Subject(s)
Music Therapy , Synovial Cyst/surgery , Humans , Minnesota , Relaxation Therapy , Synovial Cyst/psychology , Wrist/surgeryABSTRACT
This study investigates the concerns of 50 patients with ganglia and their reasons for primary care consultation and referral to a hand unit. Although a minority of patients sought advice and treatment because of pain, more (38%) were concerned about the cosmetic appearance and a significant number (28%) were concerned that their ganglion was a malignant growth. The general practitioners referred 70% of patients to the hand clinic for "excision of the ganglion" and 30% for further "advice and treatment". However, 74% of patients were satisfied with aspiration of the ganglion and general advice.
Subject(s)
Attitude to Health , Fingers , Patient Acceptance of Health Care , Synovial Cyst/psychology , Wrist , Adolescent , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
Both reflex sympathetic dystrophy (RSD) and conversion disorder are difficult to diagnose and treat. The following article depicts a situation in which diagnosis presents a particular challenge and suggests ways of applying both medicine and psychology in the treatment of this complex problem.
Subject(s)
Conversion Disorder/psychology , Reflex Sympathetic Dystrophy/psychology , Accidents, Occupational/psychology , Adult , Conversion Disorder/diagnosis , Diagnosis, Differential , Female , Humans , Patient Care Team , Reflex Sympathetic Dystrophy/diagnosis , Synovial Cyst/psychology , Wrist Injuries/psychologyABSTRACT
Psychogenic seizures can mimic epileptic conditions and are often difficult to diagnose. The present study reviews one such unusual occurrence in a patient having a complex psychiatric history who required surgery for the removal of a ganglionic cyst in her foot. The differential diagnosis and treatment of psychogenic seizures is discussed.
