Presentation
This patient had no access to formal healthcare and presented with a now rare and “forgotten” clinical entity. [shmabstracts.com]
Fibrinous pericarditis was present, with a definite membrane of fibrin present over most of the heart. When peeled away this left slightly congested surfaces. The heart weighed 400 gm. [dokumen.tips]
Tables Baseline characteristics of the 52 patients Values are presented as mean±standard deviation or number (%). [synapse.koreamed.org]
This is a case presentation of 27 year male with past medical history of unspecified congenital heart disease, presented with worsening shortness of breath, pleuritic chest pain, cough and hemoptysis for five days duration. [imedpub.com]
Entire Body System
- Falling
What do get when you fall in love? 사랑에 빠졌을때 당신은 무엇을 얻습니까? A guy with pin to burst your bubble 핀으로당신의 꿈을 터트릴 그런 사람인가요? That's what you get for your troble 괴로움끝에 남는것이 바로 그것입니다. I'll never fall in love again 나는 결코 다시는 사랑에 빠지지 않을겁니다. [dic.impact.pe.kr]
Hospitalists will admit pneumonia cases easily, even if the patient falls off CURB-65. C onfusion: If someone has an altered mental status with pneumonia, I’m never sending them home. That just doesn’t make any sense. [emergency-medicine-institute.com]
The diagnosis is suggested by Thrombocytopenia and anemia Fragmented RBCs on the blood smear indicative of microangiopathic hemolysis (schistocytes: helmet cells, triangular RBCs, distorted-appearing RBCs) Evidence of hemolysis (falling hemoglobin level [msdmanuals.com]
Eur Heart J 2010;31:2915-2957 Becker C Rapp K; Fall prevention in nursing homes. [ikp-stuttgart.de]
Blood transfusions are only used for the most severe cases of anemia in which the hemoglobin falls below 6 or 7 g/dL (depending on age, the normal value is 11-16). [medicinenet.com]
- Weight Loss
It was also reported that among these clinical parameters, a decline in serum creatinine is suggested to be a stronger predictor of fatality than weight loss in MHD patients [ 12 ]. [intechopen.com]
Hiccups that persist over a period of time may cause exhaustion and weight loss from lack of sleep and the interruption of normal eating patterns. [rarediseases.org]
Common symptoms include dyspnea and cough with less common symptoms being weight loss, fever/chills, malaise, chest tightness and wheezing 14. Clinical examination may demonstrate mid-inspiratory squeaks and finger clubbing. [radiopaedia.org]
loss and constitutional symptoms, hemoptysis, apical CXR infiltrate Avoid respiratory floroquinolones in pts suspected of TB pneumonia as it may partially treat TB and make the Dx more difficult during their hospital stay Blood cultures are recommended [emergencymedicinecases.com]
[…] or gain of body fat and other changes in fat distribution (see below), muscle cramp, muscle pain, kidney malfunction, flu like symptoms, general feelings of illness, fever and weight loss en Additional common side effects in children (seen in between [glosbe.com]
- Chills
Common symptoms include a productive cough, fever, chills and shortness of breath. (27 Sep 1997) radiation pneumonitis Injurious effects of radiotherapy on the lungs. [kmle.co.kr]
Pneumonia may have signs and symptoms of fever, shaking chills, cough producing colored sputum and pleuritic pain. [emedicinehealth.com]
The occurrence of fever, chills, productive cough, pleuritic pain, and shortness of breath should prompt suspicion for an infectious respiratory process. [renalandurologynews.com]
Common symptoms include dyspnea and cough with less common symptoms being weight loss, fever/chills, malaise, chest tightness and wheezing 14. Clinical examination may demonstrate mid-inspiratory squeaks and finger clubbing. [radiopaedia.org]
He denied any fever, chills, wheezing, or bleeding from any other sites. Review of systems revealed decrease urination, swelling of both lower extremities, loss of appetite and generalized fatigue. [imedpub.com]
- Malaise
Constitutional symptoms (malaise, lethargy etc.) These are due to inflammatory mediators released during the infection.These symptoms are more marked in Chlamydia pneumoniae infections. Constitutional symptoms (malaise, lethargy etc.) [medicaljoyworks.com]
4Department of Surgery, New Taipei City Hospital, New Taipei, Taiwan Correspondence to Dr Sheng-Hsiang Lin, linsh01{at}gmail.com Statistics from Altmetric.com Description A 70-year-old man, a case of diabetes mellitus with nephropathy, presented with malaise [casereports.bmj.com]
Common symptoms include dyspnea and cough with less common symptoms being weight loss, fever/chills, malaise, chest tightness and wheezing 14. Clinical examination may demonstrate mid-inspiratory squeaks and finger clubbing. [radiopaedia.org]
[…] red blood cell counts), nausea (feeling sick) or vomiting, stomatitis (inflammation of the lining of the mouth) or mucositis (inflammation of the mouth and throat), diarrhoea, alopecia (hair loss), skin effects such as rash and dry skin, and fatigue, malaise [glosbe.com]
Most frequently, those with pneumonitis experience shortness of breath, and sometimes a dry cough.[8] Symptoms usually appear a few hours after exposure and peak at approximately eighteen to twenty-four hours.[7] Other symptoms may include: Malaise[7] [en.wikipedia.org]
- Rigor
The study by Liu et al. should challenge nephrologists to test rigorously one of our only proven treatments for AKI. [cjasn.asnjournals.org]
Common symptoms and signs include cough, fever, chills, fatigue, dyspnea, rigors, sputum production, and pleuritic chest pain. [msdmanuals.com]
Clinical characteristics The most common symptoms are fever, nonproductive or productive cough, pleuritic chest pain, dyspnea, chills, and rigors. [cancertherapyadvisor.com]
Other measures: daily evaluation for extubation and avoidance of reintubations (A-2); strict control of sedation (A-1); hospital education programs (B-4); avoidance of blood transfusions (B-1); rigorous disinfection of respiratory equipment (B-3); prevention [archbronconeumol.org]
Respiratoric
- Pneumonia
[위키] 폐렴 Pneumonia [위키] 폐렴 연쇄상구균 Streptococcus pneumoniae [百] 폐렴구균 Streptococcus pneumoniae, pneumococcus [百] 폐렴균 (肺炎菌) pneumococcus [百] 폐렴 (肺炎) pneumonia [百] 흡인성 폐렴 (吸引性 肺炎) aspiration pneumonia [百Br] 폐렴간균 [ 肺炎桿菌, Klebsiella pneumoniae ] [百Br] 폐렴구균 [ [dic.impact.pe.kr]
Synonym: uraemic pneumonia, uraemic pneumonitis. (05 Mar 2000) [kmle.co.kr]
Making sense of scoring systems in community acquired pneumonia. Respirology 2009;14:327–335. Park HP, Lee JS, Jang YS, Kim MS. Usefulness of procalcitonin in the assessing the severity of community-acquired pneumonia patient. [synapse.koreamed.org]
Can Be Prevented – Vaccines Can Help Canadian Lung Association: Bacterial pneumonia American Lung Association: Understanding Pneumonia Medscape Today: Pneumonia Resource Center eMedicinehealth: Bacterial Pneumonia (© 2010). [labtestsonline.kr]
Pneumococcal HUS usually affects healthy children under 24 months. [4], [5] Streptococcus pneumoniae is commonly present with either meningitis or pneumonia before the development of pHUS. [sjkdt.org]
- Pharyngitis
There is a biphasic pattern with resolution of pharyngitis prior to development of pneumonia. Sore throat and hoarseness This is due to pharyngitis caused by the pathogen Chlamydia pneumoniae. [medicaljoyworks.com]
In patients with acute pharyngitis or streptococcal tonsillitis, antibiotics were prescribed less frequently provided streptococcal tests were performed. [miun.diva-portal.org]
Early congenital syphilis, visceral) 조기 선천 매독성 후두염(Early congenital syphilitic laryngitis) 조기 선천 매독성 안병증(Early congenital syphilitic oculopathy) 조기 선천 매독성 골연골병증(Early congenital syphilitic osteochondropathy) 조기 선천 매독성 인두염(Early congenital syphilitic pharyngitis [dic.impact.pe.kr]
- Sore Throat
Sore throat and hoarseness This is due to pharyngitis caused by the pathogen Chlamydia pneumoniae. High affinity to the respiratory epithelium makes Chlamydophila pneumoniae a common etiological agent for pneumonia. [medicaljoyworks.com]
Gastrointestinal
- Failure to Thrive
[…] to thrive) 슬림병(Slim disease) B22.7 달리 분류된 다발성 질환을 유발한 HIV 질환(HIV disease resulting in multiple diseases classified elsewhere) 주:이 항목을 사용하기 위하여서는 제2권에 소개된 질병 및 사망 분류번호 준칙을 참조하여야 한다. [dic.impact.pe.kr]
Cardiovascular
- Chest Pain
Pleuritic type chest pain This is due to the inflammation of pleura which is pain sensitive. Pleuritic type chest pain This is due to the inflammation of pleura which is pain sensitive. [medicaljoyworks.com]
Pleuritic chest pain. MASSIVE HEMOPTYSIS = 600 mL in 24 hrs. Usually associated with bronchiectasis, and may be indicative of lung cancer or pulmonary aspergillosis. PLEURITIC CHEST PAIN: Chest pain upon breathing. [kumc.edu]
In contrast to the pain from myocardial ischemia, chest pain from acute pericarditis is exacerbated in the supine position, by coughing, and with inspiration. [aafp.org]
This is a case presentation of 27 year male with past medical history of unspecified congenital heart disease, presented with worsening shortness of breath, pleuritic chest pain, cough and hemoptysis for five days duration. [imedpub.com]
Neurologic
- Meningism
meningitis) 대장균에 의한 수막염(Meningitis due to Escherichia coli) 프리이들렌더 폐렴균에 의한 수막염(Meningitis due to friedlander bacillus) 클렙시엘라에 의한 수막염(Meningitis due to Klebsiella) G00.9 상세불명의 세균성 수막염(Bacterial meningitis, unspecified) 화농성 수막염(Purulent meningitis) NOS [dic.impact.pe.kr]
Important Bacteria that Are Pathogens of Humans Bacterial pathogen Disease(s) Transmission Gram-negative bacteria Escherichia coli Gastroenteritis, urinary tract infections, neonatal meningitis F W E E. coli O157:H7 Diarrhea, hemolytic uremic syndrome [textbookofbacteriology.net]
Wolfsdorf Neurogenic pulmonary edema associated with pneumococcal meningitis Clin Pediatr, 34 (1995), pp. 442-445 Copyright © 2000. Asociación Española de Pediatría [analesdepediatria.org]
S pneumonia associated HUS patients commonly had a presentation of pneumococcal pneumonia or meningitis [2]. HUS is less common after pneumococcal meningitis than pulmonary disease [2]. [latunisiemedicale.com]
- Agitation
[…] separation, and from which leucocytes are removed. sl Ni problema, bom uredil en Side effects reported rarely (more than # in # patients and less than # in # patients) are: Decrease in white blood cells, decrease in blood platelet count Low blood sugar Agitation [glosbe.com]
Workup
Workup to identify the predisposing factor including human immunodeficiency virus (HIV), parvovirus (B19), cytomegalovirus (CMV), quantiferon tuberculosis testing were all negative. Genetic testing was deferred to the outpatient setting. [imedpub.com]
“Every adult is entitled to one episode of uveitis before you do a workup,” he adds. [creakyjoints.org]
Now, although empiric antibiotic coverage is mainly based on the treatment setting, the diagnostic workup and empiric antibiotics can differ a bit based on the organisms that are suspected based on the appearance of the chest x-ray. [osmosis.org]
The workup to define antibiotic failure includes a tube dilution MIC/MBC ratio; the higher the ratio, the greater limitation of antibiotics. A serum bacteriocidal level (Schlicter test) is also useful. [antimicrobe.org]
X-Ray
- Pulmonary Infiltrate
On day 6, an AP chest radiograph displayed increased pulmonary vasculature accompanied by bilateral patchy amorphous dense areas. Pulmonary infiltrates partially obscured the margins of the heart, enhancing bilateral air bronchograms (Figure 3). [mdmag.com]
Focal pulmonary crackles 5. Leukocytosis 6. New or progressive pulmonary infiltration B. [cancertherapyadvisor.com]
A patient was considered to have CAP if, at the time of hospital admission, he/she presented with respiratory symptoms and sputum, and exhibited pulmonary infiltrates on chest radiographs. [birpublications.org]
There are episodes compatible with lung infection and isolation of microorganisms in significant concentrations in ventilated patients that do not present visible pulmonary infiltrate, known as respirator-associated tracheobronchitis. [archbronconeumol.org]
Microbiology
- Streptococcus Pneumoniae
Chan Hemolytic-uremic syndrome associated with Streptococcus pneumoniae Am J Dis Child, 138 (1984), pp. 496-499 [4.] R.D. Gilbert, A.C. Argent Streptococcus pneumoniae associated hemolytic uremic syndrome Ped Infect Dis, 17 (1998), pp. 530-532 [5.] [analesdepediatria.org]
Rarely, it occurs due to invasive Streptococcus pneumoniae, which was first described by Fischer and colleagues in 1971. [3] It is estimated that pHUS accounts for 3-5% of all HUS cases. [4], [5] All Streptococcus pneumoniae can produce neuraminidase, [sjkdt.org]
Epidemiology of Streptococcus pneumoniae-induced hemolytic uremic syndrome in Utah children. Pediatr Infect Dis J 2010; 29:712. Proulx F, Liet Jm, David M, et al. Hemolytic uremic syndrome associated with invasive streptococcus pneumonia infection. [journals.sbmu.ac.ir]
Update on Streptococcus pneumoniae associated hemolytic uremic syndrome. Curr Opin Pediatr. 2013 ;25: 203 - 208. Google Scholar | Crossref | Medline | ISI 3. Coats, MT, Murphy, T, Paton, JC, Gray, B, Briles, DE. [journals.sagepub.com]
Streptococcus pneumoniae-associated hemolytic uremic syndrome. Pediatr Nephrol. 2008;23: 1951-6. 4. Lee CS, Chen MJ, Chiou YH, Shen CF, Wu CY, Choiu YY. [chikd.org]
Colonoscopy
- Colitis
Cause in children is typically hemorrhagic colitis resulting from Shiga toxin–producing bacteria. [msdmanuals.com]
Davis Hemorragic colitis associated with a rare Escherichia Coli seroptype [2.] R. Areses Síndrome hemolítico urémico en la edad pediátrica: conceptos actuales Nefrología, 15 (1995), pp. 420-434 [3.] U. Alon, S.P. Adler, J.C. [analesdepediatria.org]
[…] cereus Food poisoning F Clostridium tetani Tetanus S Clostridium perfringens Food poisoning, gas gangrene, uterine infections F S E Clostridium botulinum Botulism, infant botulism F Clostridium difficile Antibiotic-associated diarrhea, pseudomembranous colitis [textbookofbacteriology.net]
If a cause can be determined, it may be one of the following: Eye injury or surgery An autoimmune disorder, such as sarcoidosis or ankylosing spondylitis An inflammatory disorder, such as Crohn's disease or ulcerative colitis An infection, such as cat-scratch [mayoclinic.org]
- Polyps
Three features comprise the histologic picture: (1) intra-alveolar space and intra-alveolar ductal fibroblastic proliferation with early collagen deposition (Masson bodies), (2) inflammatory polyps consisting of fibroblasts and mononuclear cells protruding [thoracickey.com]
Treatment
Lists the latest drugs used for the treatment of cardiopulmonary disorders. Includes information on laboratory medicine and pediatrics to help you apply cardiopulmonary principles to practice. [books.google.com]
Do not delay the start of treatment while waiting for the culture results (A-1). Treatment: 1. Obtain samples for culture before initiating the empirical treatment, if possible (A-3). 2. Initiate empirical treatment as soon as possible (A-3). 3. [archbronconeumol.org]
The goal of treatment is to reduce inflammation in the eye. [healthline.com]
What's the treatment for uveitis? Uveitis treatments primarily try to eliminate inflammation, alleviate pain, prevent further tissue damage, and restore any loss of vision. Treatments depend on the type of uveitis a patient displays. [nei.nih.gov]
What is the treatment for anterior uveitis? For most people with anterior uveitis a course of eye drops is all the treatment needed to clear up the inflammation. [rnib.org.uk]
Prognosis
Anti-Glomerular Basement Membrane Disease* / diagnosis, epidemiology, etiology, pathology, radiography, therapy Capillary Permeability Female Humans Lung / pathology Male Middle Aged Pneumonia / complications*, pathology, physiopathology, radiography Prognosis [biomedsearch.com]
Deschenes Prognosis of Streptococcus pneumoniae -induced hemolytic uremic syndrome Pediatr Nephrol, 16 (2001), pp. 362-365 [9.] D.J. Krysan, J.T. [analesdepediatria.org]
A subgroup of (young) patients presenting with a mild nephropathy and not requiring dialysis has a good prognosis, however. [adc.bmj.com]
This case highlights two important facts: the possibility of occurrence of pHUS in young infants on one hand and the fact that the histological study is a valuable pointer of prognosis on the other. 1. Kaplan BS, Cleary TG, Obrig TG. [sjkdt.org]
However, when smokers do develop hypersensitivity pneumonitis, it is more commonly fibrosing disease with a worse prognosis 10. [radiopaedia.org]
Etiology
pathology, radiography, therapy Capillary Permeability Female Humans Lung / pathology Male Middle Aged Pneumonia / complications*, pathology, physiopathology, radiography Prognosis Pulmonary Edema / physiopathology Uremia / etiology* From MEDLINE®/PubMed [biomedsearch.com]
High affinity to the respiratory epithelium makes Chlamydophila pneumoniae a common etiological agent. Constitutional symptoms (malaise, lethargy etc.) [medicaljoyworks.com]
Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis. Am J Cardiol. 1995;75(5):378–382. 13. Ginzton LE, Laks MM. [aafp.org]
The reported rates for polymicrobial etiology differ considerably between 5.7 and 38.4% [7], [8]. [ejbronchology.eg.net]
Uremic encephalopathy may occur in a patient with acute kidney injury or chronic kidney failure of any etiology. One contributing factor to uremic encephalopathy may involve imbalances of neurotransmitter amino acids within the brain. [emedicine.medscape.com]
Epidemiology
[…] effects on workers of the levels of airborne Thermoactinomyces Spp. spores present in Australian raw sugar mills. 61 Dawson MW...Cox LM 8931309 1996 6 Occupational hypersensitivity pneumonitis in Japan: data on a nationwide epidemiological study. 61 [malacards.org]
JAPAN Other Details: Languages: jpn Pagination: 1639-48 Citation Subset: IM Export Citation: APA/MLA Format Download EndNote Download BibTex MeSH Terms Descriptor/Qualifier: Adolescent Adult Aged Anti-Glomerular Basement Membrane Disease* / diagnosis, epidemiology [biomedsearch.com]
The new vaccine virus was developed by the WHO Collaborating Center for the Surveillance, Epidemiology and Control of Influenza at the CDC in Atlanta. [cidrap.umn.edu]
[Epidemiology, clinical aspects and prognosis of severe progressive community-acquired pneumonia]. Höltermann W, Krämer M, Geppert P, van Wickern M, Lukasewitz P. Höltermann W, et al. Pneumologie. 1998 May;52(5):263-70. Pneumologie. 1998. [pubmed.ncbi.nlm.nih.gov]
Children Pneumonia Epidemiology © 2014 ERS [erj.ersjournals.com]
Pathophysiology
It integrates key concepts of pathophysiology, clinical manifestations, diagnostic tests and laboratory information and findings with clinically important medical and surgical interventions and pharmacologic therapies — then applies the material to physical [books.google.com]
The results suggest that uremic pneumonitis does, indeed, exist as part of the pathophysiology of renal failure, and may occur without detectable evidence of cardiac decompensation. [annals.org]
Uremic encephalopathy has a complex pathophysiology, and many toxins that accumulate in kidney failure may be contributive. Uremic encephalopathy may occur in a patient with acute kidney injury or chronic kidney failure of any etiology. [emedicine.medscape.com]
Pathophysiology of hemolysis in infections with Hemophilus influenzae type b. J Clin Invest. 1986;77(4):1340-1348. Ramakrishnan M, Moïsi JC, Klugman KP, et al. [journals.sbmu.ac.ir]
Prevention
Renal Failure Prevention and Treatment in the 19808 It appears logical to juxtapose in this volume prevention-low cost and nonmorbid-with uremia therapy, which is very morbid and very high cost. [books.google.de]
Preventing the spread of E.coli To help prevent infection with STEC and the development of HUS: Ensure proper hand washing, especially after handling raw meat. [betterhealth.vic.gov.au]
In the same manner, the manipulation of the respirator tubes is also a risk for NP. 12 Preventive Measures The strategies involved in the prevention of NP can be directed towards modifiable risk factors for colonization and aspiration, 5,7,13–15 in addition [archbronconeumol.org]
The treatment of a pleural effusion usually requires that the underlying illness or disease is treated and controlled to prevent accumulation of the pleural fluid. [emedicinehealth.com]