ABSTRACT
No disponible
Subject(s)
Humans , Osteoarthritis/drug therapy , Glucosamine/adverse effects , Clinical Trials as Topic , Glucosamine/administration & dosageSubject(s)
Craniofacial Abnormalities/complications , Nasal Obstruction/etiology , Adolescent , Craniofacial Abnormalities/pathology , Ethmoid Bone/abnormalities , Ethmoid Bone/pathology , Female , Humans , Nasal Cavity/abnormalities , Nasal Cavity/pathology , Nasal Obstruction/pathology , Sphenoid Bone/abnormalities , Sphenoid Bone/pathologySubject(s)
Heart Failure/diagnosis , Heart Failure/therapy , Humans , Point-of-Care Systems , Program EvaluationABSTRACT
No disponible
Subject(s)
Adolescent , Female , Humans , Sphenoid Bone , Nasal Obstruction , Craniofacial Abnormalities , Nasal Cavity , Ethmoid BoneABSTRACT
No disponible
Subject(s)
Humans , Point-of-Care Systems , Heart Failure , Program EvaluationABSTRACT
OBJECTIVE: To study primary care lymphedemas. To outline the differential diagnosis and treatment of late idiopathic lymphedemas. DESIGN: Six clinical observations (descriptive). SETTING: Casa del Barco Health Centre. Valladolid. PATIENTS: Six patients who attended for treatment with oedemas in their extremities. MEASUREMENTS AND MAIN RESULTS: Anamnesis and physical investigation provided the provisional diagnosis. Analytic, echographic and radiological tests, along with internal consultation with Vascular Surgery, oriented the diagnostic impression towards idiopathic lymphedemas; and the histology tests oriented towards secondary ones. A lymphogammagraphy was not performed to confirm the diagnosis, as the diagnosis had already been reached by process of exclusion in the first tests. CONCLUSIONS: Lymphoedema is one of the causes of oedema in the extremities. Anamnesis and physical investigation is fundamental to the clinical diagnosis of lymphatic failure. Other complementary tests (analytic, radiological and histological studies, etc.) are necessary in order to reach an aetiological diagnosis and thus a correct treatment. The definitive diagnosis in idiopathic lymphedemas is provided by a lymphogammagraphy, although this is rarely indicated; and in secondary ones by the tests aimed at showing the cause. Conservative therapeutic measures (hygienic, compressive, physiotherapeutic and pharmacological) avoid advance in Late Idiopathic Lymphoedema, with surgical treatment only being needed in a low percentage of cases. The treatment for Secondary Lymphoedema will be the treatment of its cause.
Subject(s)
Lymphedema , Adult , Aged , Diagnosis, Differential , Female , Humans , Lymphedema/diagnosis , Lymphedema/therapy , Male , Middle Aged , Primary Health CareABSTRACT
OBJECTIVE: To carry out a review of hematoma in the abdominal wall: etiology, triggering factors, diagnosis and treatment. To consider differential diagnosis with other causes of acute abdominal pain with palpable mass. DESIGN: Based on two clinical observations. SITE. Iscar Health Centre, Valladolid. PATIENTS: Two patients who presented themselves at Casualty complaining of acute abdominal pain and with palpable abdominal mass (lump). MAIN MEASUREMENTS AND RESULTS: The anamnesis and physical exploration provided the tentative diagnosis, and they were sent to the Hospital centre in question. The analyses, X-rays and abdominal scans were not conclusive and an abdominal laparotomy was carried out which confirmed the diagnosis. CONCLUSIONS: Spontaneous haematoma in the abdominal wall is a cause of acute abdominal pain which is encountered most frequently in women receiving anticoagulant treatment or in situations that increase abdominal muscular tension (coughing, pregnancy, constipation, previous laparotomies and intraabdominal injections). Confirmation of initial diagnosis is obtained, normally, using sonic scanners, or abdominal TAC, but on occasions findings are not conclusive, and are submitted to abdominal laparotomy. The treatment is conservative except with hemodynamic complications.
