Adult Proximal Humerus Locking Plate for the Treatment of a Pediatric Subtrochanteric Femoral fracture: A Case study Pediatric subtrochanteric femur fractures are rare injuries that lead to a high level of satisfactory outcomes after nonoperative treatment in young children and operative treatment in older children and adolescents.1–8 Only limited data have been published on operative treatment of these injuries with reported healing rates of 100% after intramedullary nailing with elastic or rigid nails, external fixation Case report An 8 year old , otherwise healthy male child presented to emergency with alleged history of fall from a height of 8-9 feet while playing following which sustained trauma to left hip region and patient was not able to walk and weight bear. On examination revealed tenderness in trochanteric
Hurthle Cell Carcinoma Hurthle cell carcinoma is a rare type of thyroid cancer that has a bad prognosis (outlook). Under the microscope, Hurthle cells are cells that look bigger than the usual follicular cells of the thyroid. There are several options of treatment for this type of thyroid malignancy, but it is important that it is recognized and treated early. Part 1: What Is Hurthle Cell Carcinoma? Hurthle cell carcinoma makes up only about three percent of all cancers affecting the thyroid gland.
“A study of nearly 100,000 children found that toddlers known to have an elevated risk of autism were no more likely to be diagnosed with the disorder if they were vaccinated against measles, mumps, and rubella than if they weren’t . . . the diagnosis rate for high-risk children who were vaccinated was the same as for immunized children with no family history of the disorder” (Healy 1). What research has found is that there is a link between autism and “exposure to metabolic abnormalities during a crucial part of fetal brain development” (Healy 1). Researchers have also found a link that the sperm from men who have autistic children have distinct patterns to the way the sperm regulate gene activity (Healy 1). The mother having Type 2 diabetes has also been a repeating factor to children developing autism.
Uses a walker. • Mr. Raj Singh, a 68-year-old admitted with chest pain and scheduled to have a cardiac catheterization done today at noon. He is very anxious and rings the call bell every 15 minutes to ask whether he is going to die and if the cardiac catheterization is really necessary. • Mr. George Rivera, a 38-year-old Mexican male, admitted with high blood sugars and newly diagnosed with diabetes.
There is no recommended staging system for adult brain tumors since most primary brain tumors do not usually spread beyond the central nervous system. Instead a grading system is used. The Grade describes how much the tumor cells look like healthy cells when viewed under a microscope. The lower the grade the better the prognosis. Prognosis is the chance of recovery and the likelihood of controlling the tumor’s growth over a long period of time
Tectal plate gliomas are low-grade, benign neoplastic lesions arising predominately in children. The tumor comprises 10-20% of all brain tumors in the pediatric population. They are of neural crest embryological origin and develop from glial cells in the brainstem. This form of astrocytoma is usually spontaneous, with no known associated environmental or genetics risk factors. However, an association between Neurofibromatosis Type 1 and brain stem gliomas have been found.
Most cases are incidental findings on abdominal imaging of unrelated disorders. Classic findings on plain x-ray include a calcified ring in the left upper quadrant. Part 4: Treatment Options for Splenic Artery Aneurysm The risk of splenic artery aneurysm rupture is relatively small (6%), but when it ruptures, the mortality rate is high (36%).
Some of the tests for diagnosis during pregnancy include ultrasound, amniocentesis, and an AFP (alfa-fetaprotein) test. An ultrasound is a non-invasive test if done abdominally, and oftentimes spina bifida can be seen as a result of the ultrasound. Amniocentesis is an invasive procedure in which a needle is inserted into the amniotic sac and a sample of amniotic fluid is obtained and tested. If the level of AFP is found to be higher than average, this could be an indication of spina bifida.
A 22 year male presented in the orthopedic OPD with complain of pain and swelling in the left heel for 10 months. The pain was insidious in onset, dull aching and aggravated on walking or standing.
MS, as discussed, can be slow or fast progressing. Also, there are other neurological diseases that are symptomatically similar to MS as they also show signs of demyelination. MS is often diagnosed using both clinical and MRI results. The physician would usually first take a family history as genetics also play a role (albeit small) in MS presentation. The physician would move on to complete a physical examination, often looking signs such as lack of balance and coordination, loss of vision, and decreased emotional and language functions.
The picture to the right is a photograph of John Paul Jones, created in the 1930s by the George Washington Bicentennial Commission. Jones died alone on July 18, 1792. Jones was then buried in St. Louis Cemetery, which was sold four years later. A century passed before there was a search party looking for the Jones’ remains.
The wisdom gained from venturing into new words is worth the struggle experienced. What is wisdom? Wisdom is the quality of having experience ,knowledge and good judgement. in jasper jones, each of the characters enters the new world with little knowledge , suspicion and limited experience each of these come to use as they eventually uncover the mysterious death of the town mayor’s daughter ,laura wishard.