ABSTRACT
O termo fundus flavimaculatus (doença de Stargardt) descreve um grupo de distrofias maculares hereditárias caracterizadas por múltiplos "flecks" amarelados em nível do epitélio pigmentar da retina. Os autores descrevem os achados de tomografia de coerência óptica (OCT) em paciente portador de doença de Stargardt e sugerem que a OCT tem validade como exame subsidiário no estudo das características da retina de pacientes portadores da doença de Stargardt, embora estudos envolvendo maior número de pacientes sejam indicados para permitir traçar-se o perfil das alterações mais comuns nestes casos.
The term fundus flavimaculatus (Stargardt disease) describes a group of inherited macular dystrophies characterized by multiple yellow to yellow-white flecks at the level of the retinal pigment epithelium. The authors describe findings in the patient with Stargardt's disease using optical coherence tomography (OCT), and suggest the examination to be valid as subsidiary method in the study of the characteristics of the retina in Stargardt's disease patients, but studies involving a series of patients should be able to show the most frequent findings in these cases.
Subject(s)
Humans , Male , Middle Aged , Retinal Degeneration/diagnosis , Tomography, Optical Coherence , Reproducibility of ResultsABSTRACT
Objectives: Primary headaches are often seen by Clinicians on duty at Emergency Services. We have investigated the treatment of such patients by 43 medical doctors who have been working at Emergency Services in the city of Santos and surrounding towns for many years. Results: We confirmed the high prevalence of primary headaches in Emergency Services. There seem to be diagnosis difficulties concerning differentiating attacks of migraine and tension type headache. We also observed that IV dipirone was the most frequently prescribed traetment for patients with primary headaches in this study. There is no protocol in the literature which recommends IV dipirone for the treatment of migraine attacks or the primary headaches. Conclusion: It would be advisable to perform controlled double blind studies in order to verify the advantagens of IV dipirone in the treatment of intense attacks primary headaches. We concluded that headache management recycling programs could be of interest for doctors who regularly work at Emergency Services.