ABSTRACT
Video endoscopy is an important modality for the diagnosis and treatment of various gastrointestinal diseases. Most endoscopic procedures are performed as outpatient basis, sometimes requiring sedation and deeper levels of anesthesia. Moreover, advances in endoscopic techniques have allowed invasion into the third space and the performance of technically difficult procedures that require the utmost precision. Hence, formulating strategies for the discharge of patients requiring endoscopy is clinically and legally challenging. In this review, we have discussed the various criteria and scores for the discharge of patients who have undergone endoscopic procedures with and without anesthesia.
ABSTRACT
Primary eosinophilic gastroenteritis is a rare inflammatory disorder of gastrointestinal tract characterized by symptoms like abdominal pain, diarrhea, vomiting, weight loss, and eosinophilic infiltration of the intestinal wall with or without peripheral eosinophilia. We found four cases with different causes of eosinophilic enteritis with varying manifestations ranging from chronic diarrhea with malabsorption, dysphagia, and gastric outlet obstruction due to mass-like lesions.
Subject(s)
Enteritis , Eosinophilia , Gastritis , Abdominal Pain/etiology , Adolescent , Adult , Deglutition Disorders/etiology , Diarrhea/etiology , Enteritis/diagnosis , Enteritis/drug therapy , Enteritis/etiology , Enteritis/pathology , Eosinophilia/diagnosis , Eosinophilia/drug therapy , Eosinophilia/etiology , Eosinophilia/pathology , Eosinophils/pathology , Female , Gastric Outlet Obstruction/etiology , Gastritis/diagnosis , Gastritis/drug therapy , Gastritis/etiology , Gastritis/pathology , Humans , India , Inflammation , Malabsorption Syndromes/etiology , Male , Middle Aged , Prednisolone/administration & dosage , Treatment Outcome , Vomiting/etiology , Weight LossABSTRACT
INTRODUCTION: We present a case of chorea presenting as a clinical manifestation of hyperglycaemia.The purpose of presenting this case is to highlight the fact that movement disorder may be the clinical presentation of hyperglycaemia and it reverts on treatment of hyperglycaemia. CASE PRESENTATION: A 66-year-old female known case of type 2 diabetes mellitus and on oral hypoglycaemic drugs presented with abnormal and involuntary movements of the whole body and face since 7 days and high plasma glucose (446 mg/dl) and without ketosis. On controlling the blood sugar, there has been significant decrease in choreiform movements within 48 hrs and complete resolution of involuntary movements found at discharge at 1 week. CONCLUSION: Movement disorder like chorea may be the clinical presentation of the hyperglycaemia which could completely recover on rapid detection and correction of hyperglycaemia.
