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Syndrome
Kinds of Syndrome Terms modified by Syndrome Selected AbstractsENDOSCOPIC REMOVAL OF AN ENTEROLITH CAUSING AFFERENT LOOP SYNDROME USING ELECTROHYDRAULIC LITHOTRIPSYDIGESTIVE ENDOSCOPY, Issue 3 2010Hwa Jong Kim Electrohydraulic lithotripsy is a very useful method for fragmenting biliary stones and it can be used for endoscopic removal of difficult biliary stones. Acute afferent loop syndrome induced by enterolith is very rare, and surgical treatment is the usual choice for this condition. We describe a patient with acute afferent loop syndrome, which was induced by an enterolith after a Billroth II gastrectomy. We used electrohydraulic lithotripsy to endoscopically remove the enterolith. [source] BLUE RUBBER BLEB NEVUS SYNDROME: TREATMENT OF MULTIPLE GASTROINTESTINAL HEMANGIOMAS WITH ARGON PLASMA COAGULATORDIGESTIVE ENDOSCOPY, Issue 1 2009Enders K.W. Ng Blue rubber bleb nevus syndrome is a rare clinical entity characterized by the formation of multiple blue or purplish rubbery cavernous hemangiomas on the skin and other epithelial surfaces. Involvement of the gastrointestinal tract is common and often presents with crippling anemia as a result of chronic occult blood loss. While surgical extirpation is an option for symptomatic hemangiomas in the intestine, endoscopic therapy is more appealing for lesions found in the stomach and colon. Here we report the successful use of argon plasma coagulation in the management of an adult with multiple hemangiomas in her colon and terminal ileum. [source] PEUTZ-JEGHERS SYNDROME ASSOCIATED WITH RENAL AND GASTRIC CANCER THAT DEMONSTRATED AN STK11 MISSENSE MUTATIONDIGESTIVE ENDOSCOPY, Issue 4 2006Hiromi Kataoka A 75-year-old male was admitted to the gastroenterology unit of Nagoya City University Hospital due to epigastralgia after surgical treatment for right renal cancer. Endoscopy revealed advanced type 1 gastric cancer in the corpus of the stomach and multiple polypoid lesions in the stomach and duodenum. X-ray examination of the small intestine using barium showed multiple polyps in the upper jejunum. Faint pigmentation on the palm was also detected. Peutz-Jeghers syndrome (PJS) was diagnosed, despite a lack of family history. Total gastrectomy, resection of part of the upper jejunum and intraoperative endoscopic polypectomy of duodenal polyps was performed. This is the second reported case of PJS associated with renal cancer. We also detected a missense mutation in the tumor suppressor gene STK11 that, when mutated, is causative for PJS. [source] FETAL ALCOHOL SYNDROME: SAME OLD, SAME OLDADDICTION, Issue 8 2009ERNEST L. ABEL No abstract is available for this article. [source] THE ALCOHOL DEPENDENCE SYNDROME, 30 YEARS LATER,A RESPONSE TO THE COMMENTARIESADDICTION, Issue 10 2007TING-KAI LI No abstract is available for this article. [source] COMMENTARY ON KELLY AND JOHNSTON'S "THE ALIENATED CHILD: A REFORMULATION OF PARENTAL ALIENATION SYNDROME"FAMILY COURT REVIEW, Issue 4 2004Richard A. Gardner In a previous issue of this journal, Joan B. Kelly and Janet R. Johnston describe their reformulation of the parental alienation syndrome (PAS). Here, I present areas in which I agree with the authors and areas in which I disagree. Particular focus is placed on these PAS-related issues: the syndrome question, PAS versus parental alienation, the medical model, custodial transfer, gender bias, DSM-IV. empirical studies, and the misapplication of PAS. [source] GASTRIC CANCER PRESENTING WITH PLUMMER-VINSON SYNDROMEJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 5 2009Seyfettin Köklü MD No abstract is available for this article. [source] COGNITIVE SYNDROME OF THE THALAMUS: A MISLEADING DIFFERENTIAL DIAGNOSIS OF ALZHEIMER'S DISEASEJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 10 2008Emilie Beaufils MD No abstract is available for this article. [source] METABOLIC SYNDROME AND PHYSICAL ACTIVITY IN SOUTHERN BRAZILIAN COMMUNITY-DWELLING ELDERLY PEOPLEJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 7 2008Roberta R. Dalacorte MD No abstract is available for this article. [source] CASE OF HELLP SYNDROME WITH AN UNUSUAL PRESENTATIONJOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 8 2004Yusuf Yazgan [source] SUDDEN INFANT DEATH SYNDROME IN TWO INFANTS FROM FAMILIES OF LOW SOCIOECONOMIC STATUSJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 12 2005D Tey Dr No abstract is available for this article. [source] ROSS SYNDROME: CLINICAL AND LABORATORY EVALUATION OF TWO CASESJOURNAL OF THE PERIPHERAL NERVOUS SYSTEM, Issue 1 2000G. De Joanna We describe two males, aged 41 and 55, come to our observation complaining of heat intolerance, abnormal increase in body temperature with minimal exercising, reduced sweating and, generalized fatigability; one of them had distal paresthesias. Neurologic evaluation showed bilateral Adie's tonic pupil and an absence of deep-tendon jerks. A diagnosis of Ross' Syndrome was advanced. Autonomic tests, nerve conduction study, H-reflex, computerized termoregulatory and pain thresholds, laser CO2 cortical evoked potentials, and skin biopsy were performed. One of them performed a histamine test and hand photopletismography resulted positive for sympathetic impairment, and pilocarpine pupil test that showed a parasympathetic denervation hypersensitivity. The following tests gave the same results in both patients: parasympathetic and most sympathetic tests were normal. Sympathetic skin response was absent and Minor test showed an almost complete absence of sweating. Sweating was possible only in two or three small areas. Positive pilocarpine test suggested a postganglionic involvement of sympathetic nervous system. Sensitive and motor nerve conduction velocities were normal, while H-reflex was not detectable. Termoregulatory and pain thresholds were abnormal. Laser CO2 cortical evoked potentials showed the absence of C fibre potentials, whereas A-, fibres response was abnormal in one of them. Hairy skin biopsy showed a definite reduction of sweat glands and of small vessel innervation; glabrous skin biopsy performed in one of them showed a reduced number of Meissner corpuscles. These findings suggest that in Ross' Syndrome the degenerative process can involve, besides the autonomic fibres, myelinated somatosensory fibres also. [source] ELECTRONEUROGRAPHY IN GUILLAIN-BARRE, SYNDROME (GBS): SENSITIVITY AND SPECIFICITYJOURNAL OF THE PERIPHERAL NERVOUS SYSTEM, Issue 1 2000G. Iuliano We assessed clinical sensitivity and specificity of different electroneurographic (ENG) parameters versus clinical diagnosis of GBS. Clinical data of 24 patients affected by upper and lower limb neuropathy were revised. In all the patients the neurophysiologic examination was performed according to the AAEM guidelines for GBS diagnosis. Fourteen patients (10 males, mean age 47.9, range 13-70, and 4 females 71.5, 69,76) received a diagnosis of GBS. The non-GBS group included nine males (59.11, 35,78) and one female (41 years) with different neuropathies (3 diabetic, 2 alcoholic, 5 unknown ethiology). Sensitivity and specificity of various neurophysiologic parameters were calculated. The single classical neurophysiological paremeters gave variable values of sensitivity and specificity. The new variables we introduced, Polineuropathy (diffusion of abnormal findings and F - Wave latency) and Demyelination (distal motor evoked potential amplitude and/or motor conduction blocks) gave the highest value of sensitivity and specificity, when associated. [source] ATYPICAL REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY SYNDROME IN A CHRONIC HAEMODIALYSIS PATIENT WITH SEVERE HYPERTENSIONNEPHROLOGY, Issue 6 2008JONGHA PARK [source] ACUTE NEPHRITIC SYNDROME AND POLYMYALGIA RHEUMATICA: COINCIDENTAL OR ASSOCIATED?NEPHROLOGY, Issue 6 2007TOSHIRO SUGIMOTO [source] DO PLASMA NON-ESTERIFIED FATTY ACIDS AND INSULIN RESISTANCE CONTRIBUTE TO IMPAIRED ENDOTHELIAL FUNCTION IN NEPHROTIC SYNDROME?NEPHROLOGY, Issue 1 2002G. Dogra [source] MICROCEPHALY,LYMPHOEDEMA,CHORIORETINAL,DYSPLASIA SYNDROME WITH ATRIAL SEPTAL DEFECTPEDIATRIC DERMATOLOGY, Issue 4 2005R. M. STRAUSS No abstract is available for this article. [source] FURTHER ASPECTS OF VAN DER WOUDE SYNDROME (CONGENITAL LOWER LIP PITS)PEDIATRIC DERMATOLOGY, Issue 1 2004Matthias Möhrenschlager M.D.. No abstract is available for this article. [source] ABDOMINAL COMPARTMENT SYNDROME AFTER RUPTURED ABDOMINAL AORTIC ANEURYSMANZ JOURNAL OF SURGERY, Issue 8 2008John Y. S. Choi Abdominal Compartment Syndrome (ACS) is an increasingly recognized syndrome of intra-abdominal hypertension and generalized physiological dysfunction in critically ill patients. Patients suffering a ruptured abdominal aortic aneurysm (rAAA) are at risk of developing ACS. The objective of the study was to compare the current views on the importance, prevalence and management of ACS after rAAA among Australian vascular surgeons and intensivists. A questionnaire was mailed to 116 registered vascular fellows from the Royal Australasian College of Surgeons and 314 registered fellows of the Joint Faculty of Intensive Care Medicine. Data were collected on the prevalence and importance of ACS after rAAA and whether prophylactic measures were or should be taken to prevent ACS. Hypothetical clinical scenarios representing a range of ACS after rAAA were also presented. The responses were compared using ,2 -test and t -test. Sixty-seven per cent (78 of 116) of surgeons and 39% (122 of 314) of intensivists responded. Both groups estimated the prevalence of ACS after rAAA as between 10 and 30% and considered it an important entity. Only 30% of surgeons and 50% of intensivists suggested routine intra-abdominal pressure (IAP) monitoring. In patients with borderline IAP (18 mmHg), both groups believed that surgical intervention was unnecessary. Intensivists were more inclined to suggest surgical intervention for clinically deteriorating patients with an increased IAP (30 mmHg) compared with surgeons. Forty-three per cent of intensivists and 17% of surgeons suggested prophylactic (leaving the abdomen open) measures to prevent ACS in high-risk patients. Surgeons and intensivists have similar views on the prevalence and clinical importance of ACS after rAAA. Intensivists more frequently monitored IAP and suggested both early prophylactic and therapeutic intervention for ACS based on physiological and IAP findings. [source] PABLO LUIS MIRIZZI: THE MAN BEHIND THE SYNDROMEANZ JOURNAL OF SURGERY, Issue 12 2007Lisa N. Leopardi Pablo Luis Mirizzi (1893,1964), who was born and died in the city of Cordoba in Argentina, dedicated his life to the service of surgery and the teaching of his students. Although known for the introduction of the intraoperative cholangiogram and for describing the Mirizzi syndrome , a partial obstruction of the common hepatic duct secondary to an impacted gallstone in the cystic duct, very little else is known about this man behind the brilliant surgical pioneer of the twentieth century. This biography looks beyond his important contributions to medicine, to the many facets of the man himself. [source] ACUTE COMPARTMENT SYNDROME: ,TO CUT OR NOT TO CUT'.ANZ JOURNAL OF SURGERY, Issue 9 2007THAT IS THE QUESTION No abstract is available for this article. [source] SURVEY OF MANAGEMENT OF ACUTE, TRAUMATIC COMPARTMENT SYNDROME OF THE LEG IN AUSTRALIAANZ JOURNAL OF SURGERY, Issue 9 2007Christopher J. Wall Background: Acute compartment syndrome is a serious and not uncommon complication of limb trauma. The condition is a surgical emergency and is associated with significant morbidity if not diagnosed promptly and treated effectively. Despite the urgency of effective management to minimize the risk of adverse outcomes, there is currently little consensus in the published reports as to what constitutes best practice in the management of acute limb compartment syndrome. Methods: A structured survey was sent to all currently practising orthopaedic surgeons and accredited orthopaedic registrars in Australia to assess their current practice in the management of acute, traumatic compartment syndrome of the leg. Questions were related to key decision nodes in the management process, as identified in a literature review. These included identification of patients at high risk, diagnosis of the condition in alert and unconscious patients, optimal timeframe and technique for carrying out a fasciotomy and management of fasciotomy wounds. Results: A total of 264 valid responses were received, a response rate of 29% of all eligible respondents. The results indicated considerable variation in management of acute compartment syndrome of the leg, in particular in the utilization of compartment pressure measurement and the appropriate pressure threshold for fasciotomy. Of the 78% of respondents who regularly measured compartment pressure, 33% used an absolute pressure threshold, 28% used a differential pressure threshold and 39% took both into consideration. Conclusions: There is variation in the management of acute, traumatic compartment syndrome of the leg in Australia. The development of evidence-based clinical practice guidelines may be beneficial. [source] POPULATION-BASED SCREENING FOR HEREDITARY NON-POLYPOSIS COLORECTAL CANCER (LYNCH SYNDROME): THE WESTERN AUSTRALIAN APPROACHANZ JOURNAL OF SURGERY, Issue 4 2007Barry Iacopetta PhD No abstract is available for this article. [source] CAROLI'S SYNDROME AND ADULT POLYCYSTIC KIDNEY DISEASEANZ JOURNAL OF SURGERY, Issue 4 2007Susan Shedda Caroli's disease is a cystic disease of the liver, which has been rarely associated with adult onset polycystic kidney disease. Three cases have been reported in the English Medline search. The presentation of this fourth case discusses the issues surrounding the treatment of Caroli's disease in the setting of a renal transplant. [source] POST CAESAREAN VESICOUTERINE FISTULAE , YOUSSEF SYNDROME: OUR EXPERIENCE AND REVIEW OF PUBLISHED WORKANZ JOURNAL OF SURGERY, Issue 4 2006M. Prasad Rao Objective: To analyse the incidence, symptomatology, diagnosis and therapeutic aspects of Youssef syndrome (post caesarean vesicouterine fistula), and to review relevant published work. Methods: A retrospective study from the urosurgical unit of a tertiary care referral hospital was carried out. In a retrospective analysis of urogenital fistulae over 10 years, we identified 14 patients with uterovesical fistulae, resulting from caesarean section. All the patients were evaluated by history, physical examination, radiological tests and cystoscopy. All patients underwent transperitoneal repair of these fistulae with omental interposition. Results of surgery were evaluated by absence of cyclic haematuria, stoppage of urinary incontinence, and achievement of fertility. Results: A total of 12 patients who had minimum follow up was included in the present study. The results showed that 50% of the fistulae resulted from emergency caesarean operation with 58% of patients presenting after their second caesarean section. The mean age of the patients was 19 years (range 15,29) and mean duration of symptoms was 7 months (range 3,16). Menouria and amenorrhoea were predominant presenting symptoms. The results of surgical treatment were excellent with good continence and resolution of the cyclic haematuria. Three pregnancies (37.5%) which resulted in elective caesarean section were recorded. Conclusion: Vesicouterine fistulae, despite being infrequent, are no longer a rare diagnosis and are most commonly secondary to lower segment caesarean section. With patient history and selected investigations diagnosis is relatively easy. The surgical repair of these fistulae is standard treatment, especially with delayed fistulae with achievement of total continence, and complete resolution of cyclic haematuria. Meticulous practice of obstetric and surgical principles during caesarean section can prevent the formation of these fistulae. [source] POST-ABORTION SYNDROME: CREATING AN AFFLICTIONBIOETHICS, Issue 9 2010E.M. DADLEZ ABSTRACT The contention that abortion harms women constitutes a new strategy employed by the pro-life movement to supplement arguments about fetal rights. David C. Reardon is a prominent promoter of this strategy. Post-abortion syndrome purports to establish that abortion psychologically harms women and, indeed, can harm persons associated with women who have abortions. Thus, harms that abortion is alleged to produce are multiplied. Claims of repression are employed to complicate efforts to disprove the existence of psychological harm and causal antecedents of trauma are only selectively investigated. We argue that there is no such thing as post-abortion syndrome and that the psychological harms Reardon and others claim abortion inflicts on women can usually be ascribed to different causes. We question the evidence accumulated by Reardon and his analysis of data accumulated by others. Most importantly, we question whether the conclusions Reardon has drawn follow from the evidence he cites. [source] COMPARTMENT SYNDROME IN UROLOGICAL PRACTICEBJU INTERNATIONAL, Issue 5 2009Sarvpreet S. Ubee No abstract is available for this article. [source] THE UROLOGICAL MANAGEMENT OF THE PATIENT WITH ACQUIRED IMMUNODEFICIENCY SYNDROMEBJU INTERNATIONAL, Issue 3 2006KHURSHID R. GHANI No abstract is available for this article. [source] UNRAVELLING THE PATHOPHYSIOLOGY OF COMPLEX REGIONAL PAIN SYNDROME: FOCUS ON SYMPATHETICALLY MAINTAINED PAINCLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 7 2008Gael F Gibbs SUMMARY 1In diseases such as complex regional pain syndrome (CRPS), where neuropathic pain is the primary concern, traditional pain classifications and lesion descriptors are of limited value. To obtain better treatment outcomes for patients, the underlying pathophysiological mechanisms of neuropathic pain need to be elucidated and analysed so that therapeutic targets can be identified and specific treatments developed. 2In the present review, we examine the current literature on sympathetically maintained pain (SMP), a subset of neuropathic pain, within the context of CRPS. Evidence from both human and animal studies is presented and discussed in terms of its support for the existence of SMP and the mechanistic information it provides. 3We discuss three current hypotheses that propose both a site and method for sympathetic,sensory coupling: (i) direct coupling between sympathetic and sensory neurons in the dorsal root ganglion; (ii) chemical coupling between sympathetic and nociceptive neuron terminals in skin; and (iii) the development of a-adrenoceptor-mediated supersensitivity in nociceptive fibres in skin in association with the release of inflammatory mediators. 4Finally, we propose a new hypothesis that integrates the mechanisms of chemical coupling and a-adrenoceptor-mediated supersensitivity. This hypothesis is based on previously unpublished data from our laboratory showing that a histological substrate suitable for sympathetic,sensory coupling exists in normal subjects. In the diseased state, the nociceptive fibres implicated in this substrate may be activated by both endogenous and exogenous noradrenaline. The mediating a-adrenoceptors may be expressed on the nociceptive fibres or on closely associated support cells. [source] INCREASED SYSTEMIC OXIDATIVE AND NITRATIVE STRESS IN A NEW CONGENIC MODEL OF METABOLIC SYNDROME DERIVED FROM STROKE-PRONE SPONTANEOUSLY HYPERTENSIVE RATS AND ZUCKER FATTY RATSCLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 2007Yu Yamaguchi SUMMARY 1Oxidative stress has been recognized as an important factor in the biology of lifestyle-related diseases. Systemic oxidative stress may increase in metabolic syndrome characterized by a cluster of metabolic risk factors. To confirm this hypothesis, we investigated systemic oxidative/nitrative stress in a new congenic model of metabolic syndrome, namely SHRSP/ZF rats, which are derived from stroke-prone spontaneously hypertensive (SHRSP) and Zucker fatty (Zucker) rats. 2The SHRSP/ZF rats display obesity, hypertension, hyperlipidaemia, hyperglycaemia and glucose intolerance. At 6 weeks of age, SHRSP/ZF rats already showed increases in serum levels of thiobarbituric acid-reactive substances (TBARS) and oxidatively modified low-density lipoprotein (Ox-LDL) compared with lean SHRSP littermates and Zucker rats, whereas serum levels of 8-hydroxy-2,-deoxyguanine (8-OHdG), 3-nitrotyrosine, 3-chlorotyrosine and high-sensitivity C-reactive protein (hsCRP), an inflammatory marker, did not differ significantly among the three rat strains. However, levels of these oxidative/nirative stress markers in SHRSP/ZF rats, as well as in SHRSP, increased gradually with age. After 36 weeks of age, the levels of TBARS, 8-OHdG, 3-nitrotyrosine and hsCRP in SHRSP/ZF rats increased rapidly and three of six rats died thereafter. Increased oxidative/nitrative stress may be associated with death in these rats. 3Our findings indicate that systemic oxidative/nitrative stress is evidently increased in metabolic syndrome. [source] |