... surgery, approximately 40 percent of patients witha retinal detachment have had prior cataract extraction.73 Cataract patients with extracapsular cataract extraction (ECCE) and intraocular lens ... Retinal Dialysis A retinal tear that occurs atthe ora serrata, concentric withthe ora, is called a retinal dialysis Most of these tears are less than 90 degrees, and they are rarely bilateral The ... practitioners about the complications and prevention of retinal diseaseandthe availability of treatment Statement ofthe Problem I STATEMENT OFTHE PROBLEM A retinal detachment can have devastating...
... formulate a differential diagnosis (Table 52-4) For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places thepatient in a different diagnostic ... lesions If the examiner focuses on linear erosions overlying an area of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion andthe redness and scale are secondary, ... raised, often translucent lesion >0.5 cm in diameter Wheal: A raised, erythematous, edematous papule or plaque, usually representing short-lived vasodilatation and vasopermeability Telangiectasia:...
... of epidermis without an associated loss of dermis Ulcer: Loss of epidermis andat least a portion ofthe underlying dermis Excoriation: Linear, angular erosions that may be covered by crust and ... that elicits the desire to scratch Pruritus is often the predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis, allergic contact dermatitis); it is also commonly associated ... associated with xerosis and aged skin Systemic conditions that can be associated with pruritus include chronic renal disease, cholestasis, pregnancy, malignancy, thyroid disease, polycythemia vera, and...
... lesions, the shape of individual lesions, andthe arrangement ofthe lesions An ideal skin examination includes evaluation ofthe skin, hair, and nails as well as the mucous membranes ofthe mouth, ... with relevant historic data Four basic features ofa skin lesion must be noted and considered during a physical examination: the distribution ofthe eruption, the types of primary and secondary ... lesions and make it possible to assess the distribution ofthe eruption accurately Thepatient should first be viewed from a distance of about 1.5–2 m (4–6 ft) so that the general character of the...
... A D The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques ... skin disease is characterized by small and large erythematous papules and plaques with overlying adherent silvery scale Figure 52-8 ...
... contact (Fig 52-10) or primary irritant dermatitis In contrast, lesions witha generalized arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme This ... This eruption is characterized by multiple erythematous plaques witha target or iris morphology It usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections ... reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy ofthe Yale Resident's Slide Collection; with permission.) Figure 52-10 ...
... blade, andthe removed scale is collected on a glass microscope slide then treated with to drops ofa solution of 10–20% KOH KOH dissolves keratin and allows easier visualization of fungal elements ... or saucerized witha scalpel or removed by punch biopsy In the latter technique, a punch is pressed against the surface ofthe skin and rotated with downward pressure until it penetrates to the ... psoriasis, or acne) 10 Social, sexual, or travel history as relevant to thepatient DIAGNOSTIC TECHNIQUES Many skin diseases can be diagnosed on gross clinical appearance, but sometimes relatively...
... erythematous papules and plaques are characteristic of this whealing eruption Wood's Light A Wood's lamp generates 360-nm ultraviolet (or "black") light that can be used to aid the evaluation of ... noting the amount of blanching that occurs Granulomas often have an opaque to transparent, brown-pink "apple jelly" appearance on diascopy Figure 52-11 Urticaria Discrete and confluent, edematous, ... under a Wood's lamp, and previously unsuspected areas of involvement often become apparent A Wood's lamp may also aid in the demonstration of tinea versicolor and in recognition of ash leaf spots...
... Clinical Managementof Adult Patients with NSAID-Induced Urticaria/Angioedema 10 Pastorello E, Zara C, Riario-Sforza GG, et al Atopy and intolerance of antimicrobial drugs increase theriskof reactions ... urticaria patients with NSAID intolerance and patients with AERD are characterized by elevated baseline urinary LTE4 levels and found that such levels are markedly increased by aspirin administration.27,28 ... keeping withthe observations of another study that both multiple- and single-NSAID reactors witha history of aspirin-induced urticaria seem at higher riskof chronic urticaria than patients with a...
... form the basis ofa diagnosis According to Lawrence et al [3], approximately 50% of soft tissue sarcoma patients are diagnosed at about months after patient recognition, and an additional 20% are ... one case of synovial sarcoma (Figure 1) and one case of alveolar soft part sarcoma showed calcification on plain radiographs In all three cases of alveolar soft part Figure A plain radiograph ... histiocytoma, two cases each of myxofibrosarcoma and high-grade leiomyosarcoma, and one case of clear cell sarcoma were diagnosed Four ofthe seven cases of synovial sarcoma, two ofthe three cases of alveolar...
... manuscript and in the review ofthe literature and in performing the clinical follow-up HG was involved in drafting the manuscript and in the review ofthe literature SH participated in the surgery and ... Neither of our patients showed a significant lower flow after a median follow-up time of 22 months, and no further operation was necessary in either case Neither patient showed complications of ... (Figures 2B and 3B) The percutanous cystostomy catheter was removed on day 25 in both patients Postoperative uroflowmetry performed on the first patient on day 25 revealed a maximal uroflow of 49.1ml/sec...
... Lateral radiograph of hand debridement and washout was performed The wound was then reviewed after 48 hours anda delayed primary closure performed Thepatient had regained good hand function and ... initial managementofthepatientand reviewed the manuscript NS was the senior author responsible for themanagementofthepatient References Figure Antero-posterior radiograph of hand Antero-posterior ... Journal of Medical Case Reports 2008, 2:377 http://www.jmedicalcasereports.com/content/2/1/377 Figure Clinical photograph of hand Clinical photograph of hand Figure Lateral radiograph of hand Lateral...
... 8-3-33, Kamiochiai, Chuo-ku, Saitama, Saitama, Japan 2Department of Pathology Saitama Red Cross Hospital, 8-3-33, Kamiochiai, Chuo-ku, Saitama, Saitama, Japan Authors’ contributions MY conceived the ... unencapsulated [2] Neurilemmomas are encapsulated, and neurofibromas are unencapsulated tumors [6], andthe possibility of neurofibroma can be excluded if the findings suggest the presence ofa capsule ... the study YK and RM performed the literature review AA and KK performed histopathologic and immunohistochemical analyses All authors read and approved the final version ofthe manuscript Competing...
... 8-3-33, Kamiochiai, Chuo-ku, Saitama, Saitama, Japan 2Department of Pathology Saitama Red Cross Hospital, 8-3-33, Kamiochiai, Chuo-ku, Saitama, Saitama, Japan Authors’ contributions MY conceived the ... unencapsulated [2] Neurilemmomas are encapsulated, and neurofibromas are unencapsulated tumors [6], andthe possibility of neurofibroma can be excluded if the findings suggest the presence ofa capsule ... the study YK and RM performed the literature review AA and KK performed histopathologic and immunohistochemical analyses All authors read and approved the final version ofthe manuscript Competing...
... collection andthe interpretation ofthe data and revised the manuscript All authors read and approved the final manuscript Additional material Additional File Description ofthe clinical characteristics ... inflammation as asymptomatic and symptomatic smokers without airway obstruction Current smoking was associated with airway inflammation in patients with COPD and in asymptomatic smokers, whereas ... immunohistochemical staining and quantification ofthe bronchial biopsies, performed the statistical analysis and interpretation ofthe data and drafted and revised the manuscript NtH contributed to the conception...
... benzodiazepines are traditionally poorly tolerated in the older population and are associated with an increased half-life anda higher association of paradoxical reactions, agitation, and disequilibrium ... spasticity, ataxia, heat intolerance, fatigue, pain, and bowel and genitourinary dysfunction As thepatientwith MS ages, morbidities and p hysiological changes associated withthe normal aging ... exacerbations, progression ofthe disease, normal physiological aging anddisease processes associated withthe elderly Initiating proper diagnostic workup and evaluation along with appropriate treatment...
... length ofthe fatty acid on the acyoxyacyl group to be mainly 15, confirming the result ofthe compositional analysis In the minor triacylated lipid A, the fragmentation patterns ofthe parent ion at ... phosphate The latter component may be a byproduct ofthe hydrolysis reaction or a natural contaminant These results indicate that the LPS from B vulgatus mainly contains lipid A carrying four fatty ... spectra, indicating a nonsubstituted Rha The signal of H4 -a was approximately one third the intensity of that of H1 -a or H1-b, indicating its ratio Table NMR data for OPS The spectra were measured...
... infections, we had to exclude fungal disease, septic emboli and granulomatous diseases such as sarcoidosis and tuberculosis Associated adenopathic, pulmonary and mediastinal diseases suspecting sarcoidosis ... erythematosus [19] Reviewing literature for similarities of immune-mediated diseases and LCA we found two cases of LCA in patients with Gaucher’s disease [20,21], a lipid storage disorder characterized ... RI) andthe 75 kDa receptor (TNF RII) [23] Elevated serum levels of these receptors have been demonstrated in a variety of diseases, e.g rheumatic diseases, malignancies and Crohn’s disease, and...
... SI participated in treatment ofthepatientand helped to draft the manuscript MY, TH, DS, HT, YK, MS and MT participated in treatment ofthe patients MO and HO participated in treatment planning ... complications of colorectal cancers that can potentially be fatal, particularly in patients who are immunocompromised because of chemotherapy In the presence of these unclear risk factors, accurate ... reported case highlights the importance ofthe removal ofthe primary tumor in an aymptomatic patient as an attempt to avoid concomitant serious complications Retroperitoneal abscess and NF are rare...
... Assessment ofpatient satisfaction by means ofthe PASS criteria can be approached in a number of ways: satisfaction atthe end ofa study period, time taken to achieve patient satisfaction, or time taken ... PASS during andatthe end ofthe study period and on patient achievement of sustained satisfaction by PASS Materials and methods A pooled analysis of data taken from two international, multicentre, ... Research & Therapy Vol No Dougados et al Figure Patient' s global assessment ofdisease activity (a) Percentage of patients considering their state as satisfactory according to Patient Acceptable activity...