Are you looking for Lupus Symptoms in Women? Lupus is a clinical syndrome, the cause of which remains uncertain. It is a member of the family of autoimmune rheumatic diseases. Lupus is more common in women, and certainly more common amongst the black and Chinese population. It’s clinical diversity is at least apparently matched by its serological diversity. The prevalence of lupus among Afro-Caribbeans is approximately five times that of a Caucasian population, and about 2 ˝ times that of an Asian population.
Lupus Symptoms in Women
Lupus is far from confined to the skin. Indeed, we now recognize lupus in all its many systemic forms, much of the work being done in this century in various parts of the United States. At least 10% of the patients in my cohort who have been misdiagnoses as suffering from lymphomas or other malignant diseases. Virtually all lupus patients of course have musculoskeletal involvement, substantial number have dermatologic involvement, and a large number of patients also have gastrointestinal disease. Perhaps nowhere is the clinical diversity shown that in the cerebral system, where anything from migraine to madness may be a feature of lupus. About 30% of patients with lupus presenting to a rheumatologist will turn out to have significant renal disease. Perhaps 40% will have cardiopulmonary disease and virtually all patients with lupus have some hematological manifestation or another.
For the final clinical conundrum, I’d like to draw your attention to thrombocytopenia. I’d like to persuade you, at least to my mind, that there are at least three sorts of thrombocytopenia in patients with lupus. There are a group of patients who present with what is generally regarded as idiopathic disease, idiopathic thrombocytopenia, until other features of lupus turn up some years later. The platelet count can certainly get very low with these patients and clinical symptoms referable to thrombocytopenia are very common. In addition I recognize a group of patients with what I call chronic persistent thrombocytopenia within the context of lupus. The platelet count here often runs between 50 and 125, but the clinical symptoms referable to this platelet count are much rarer. There are a similar number of patients who have a dramatic fall in their platelet counts. This can occur over a matter of weeks or months and there are again frequent clinical features relevant to the platelet counts. How best to treat these patients? This is a review of a number of patients with lupus or the antiphospholipid syndrome, reviewed by _ and myself some years ago. In our cohort 16.5% of patients had thrombocytopenia as judged by a platelet count of less than 100; 7.5% of these patients had thrombocytopenia linked to antiphospholipid antibodies and 6% have very severe thrombocytopenia, counts less than 15 with symptoms.
If each of the eight organ systems, based largely on clinical questions - and I stress that, clinical questions - we define disease activity on this A-E basis. Where A represents action. The patient is severely ill, has sufficiently severe clinical features that they require major immunosuppressive therapy. B for beware, in the sense that we already knew the patient was active. C for contentment. There is low level activity, not requiring much in the way of therapy. D for discount, in the sense that the disease was once active but is no longer active. And E for no evidence of disease in the system now or previously. Here’s an example of the way that this works. Take, for example, the cardiovascular assessment. In a patient who presents with cardiac failure or symptomatic effusion and two of these other features listed here, from pleuropericardial pain due to friction rub, to deteriorating lung function. That patient will be categorized for their cardiovascular assessment as an A. In contrast, if only two of these criteria were present, they would be categorized as a B. If only one criteria or mild chest pain was present, they would get a C. A D if there was previous involvement but none current, and E for no previous involvement.
Now all of these patients were treated initially with large doses of corticosteroids and a significant number of them failed to respond. What should you do then? There is some conflicting data in the literature but we have found that splenectomy done relatively early to be a very helpful way of proceeding. So, of 17 patients that we identified during this time period, 12 had lupus, four had antiphospholipid syndrome, and one had three features of lupus and what we referred to as lupus-like. Nine of these patients were eventually given a splenectomy. Six of them responded completely, two of them gave a partial response, which unfortunately was not sustained, and one patient died of an unrelated carcinoma. The patient with the lupus-like disease also did extremely well. So for us, we tend to treat patients with thrombocytopenia, especially the acutely presenting ones, with corticosteroids. If that doesn’t work within a few months we would proceed to splenectomy. We may use some IV Ig on the way.
Pleurisy symptoms back pain Pleurisy (also known as pleuritis) is an inflammation of the pleura, the lining of the pleural cavity surrounding the lungs. Among other things, infections are the most common cause of pleurisy.
The inflamed pleural layers rub against each other every time the lungs expand to breathe in air. This can cause severe sharp pain with inhalation (also called pleuritic chest pain). Here is some stuff about pleurisy symptoms back pain.
Spinal Stenosis Definition and Treatment What is defintion of Spinal Stenosis. Spinal stenosis is a narrowing of one or more areas in your spine — most often in your neck or lower back. This narrowing can put pressure on the spinal cord or spinal nerves at the level of compression. Stenoses of the vascular type are often associated with unusual blood sounds resulting from turbulent flow over the narrowed blood vessel. This sound can be made audible by a stethoscope, but diagnosis is generally made or confirmed with some form of medical imaging.
aortic stenosis (AS) a narrowing of the aortic orifice of the heart or of the aorta near the valve.
hypertrophic pyloric stenosis narrowing of the pyloric canal due to muscular hypertrophy and mucosal edema, usually in infants.
Behavior Problems Among School aged Children Children's behavior is the result of the combination of temperament, inherited personality, and their experiences. It is possible to modify behavior by identifying and correcting adverse situations and by introducing appropriate interventions. Adverse situations may include child abuse or neglect, marital discord, or inappropriate class placement.
Identifying the Problems
The initial evaluation should determine what behaviors have been problematic and why, and it should determine under what circumstances the behaviors occur and how the parents deal with them. It is important to determine if there are other contributing factors at home or at school, such as family dysfunction or problems with peers.
More detailed information may be obtained through the use of behavior rating scales that are completed by parents and teachers. Behavior rating scales such as the Pediatric Symptom Checklist (for screening) or the Child Behavior Checklist (for more detailed information) will assess a broad range of behaviors.
Arrhythmias Treatment and Types A disturbance in the rhythm of the heart is termed arrhythmia and can range from a mild “skipped beat” to a life-threatening failure to pump. The later is called ventricular fibrillation, and it is the most common cause of cardiac arrest, in which the heart suddenly stops beating. Death can follow in minutes unless medical help is provided immediately. People who have had a heart attack or who are elderly are at a much higher risk of developing a life-threatening arrhythmia.
In ventricular fibrillation, the heart’s electrical activity becomes disordered. As a result, the heart’s lower (pumping) chambers rapidly contract in an unsynchronized way. In effect, the ventricles flutter rather than beat, and the heart pumps little or no blood. Symptoms may include palpitations, lightheadedness, chest discomfort, shortness of breath, or loss of consciousness. If a more normal rhythm is not restored within three to five minutes, the patient will suffer brain and heart damage and will die.
Salmonella Tainted Ground Turkey Consumers looking for answers about a salmonella outbreak linked to ground turkey will have to continue to wait as the government investigates the source of at least 76 illnesses and one death.
The U.S. Department of Agriculture and the Centers for Disease Control and Prevention say they are still looking for a source of the outbreak, which dates back to March.
What is an intrauterine contraceptive device, or IUD An IUD (intrauterine contraceptive device) is a small plastic device that can be inserted by a physician trough a woman’s cervix and into her uterus to prevent pregnancy. The procedure is done in a physician’s office, usually during or immediately after the menstrual period so that a woman can be sure she is not pregnant.
Cochlear Implant Cost Are you looking for Cochlear Implant Cost? A cochlear implant (CI) is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing. The cochlear implant is often referred to as a bionic ear.
As of April 2009, approximately 188,000 people worldwide had received cochlear implants; in the United States, about 40,000 adults and over 30,000 children are recipients. The vast majority are in developed countries due to the high cost of the device, surgery and post-implantation therapy. A small but growing segment of recipients have bilateral implants (one implant in each cochlea).
Naegleria fowleri life cycle Are you looking for naegleria fowleri life cycle? Naegleria fowleri is a free-living ameboflagellate that can cause primary amebic meningoencephalitis in humans (PAM). Of the 30+ species of Naegleria that have been isolated, only N. fowleri has been demonstrated to be pathogenic in humans. Another species, N. australeinsis, has been proven to be pathogenic in mice and is useful in laboratory study of Naegleria pathogenesis (De Jonchheere, 2004). While the number of reported cases of N. fowleri infection is small, because of the fatality of PAM (98% death rate), the amoeba and resulting meningoencephalitis are a public health interest.
Planning a Nutrition Strategy for Wellness Fortunately it is not necessary to be a nutritionist to form a nutrition strategy that works for you. A nutrition plan will work only if it is personalizing your nutrition plan.
Calculate bmi for teenage girls Calculate Your Body Mass Index
Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women.
Tamiflu Side Effects Children Tamiflu side effects in children
New research claims that “more than half of children taking Tamiflu to combat swine flu suffer side effects such as nausea, insomnia and nightmares,” said The Daily Telegraph. It also said the study suggests that one in five children who took part reported having a neuropsychiatric side effect, such as poor concentration, inability to think clearly, problems sleeping, and feeling dazed or confused.
Food Borne Illness Prevention Most of us have experienced the characteristic symptoms of diarrhea, nausea, cramping, and vomiting that prompt us to say, “It must be something I ate.” The number of cases of food poisoning in the United States has been growing (there are three millions of cases per year), which has prompted the Food and Drug Administration to make prevention of food contamination a high priority. Deaths in Pacific Northwest in 1994 attributed to consumption of Jack-in-the-Box hamburgers contaminated with Escherichia coli, a bacterial agent, increased people’s fears about the overall safety of meat, poultry and seafood.