Read by QxMD icon Read

semiology of pain

Amélie Bremare, Nicolas Girardon, Mélanie Margot
Within the framework of cooperation between the physical medicine and rehabilitation (PMR) department and psychiatry department in our establishment with care and education, we have created in 2006 a unit with both somatic and psychic care, allowing management of preadolescents and adolescents suffering from complex somatoform disorder with pain in full-time hospitalization. They have chronic pain associated with motor exclusion of a limb, which have for consequence a participation restriction on scholar and extra-scholar activities with a larger impact than it should be...
September 2016: Annals of Physical and Rehabilitation Medicine
Bernard Laurent
Chronic pain which had become a major public health problem, is always accompanied with emotional and cognitive disorders. These comorbidities are circular and auto generated as in low back pain or in somatoform pain as fibromyalgia. Cerebral imagery of pain show the superposition of emotional and cognitive circuits especially in frontal regions from where come the descending control of pain. Therefore common areas regulate the three functions. Consequences on semiology and treatment of chronic pain are discussed...
April 2015: Bulletin de L'Académie Nationale de Médecine
Sarosh R Irani, Angela Vincent
Voltage-gated potassium channel (VGKC)-complex antibodies are defined by the radioimmunoprecipitation of Kv1 potassium channel subunits from brain tissue extracts and were initially discovered in patients with peripheral nerve hyperexcitability (PNH). Subsequently, they were found in patients with PNH plus psychosis, insomnia, and dysautonomia, collectively termed Morvan's syndrome (MoS), and in a limbic encephalopathy (LE) with prominent amnesia and frequent seizures. Most recently, they have been described in patients with pure epilepsies, especially in patients with the novel and distinctive semiology termed faciobrachial dystonic seizures (FBDS)...
2016: Handbook of Clinical Neurology
Andréia Mitidieri, Maria Beatriz Gurian, Ana Paula Silva, Kalil Tawasha, Omero Poli-Neto, Antônio Nogueira, Francisco Reis, Júlio Rosa-E-Silva
OBJECTIVES: This study used semiology based on traditional Chinese medicine (TCM) to investigate vital energy (Qi) behavior in women with abdominal myofascial pain syndrome (AMPS). METHODS: Fifty women diagnosed with chronic pelvic pain (CPP) secondary to AMPS were evaluated by using a questionnaire based on the theories of "yin-yang," "zang-fu", and "five elements". We assessed the following aspects of the illness: symptomatology; specific location of myofascial trigger points (MTrPs); onset, cause, duration and frequency of symptoms; and patient and family history...
December 2015: Journal of Pharmacopuncture
Patrick H Carpentier, Hildegard R Maricq, Christine Biro, Myriam Jiguet, Christophe Seinturier
BACKGROUND: Paroxysmal finger haematoma (PFH) is an under-recognised vascular acrosyndrome with no epidemiological description to date. The aim of this work was to evaluate the prevalence, risk factors and clinical correlates of PFH in a population-based sample of subjects and to describe their semiological characteristics. PATIENTS AND METHODS: This cross-sectional study of random samples of the general population in three geographic areas of France involved 802 subjects, 548 women and 254 men, aged 18 to 84 years...
January 2016: VASA. Zeitschrift Für Gefässkrankheiten
Nevin Kuloğlu Pazarcı, Nerses Bebek, Betül Baykan, Candan Gürses, Ayşen Gökyiğit
PURPOSE: To draw attention to epileptic pain which is a rare seizure symptom mostly causing wrong diagnosis and delayed treatment. We present nine patients in whom pain was a prominent initial or early ictal symptom. METHODS: We reviewed the records of 4736 patients, and found nine patients who had pain as an aura or an early prominent symptom of their seizures. Seizure semiology, EEG, and cranial imaging features were evaluated retrospectively. RESULTS: Age at seizure onset ranged from 6 months to 50 years, and the mean age during the study was 37...
February 2016: Epilepsy & Behavior: E&B
Laís Machado Freire, Mariane Andreza de Paula, Elysangela Dittz Duarte, Mariana Bueno
OBJECTIVE: Identify resources that support learning mediated by technology in the field of neonatal nursing. METHOD: Systematic review with searches conducted in MEDLINE, LILACS and SciELO. Titles and abstracts were independently evaluated by two experts. RESULTS: Of the 2,051 references, 203 full-text articles were analyzed, resulting in the inclusion of nine studies on semiotics and semiology, cardiopulmonary resuscitation, general aspects of neonatal care, diagnostic reasoning and assessment of pain...
June 2015: Revista da Escola de Enfermagem da U S P
Konrad H Schlick, Thomas M Hemmen, Patrick D Lyden
Meperidine is used for pain control and treatment of shivering. Concerns about neurotoxicity, particularly seizures, have led to efforts limiting meperidine use. We reviewed the body of evidence linking meperidine to seizures. We searched PubMed for the terms meperidine, normeperidine, pethidine, and norpethidine; each was combined with the terms: seizure, epilepsy, epileptogenic, toxicity, overdose, seizure threshold, and convulsion. Articles were assessed for relevance. Semiologies were reviewed to ascertain seizure likelihood...
December 2015: Therapeutic Hypothermia and Temperature Management
José G Speciali, Fabíola Dach
It has been well established that primary headaches (especially migraine, chronic migraine, and tension-type headache) and temporomandibular dysfunction (TMD) are comorbid diseases, with the presence of one of them in a patient increasing the prevalence of the others. The relationship between the 2 diseases may involve the sharing of common physiopathological aspects. Studies about the treatment of this disease association have shown that a simultaneous therapeutic approach to the 2 diseases is more effective than the separate treatment of each...
February 2015: Headache
A Blum, A Raymond, P Teixeira
Diagnostic imaging strategy in painful hip depends on many factors, but in all cases, plain X-ray is the first investigation. It may be sufficient to reach diagnosis and determine treatment options. More effective but more expensive exploration is indicated in two circumstances: when plain X-ray is non-contributive, and when diagnosis has been established but more accurate imaging assessment is needed to guide treatment. Following radiography, the choice of imaging techniques depends not only on the suspected pathology but also on the availability of equipment and its performance...
February 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
William Alves Martins, Luiz Carlos Porcello Marrone, Ricardo Saute, Jefferson Becker, José Amadeu Almeida Vargas, Juliana Ferreira da Costa Vargas, Antonio Carlos Huf Marrone
Ocular myositis (OM) is a rare clinical entity characterized by idiopathic, nonspecific inflammation of primarily or exclusively extraocular muscles (EOM). Presentation usually encompasses painful diplopia, exacerbated by eye movement. We report two cases of idiopathic OM with unique characteristics. The first presented with pseudo-sixth nerve palsy due to medial nucleus inflammation and the second presented with recurrent OM, subsequently affecting both eyes. Knowledge of different patterns of presentation and recurrence are important to manage this rare inflammatory syndrome...
2015: International Journal of Neuroscience
Jae-Gyum Kim, Jeong-Yoon Choi, Sung Un Kim, Jin-Man Jung, Do-Young Kwon, Moon Ho Park, Kyungmi Oh
BACKGROUND AND PURPOSE: Headache may be a warning sign of subsequent stroke in patients with vertebral artery dissection (VAD). Even though the headache characteristics of VAD have been described predominantly in patients with extracranial VAD and neurological complications, headache semiology is not well known in patients with uncomplicated intracranial vertebral artery dissection (ICVAD). In the present study, we attempt to identify the headache semiology that characterizes ICVAD and validate the revised version of the International Classification of Headache Disorders (ICHD-3 beta) criteria for headache attributed to intracranial artery dissection...
May 2015: Cephalalgia: An International Journal of Headache
Matthew S Robbins
Cluster headache (CH) and irritable bowel syndrome (IBS) are pain disorders that possess relationships with circadian rhythms. However, they have not been compared to assess similarities that could yield pathophysiologic insights. A young male adult with periodic episodes of abdominal pain highly reminiscent of CH is described. Since childhood, he experienced severe attacks featuring excruciating, abdominal pain accompanied by prominent restlessness, lasting 30-120 minutes, occurring in the evening and in discrete 2- to 8-week periods, interspersed with remissions where typical triggers did not lead to attacks...
November 2014: Headache
Soumeyya Halayem, Asma Bouden, Myriam Hammami, Meriem Hamza, Mohammed B Halayem
BACKGROUND: If all authors agree on the presence of fundamental changes in mood, as the basis of the diagnosis of depression, little importance is accorded to other symptoms that can mislead the diagnosis: in particular, age and cultural influence on depressive symptoms. AIM: Our work aims to describe and assess the frequency of somatic complaints and symptoms of conversion in Tunisian children and adolescents followed for depressive disorders, and to compare, through a study of literature to populations from different cultures...
February 2014: La Tunisie Médicale
I Ract, J-M Meadeb, G Mercy, F Cueff, J-L Husson, R Guillin
Low back pain is a common symptom that can lead to disability and major socio-professional repercussions. Despite advances in imaging, the etiology of the pain often remains unknown. Morphological changes related to normal ageing of the disc appear on MR imaging without any symptoms. The potential impact of changes seen on imaging, especially MRI, also warrants discussion. The purpose of this work is to review the state-of-the-art of this subject, underlining relevant key features for routine radiological practice...
March 2015: Diagnostic and Interventional Imaging
Pierre-Marie Brun, Jacques Bessereau, Daniel Levy, Xavier Billeres, Nathalie Fournier, Francois Kerbaul
Prehospital acute blunt thoracic trauma care remains difficult. Among then, diagnosis of atelectasis with ultrasound remains rare and unusual. We report the case of a worker who had a sharp chest pain currently after using a jackhammer. First clinical examination suspected a left tension pneumothorax but ruled out by sliding sign in left hemithorax ultrasound (US) examination. The right upper thoracic scan showed a well-defined lung point, a "hepatization" appearance with static air bronchograms, a diaphragm elevation and a dextrocardia in B mode, and a pseudobarcode with no lung pulse in Time Motion (TM) mode...
July 2014: American Journal of Emergency Medicine
Alissa A Thomas, Julie Preston, Rod C Scott, Krzysztof A Bujarski
Psychogenic nonepileptic seizures (PNESs) are paroxysmal events of altered behavior that outwardly resemble epilepsy but are caused by psychiatric disease. The diagnosis of probable PNESs can be made in the outpatient clinic prior to video-EEG monitoring by identification of specific PNES predictors and specific elements of seizure semiology from the clinical history. Since psychiatric disease may have distinct mechanisms between women and men, the objective of this study was to determine if gender-specific differences exist in PNES predictors and PNES semiology...
November 2013: Epilepsy & Behavior: E&B
Karine Ostrowsky-Coste, Alexandra Montavont, Pascale Keo-Kosal, Marc Guenot, Claude-Edouard Chatillon, Philippe Ryvlin
We report two adolescents with refractory seizure disorders in whom both epileptic and psychogenic nonepileptic seizures (PNES) were recorded with intracerebral EEG. The ictal phenomenology of epileptic seizures (ES) and PNES, consisting of hypermotor attacks in the first patient and left-sided painful episodes in the second patient, proved remarkably similar in both cases, highlighting the difficulties which can arise with the distinction of epileptic seizures and PNES based on ictal phenomenology alone.
December 2013: Seizure: the Journal of the British Epilepsy Association
A Dandolo, A Banerjee
We describe the case of a 17-year-old teenager who consulted in an emergency unit for acute lateral chest pain with tumefaction. The boy was healthy and had no medical problems or allergies. Upon awakening, he felt faintness and a left lateral chest pain. Movement of the left shoulder was difficult. In the emergency department, the clinical examination showed a painful left axillary mass, normal respiratory and heart function, and normal clinical parameters. Biological assessment revealed substantial cytolysis with major elevation of creatine phosphokinase (CPK) (41 times the normal value) and moderately elevated liver enzymes (2...
July 2013: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Philippe Bertin, Charles Taieb
Abstract Objective: To determine how the origin of acute pain influences its semiological characteristics, and to evaluate the efficacy and safety of two Level 2 analgesic combinations in general practice. Research design and methods: This prospective, observational, multicenter study enrolled patients who consulted general practitioners across France for intense pain that lasted ≥7 days and for which the physician prescribed paracetamol-codeine or paracetamol-tramadol. Completed physician (Day 0) and patient (Days 0-3 and Days 4-7) questionnaires provided data on the origin, characteristics, impact, and treatment of the pain, during the 7 days after the initial consultation...
June 2013: Current Medical Research and Opinion
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"