The patient’s demographic data, operating time, hemoglobin drop, complications (Clavien-Dindo), and length of hospital stay were prospectively studied. A complete stone-free status or CIRF at 1 month was accepted as the criterion for final clinical success. Results: A total of 17 patients with a median age of 9 years were studied. The stone size ranged from 5.3mm to 24.9mm. The median operative time was 40 minutes.
Data regarding their medical condition, instrument played, length of time off the instrument following surgery and the time taken to return to full normal professional playing were recorded and analyzed. According to the data analysis only 0.8% of subjects were found to have trigger finger, total time off instruments was 2 weeks and total time until full playing was 5 weeks . A cross sectional study conducted by Danit Langer et al, at School of Occupational Therapy, Hadassah and Hebrew University, Jerusalem, Israel in 2016. The study reports that the incidence of trigger finger in general population is 2.6% and 10% in diabetes patients
Half of pemphigus vegetans cases have lesions in the oral cavity months preceding cutaneous lesions. Patients with cutaneous lesions will ultimately develop oral manifestations later. The large plaques on perianal area seen in our patient were typical pattern of sulci, gyri over the flexures seen in pemphigus vegetans. Cerebriform tongue, described as “Premalatha sign”, was found in this patient. In a study of 12 pemphigus
75 subjects were enrolled in this study with a mean age of 67.1. There was almost an even split of males to females (50.7% to 49.3%, respectively). Physician adherence to the pathway was 85.3%. A main point the authors discuss is the physicians that did not follow the clinical pathway described being unsure or uncomfortable when it was advised to discharge the patient. At a 90-day follow up, one patient had suffered a stroke and three patients
Ophthalmology consultation was taken and it was cured in a week time by bandaging of eye. 3-4 mm septal perforation was seen in one patient. 6.66% patients showed synechiae formation which were later on excised under local anaesthesia. Some kind of residual deformity was seen in one-fourth patients, the most common of which was dorsum deviation in 20% patients, broad dorsum in 10% patients, residual hump and residual saddling in one patient each. Newer cosmetic complaints were recorded in 16.66% of patients.
Acute diaphragmatic hernia following trauma is rare, despite high prevalence of trauma. Up to 5% of trauma patients may suffer traumatic diaphragmatic injury [1,2]. Spontaneous acquired diaphragmatic hernia without any apparent history of trauma is even more rare presentation . Early recognition of spontaneous acquired diaphragmatic hernia is of utmost importance because delay in the diagnosis may result in an increased morbidity and mortality. In this report, we present a patient who was admitted to emergency department with abdominal pain, nausea and constipation for 5days and was diagnosed with spontaneous non-traumatic diaphragmatic
The cuff-leak test for as a predictor for extubation: Fisher and Raper(11) (1992) tested the leak among 62 patients with upper airway obstruction. They were able to extubate all patients with a cuff leak. Two patients extubated without cuff leak required reintubation and in five patients who repeatedly failed the test, tracheostomy was performed. Subsequently, they extubated 10 patients who were stable on spontaneous ventilation and did not have cuff leak; three later required tracheostomy and seven were uneventfully extubated. So they concluded that while the presence of cuff leak demonstrates that extubation is likely to be successful, a failed cuff-leak test does not preclude uneventful extubation and if used as a criterion for extubation may lead to
The initial clinical success rate was 82% and decreased slightly to 78% during long-term follow-up. The size of ventricles showed a reduction in 51 cases (93%) (Figure 1). Four patients developed fever and meningeal irritation signs and symptoms after 3 days from ETV, the external ventricular drain was inserted and antibiotics started for one week. The patient improved, drain removed, patients maintained on antibiotics for another week with no
In the last 7 years, they have treated 20 patients with a previously undescribed "keeled" acromion. The keel refers to a central, longitudinal, downward sloping spur on the acromial undersurface. Patients with a keeled acromion are at significant risk of bursal-sided as well as full-thickness rotator cuff tears. All patients in this series had significant bursal-sided tears, and 12 of 20 patients (60%) had full-thickness rotator cuff tears associated with an acromial "keel." In addition, patients with a keeled acromion are younger (average age, 52.7 years) than would be expected for patients with rotator cuff disease.
All the patients who were screened for the study were 70 years or older. The methods used for diagnosis of heart failure involved individuals who exhibited typical signs of heart failure and were responsive to diuress. Radiography for pulmonary congestion was also used. Additionally, patients with heart failure who had either prior history, or congestive heart failure as a result of uncontrolled hypertension or myocardial infraction, or had been readmitted more than four times in the past were eligible. Patients who were excluded from the study were those who refused to participate, resided outside the study area, had short anticipated survival periods, planned to stay at long term care facilities or suffered from serious psychiatric conditions.
Duchenne muscular dystrophy is a form of muscular dystrophy that only affects boys. Cardiomyopathy is present in around twenty-five percent of patients at age 6, and increasing as age goes up to fifty-nine percent at age 10. At eighteen years of age over ninety percent of patients have Cardiomyopathy. There is no known cure available at this time; but there are treatments that include steroid administration, and assisted ventilation. The absent dystrophin in Duchenne muscular dystrophy is due to a frame shift in the gene.