ABSTRACT
The progression from the early pre-pulseless to the pulseless state in an unusual case of Takayasu's arteritis is presented. Several uncommon associated features are also described. The importance of the findings is briefly discussed.
Subject(s)
Aortic Arch Syndromes , Takayasu Arteritis , Adolescent , Aortic Arch Syndromes/complications , Female , Humans , Prednisone/therapeutic use , Takayasu Arteritis/complications , Takayasu Arteritis/drug therapyABSTRACT
Tension is often responsible for the symptoms with which the patient presents to the doctor. By taking into account the age, sex, social standing and marital status of the patient, the doctor should have some idea of what the underlying causes might be.
Subject(s)
Anxiety Disorders/diagnosis , Disease , Psychophysiologic Disorders/diagnosis , Stress, Psychological , Adult , Aged , Aging , Female , Humans , Male , Medical History Taking , Middle Aged , Patient Acceptance of Health Care , Physician-Patient RelationsABSTRACT
It would seem that a gastric ulcer is the product of an interaction between chronic gastritis, the acid (and pepsin) of the gastric juice, and one or more precipitating factors. In a group of 194 consecutive patients with gastric ulceration particular note was made of whether they smoked, drank alcohol, used salicylates, were depressed or had experienced recent stress. There was an extraordinarily high incidence of depression among White women.
Subject(s)
Alcohol Drinking , Aspirin/adverse effects , Depression/complications , Smoking/complications , Stomach Ulcer/etiology , Stress, Psychological , Adolescent , Adult , Aged , Chronic Disease , Ethnicity , Female , Gastritis/complications , Humans , Male , Middle Aged , Prospective Studies , South AfricaABSTRACT
Man is not just a number, but a unique blend of body, personality and social being. Everyone will become ill at some stage of his or her life, because nobody enjoys perfect health. To understand fully the nature of this illness, the doctor should be aware of (1) stress, and the ways in which a human being can respond to it; (ii) the concepts of incompetence and psychosocial life crises; (iii) the postulates of Halliday; and (iv) the importance of good communication with the patient.