology of Spanish are reviewed and contrasted with English, with a focus on oral pressure consonants. Cultural factors and bilingualism are discussed briefly. Finally, practical strategies for evaluation and treatment are presented. Information is presented for monolingual and bilingual speech-language pathologists, both in the community and on cleft palate teams.

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