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Upper extremity edema syndrome

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https://www.readbyqxmd.com/read/27917700/posterior-reversible-encephalopathy-syndrome-following-elevated-mean-arterial-pressures-for-cervical-spinal-cord-injury
#1
Jeffrey H Zimering, Addisu Mesfin
BACKGROUND: Increasing the mean arterial pressure (MAP) is an accepted treatment modality to minimize the risk for irreversible neurologic damage secondary to spinal cord ischemia. Posterior reversible encephalopathy syndrome (PRES) is a rare complication occurring after transplantation surgery, in persons having an autoimmune disorder or after abrupt increases in blood pressure of various etiologies. STUDY DESIGN: Case report. METHODS: Retrospective evaluation of medical records...
December 5, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27823916/-deep-venous-thrombosis-of-the-upper-limb-in-a-violin-player-the-bow-syndrome
#2
H Sanson, V Gautier, A Stansal, D Sfeir, C Franceschi, P Priollet
BACKGROUND: Exercise-induced thrombosis is a rare cause of deep venous thrombosis (DVT) of the upper limb and usually affects young subjects without comorbid conditions. The diagnosis may be challenging. CASE REPORT: A 23-year-old female right-handed French teacher and amateur violin player presented with edema of the root of the right arm associated with erythrocyanosis of the extremity and collateral circulation of the shoulder. History taking revealed oral contraception and recent change in violin playing habits...
November 4, 2016: Journal des Maladies Vasculaires
https://www.readbyqxmd.com/read/27717931/problems-and-challenges-in-the-early-period-of-rehabilitating-patients-with-severe-hypothermia-treated-using-ecmo-support
#3
Dominika Batycka-Stachnik, Agnieszka Piwoda, Tomasz Darocha, Malgorzata Spiewak, Sylweriusz Kosinski, Anna Jarosz, Hubert Hymczak, Tomasz Sanak, Robert Galazkowski, Jacek Piatek, Janusz Konstanty-Kalandyk, Rafal Drwila
: The objectives: To show and discuss the most frequent functional problems encountered in patients who underwent extracorporeal membrane oxygenation (ECMO) treatment after severe hypothermia and point out appropriate physiotherapy procedures used in order to diminish the effects of hypothermia on the human organism. It is necessary to look for effective physiotherapeutic solutions, especially that the number of scientific publications on the subject is very limited. DESIGN: Retrospective analysis Setting: Severe Accidental Hypothermia Center ( medical intensive care unit of a university hospital) Patients or participants: Nineteen patients who were qualified for ECMO in Severe Accidental Hypothermia Center Intervention: At least three times a day rehabilitation session (physiotherapeutic procedures adequate to patient problems) and interventions in case of emergency...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27314967/proximal-nerve-lesions-in-early-guillain-barr%C3%A3-syndrome-implications-for-pathogenesis-and-disease-classification
#4
José Berciano, María J Sedano, Ana L Pelayo-Negro, Antonio García, Pedro Orizaola, Elena Gallardo, Miguel Lafarga, María T Berciano, Bart C Jacobs
Guillain-Barré syndrome (GBS) is an acute-onset, immune-mediated disorder of the peripheral nervous system. In early GBS, arbitrarily established up to 10 days of disease onset, patients could exhibit selective manifestations due to involvement of the proximal nerves, including nerve roots, spinal nerves and plexuses. Such manifestations are proximal weakness, inaugural nerve trunk pain, and atypical electrophysiological patterns, which may lead to delayed diagnosis. The aim of this paper was to analyze the nosology of early GBS reviewing electrophysiological, autopsy and imaging studies, both in acute inflammatory demyelinating polyneuropathy (AIDP) and acute motor/motor-sensory axonal neuropathy (AMAN/AMSAN)...
June 17, 2016: Journal of Neurology
https://www.readbyqxmd.com/read/27099229/superior-vena-cava-syndrome-from-an-invasive-thymoma-with-transcaval-invasion-to-the-right-atrium
#5
Ashwad Afzal, Ivan Wong, Aleksandr Korniyenko, Alex Ivanov, Berhane Worku, Iosif Gulkarov
Invasive thymoma with transcaval extension to the right atrium is a rare cause of superior vena cava syndrome. We present a case on a 74-year-old female presenting with dyspnea on exertion, and facial and upper extremity swelling. Physical examination revealed mild facial swelling, non-pitting edema involving the upper extremities and distention of superficial veins of the anterior chest wall and jugular veins. An echocardiogram showed moderate right atrial dilation with a mobile mass in the atrial cavity prolapsing through the tricuspid valve...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27051366/evaluation-of-new-approach-to-ultrasound-guided-stellate-ganglion-block
#6
Anju Ghai, Teshi Kaushik, Zile Singh Kundu, Sarthak Wadhera, Raman Wadhera
BACKGROUND: Ultrasound imaging is an ideal tool for stellate ganglion block (SGB) due to clarity, portability, lack of radiation, and low cost. Ultrasound guided anterior approach requires the application of pressure to the anterior neck and is associated with more risk of injury to inferior thyroid artery, vertebral artery, and esophagus. The lateral approach does not interfere with nerve or vascular structures. Blockade at the C6 vertebral level results in more successful sympathetic blockade of the head and neck with less sympathetic blockade of the upper extremity compared to sympathetic blockade at C7 vertebral level, which produces successful sympathetic blockade of upper extremity...
April 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26967709/sweet-s-syndrome-a-retrospective-study-of-90-cases-from-a-tertiary-care-center
#7
Meriem Amouri, Abdelrahmen Masmoudi, Morsi Ammar, Sonia Boudaya, Abdelmajid Khabir, Tahia Boudawara, Hamida Turki
BACKGROUND: Sweet's syndrome (SS) is a neutrophilic dermatosis characterized by the abrupt onset of cutaneous, systemic and histopathological alterations in response to different stimuli. OBJECTIVES: The aim of this study was to assess the epidemioclinical, histological, and therapeutic features and outcomes of SS. METHODS: A retrospective study of all patients diagnosed with SS over a 20-year period (1993-2012) was conducted. Data were analyzed using a level of significance of 5%...
September 2016: International Journal of Dermatology
https://www.readbyqxmd.com/read/26922847/the-effectiveness-of-transcutaneous-electrical-nerve-stimulation-in-the-management-of-patients-with-complex-regional-pain-syndrome-a-randomized-double-blinded-placebo-controlled-prospective-study
#8
Adem Bilgili, Tuncay Çakır, Şebnem Koldaş Doğan, Tülay Erçalık, Meral Bilgilisoy Filiz, Füsun Toraman
OBJECTIVE: To investigate the effect of transcutaneous electrical nerve stimulation (TENS) on clinical recovery in the management of patients with complex regional pain syndrome Type I (CRPS Type I). MATERIAL AND METHOD: The study included 30 patients with stage 1 and 2 CRPS Type I in the upper extremities. The patients were randomly assigned into 2 groups, group 1 (n= 15) received conventional TENS therapy for 20 minutes, and group 2 (n= 15) received sham TENS therapy...
November 21, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/26836612/supra-hepatic-inferior-vena-cava-and-right-atrial-thrombosis-following-a-traffic-car-crash
#9
Feridoun Sabzi, Hosein Karim, Marjan Haghi
We present a case of nephrotic syndrome associated with right atrial and supra hepatic vein part of inferior vena caval thrombosis. This patient presented with dyspena, lower extremity edema and back pain after a vehicle accident and blunt trauma to the abdomen. Trauma should be considered not only as a thrombophilic pre-disposition, but also as a predisposing factor to IVC endothelium injury and thrombosis formation. Echocardiography revealed supra hepatic vein IVC thrombosis floating to the right atrium. A C-T scan with contrast also showed pulmonary artery emboli to the left upper lobe...
July 2016: Journal of Injury & Violence Research
https://www.readbyqxmd.com/read/26780743/guidance-for-the-prevention-and-treatment-of-the-post-thrombotic-syndrome
#10
REVIEW
Susan R Kahn, Jean-Philippe Galanaud, Suresh Vedantham, Jeffrey S Ginsberg
The post-thrombotic syndrome (PTS) is a frequent, potentially disabling complication of deep vein thrombosis (DVT) that reduces quality of life and is costly. Clinical manifestations include symptoms and signs such as leg pain and heaviness, edema, redness, telangiectasia, new varicose veins, hyperpigmentation, skin thickening and in severe cases, leg ulcers. The best way to prevent PTS is to prevent DVT with pharmacologic or mechanical thromboprophylaxis used in high risk patients and settings. In patients whose DVT is treated with a vitamin K antagonist, subtherapeutic INRs should be avoided...
January 2016: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/26090242/a-rare-and-serious-syndrome-that-requires-attention-in-emergency-service-traumatic-asphyxia
#11
Gultekin Gulbahar, Tevfik Kaplan, Ahmet Gokhan Gundogdu, Hatice Nurdan Baran, Burak Kazanci, Bulent Kocer, Serdar Han
Traumatic asphyxia is a rare syndrome caused by blunt thoracoabdominal trauma and characterized by cyanosis, edema, and subconjunctival and petechial hemorrhage on the face, neck, upper extremities, and the upper parts of the thorax. Traumatic asphyxia is usually diagnosed by history and inspection; however, the patient should be monitored more closely due to probable complications of thoracoabdominal injuries. Treatment is conservative, but the prognosis depends on the severity of the associated injuries. Herein we present a traumatic asphyxia due to an elevator accident in a 32-year-old male patient and discuss the diagnosis, treatment, and prognosis by reviewing the relevant literature...
2015: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/25910823/neck-pain-one-week-after-pacemaker-generator-replacement
#12
Ross F Graham, John M Wightman
BACKGROUND: The incidence of cardiac pacemaker implantation has risen markedly in the past three decades, making awareness of possible postprocedural complications critical to the emergency physician. This case is the first documented instance of internal jugular (IJ) deep vein thrombosis (DVT) from an uncomplicated pacemaker generator replacement. CASE REPORT: A patient presented to an Emergency Department with a 2-day history of mild left temporal headache migrating to his left neck...
July 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25856014/superior-vena-cava-syndrome-as-an-initial-presentation-of-low-grade-follicular-lymphoma
#13
Shakira Grant, Simon Meykler, Doublas Beach
Superior vena cava (SVC) syndrome refers to a constellation of symptoms produced by the obstruction of blood flow through the SVC, resulting in symptoms of dyspnea, facial and upper-extremity edema, cough, chest pain, and dysphagia.1 Malignancies represent 60%-85% of the etiologies of SVC syndrome. Cumulatively, lymphoma and lung cancer represent 95% of malignancy-related SVC syndrome etiologies, with non-small-cell lung cancer (NSCLC) reported in about 50% of cases, small-cell lung cancer (SCLC) in about 25%, and non-Hodgkin lymphoma (NHL) in 10 % of all cases...
November 2014: Journal of Community and Supportive Oncology
https://www.readbyqxmd.com/read/25849667/nephrotic-syndrome-complicated-with-deep-venous-thrombosis-in-the-upper-extremities
#14
Akira Onishi, Makoto Inoue, Toshimi Imai, Shin-Ichi Takeda, Mariko Kondo, Kazuyuki Shimada, Daisuke Nagata
Deep venous thrombosis (DVT) in the upper extremities is a rare but important clinical illness, which leads to severe complications such as pulmonary embolism. Unlike DVT in the lower extremities, which is mainly induced by a hypercoagulable state, DVT in the upper extremities is usually caused by mechanical obstruction or anatomical stenosis in the venous system. We herein report a case in which DVT developed in the left upper limb during treatment of nephrotic syndrome. This is the first case report of upper-extremity DVT in association with nephrotic syndrome in the literature...
January 2015: Case Reports in Nephrology and Dialysis
https://www.readbyqxmd.com/read/25590289/ketoconazole-induced-sweet-syndrome-a-new-association
#15
Katherine L Baquerizo Nole, Eric Lee, Gabriel Villada, Paolo Romanelli
Sweet syndrome (SS) is an acute febrile neutrophilic dermatosis that can be associated with malignancy and medications. A 60-year-old man presented with erythematous, edematous, and ulcerated plaques in the extensor surface of the upper extremities, after a ketoconazole course due to pityrosporum folliculitis. Skin biopsy showed a dense dermal neutrophilic infiltrate, associated with marked papillary dermal edema. Blood count showed leukocytosis and neutrophilia. Skin lesions resolved spontaneously with discoloration after 2 weeks of discontinuation of ketoconazole...
May 2015: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/25551816/-complex-regional-pain-syndrome-type-1-after-fracture-of-distal-phalanx-case-report
#16
Ahmet Boyacı, Ahmet Tutoğlu, Fatıma Nurefşan Boyacı, Şaban Yalçın
Complex Regional Pain Syndrome (CRPS) is a disease characterized especially by pain, swelling, limited range of motion, vasomotor instability and patchy bone demineralization in the extremities. In this case, we report a 46-year-old woman diagnosed with CRPS type 1, whose complaints, such as swelling in the left hand, pain, and limitation of movement, started 2 months after a fracture of the distal phalanx in the left 4th finger. Her complaints were reduced with treatment of calcitonin, gabapentin, calcium and vitamin D3, retrograde edema massage, contrast baths, conventional TENS, pulsed ultrasound, desensitization and exercise with range of joint motion...
2014: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/25478279/a-case-of-polyarteritis-nodosa-associated-with-cytomegalovirus-infection
#17
Maiko Kouchi, Shinji Sato, Masahiro Kamono, Akiko Taoda, Kazuyuki Iijima, Atsushi Mizuma, Ruriko Kitao, Masatoshi Mihara, Hideki Ozawa, Tadayuki Ishihara, Atsushi Takagi, Yasuo Suzuki
A 77-year-old man suffering from prolonged fever of unknown origin and bilateral leg edema was referred to our hospital. On physical examination, he had fever, general fatigue, bilateral lower leg edema, and muscle weakness of the right upper extremity and left lower extremity. Neurological examination indicated motor and sensory disturbance. Electromyography revealed mononeuritis multiplex and myopathy. A biopsy of the left biceps muscle indicated necrotizing vasculitis with fibrinoid necrosis. Considering all the data together, he was diagnosed as having polyarteritis nodosa (PAN) and concurrent active cytomegalovirus (CMV) infection...
2014: Case Reports in Rheumatology
https://www.readbyqxmd.com/read/25399335/pulmonary-hilar-lymph-node-metastasis-of-breast-cancer-induced-bronchopleural-fistula-and-superior-vena-cava-syndrome
#18
Yutaka Nishinari, Masahiro Kashiwaba, Akira Umemura, Hideaki Komatsu, Akira Sasaki, Go Wakabayashi
BACKGROUND: It is extremely rare for pulmonary hilar lymph node metastasis (PHLNM) of a cancer to be independently lethal. Here, we report an exceedingly rare case of cavitation in PHLNM from breast cancer triggering broncho-pleural fistula and empyema (BPFE), complicated with superior vena cava syndrome (SVCS). CASE REPORT: A 56-year-old woman who had undergone left segmental mastectomy and axillary lymph node dissection due to left breast cancer was then treated for 1 year with postoperative adjuvant chemotherapy...
2014: American Journal of Case Reports
https://www.readbyqxmd.com/read/25357147/spontaneous-resolution-of-quadrilateral-space-syndrome-a-case-report
#19
Thomas Gregory, Harpreet Sangha, Robert Bleakney
A case of quadrilateral space syndrome is presented, where a large near-circumferential glenoid labrum tear led to a paralabral cyst that dissected into the quadrilateral space and caused a compressive neuropathy of the axillary nerve. This led to a 6-mo history of left shoulder pain, parasthesias, marked weakness to abduction, and marked denervation in both the deltoid and teres minor on electro-diagnostics. This is a presentation of interest as it is the only case report in the literature, to the authors' knowledge, where spontaneous resolution of entrapment occurred...
January 2015: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/25334726/a-malignant-cause-of-bilateral-pedal-edema
#20
Aasim Afzal, Jamil Alsahhar, Adam Mora
Cancer Student/Resident Case Report Posters IIISESSION TYPE: Medical Student/Resident Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Primary sarcomas of the great vessels are rare. Presented is a case of an undifferentiated intimal sarcoma of the inferior vena cava (IVC) with extension to the right atrium, adrenal, and renal veins.CASE PRESENTATION: A 52-year-old woman presented with a one month history of fatigue, dyspnea and bilateral lower extremity edema. She was not in distress and hemodynamically stable...
October 1, 2014: Chest
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