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 ½ 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.
Nervous System, Digestive System and Circulator System Nervous System
The body is provided with a sturdy frame in the form of a bony skeleton and hundreds of muscles are arranged in and around the body framework to provide a means of movement. This entire mechanism would be useless without some centralized means of control and coordination.
The human body depends upon its nervous system to control, regulate, and stimulate the many parts of the human machine.
Sciatica Treatment Exercises Guide and Image Sciatica differs from other types of back problems in the way the pain is felt. Sciatica pain can be a dull ache felt in the buttocks or a shooting pain that radiates down the leg. Sciatica symptoms can be numbness or 'pins and needles' and is commonly felt in the foot.
Sciatica back pain is located in the lower back but is usually less severe than other accompanying sciatica pain. There are several sciatica treatment options which can be used to give pain relief and can range from exercises to surgery.
Heart Attack Treatment Plans The treatment of a heart attack varies somewhat from case to case. The first rule, however, is to get the person to a hospital as soon as possible. Almost one-third of people who have a heart attack die before reaching the hospital. Of those who do get to a hospital, the vast majority will recover.
Complete cardiac arrest (meaning that the heart stops beating) can occur at any time during a heart attack. Even if cardiac arrest occurs, the patient has a good chance of survival if cardiopulmonary resuscitation (CPR) is started within four minutes of the arrest. CPR is a simple technique using mouth-to-mouth ventilation and chest compressions to pump oxygenated blood to the brain even though the victim's heart is not beating. Although CPR is a simple technique to learn, it cannot be learned from a book. CPR courses are taught by local chapters of the American Heart Association and American Red Cross. If everyone were trained in CPR, an estimated 100,000 lives would be saved each year in the United States alone.
P90X Nutrition Plan Diet Phases Online About P90X
The P90X Nutrition Plan is a 13-week program that centers on physical fitness and healthy eating habits to assist you in losing weight and building muscle. Developed by Carl Diekler, the P90X Nutrition Plan is designed to increase your stamina and metabolism, thereby achieving your weight loss goal and maintaining a toned body. Included in the P90X Nutrition Plan are 12 DVD's demonstrating various exercise routines and motivational support. There are no pre-packaged meals to buy or expensive equipment necessary to succeed with the program.
Abdominal Pain Symptoms and Treatment A common primary care problem, especially among females, that is most oftenbenign but can be related to serious diagnoses. Functional pain is the
most common recurrent form of pain. Generally a diagnosis of exclusion, it is
defined as nonorganic pain related to everyday stress. School, peer, and family
problems are commonly associated stressors. Abdominal pain can be related
to school absenteeism and may be a sign of depression.
Treatment of heart failure due to systolic dysfunction A. Treatment of the underlying cardiac disease
Hypertension is the primary cause of HF in many patients.
Angiotensin converting enzyme (ACE) inhibitors, beta
blockers, and angiotensin II receptor blockers (ARBs) are
the preferred antihypertensive agents because they improve
survival in HF. Beta blockers can also provide anginal relief
in ischemic heart disease and rate control in with atrial
Renovascular disease. Testing for renovascular disease is
indicated if there is severe or refractory hypertension, a
sudden rise in blood pressure, or repeated episodes of flash
Ischemic heart disease. Coronary atherosclerosis is the
most common cause of cardiomyopathy, comprising 50 to
75 percent of patients with HF.
a. All patients with documented ischemic heart disease
should be treated medically for relief of angina and with
risk factor reduction, such as control of serum lipids.
b. Myocardial revascularization with angioplasty or bypass
surgery may improve exercise capacity and prognosis in
patients with hibernating myocardium. Revascularization
should also be considered for repeated episodes of acute
left ventricular dysfunction and flash pulmonary edema.
Valvular disease is the primary cause of HF 10 to 12 percent.
Other causes of heart failure: Alcohol abuse, cocaine
abuse, obstructive sleep apnea, nutritional deficiencies,
myocarditis, hemochromatosis, sarcoidosis, thyroid disease,
and rheumatologic disorders such as systemic lupus
Listeria monocytogenes prevention Are you looking for listeria monocytogenes prevention? Listeria monocytogenes is an important bacterial pathogen in neonates, immunosuppressed patients, elderly adults, pregnant women, and occasionally, previously healthy individuals. The importance of underlying diseases was illustrated in a series of 165 adults with culture-proven Listeria infection: 69 percent of cases in nonpregnant adults occurred in patients with cancer, AIDS, organ transplant recipients, or corticosteroid therapy
Arteries, Veins, Capillaries and The Heart The blood away which carry the bright red oxygenated blood away from the heart are called arteries. The large arteries, which receive the blood directly from form the heart, branch repeatedly until every part of the body is served by one or more of them.
The blood returns from all parts of the body to the heart through veins. There are many more veins than arteries throughout the body. The veins gradually unite to form larger veins as they approach the heart.
Best Blood Pressure Monitor 2011 Review Are you looking for Best Blood Pressure Monitor 2011? Here is some review for Best Blood Pressure Monitor 2011. High blood pressure is a major problem today and the biggest difficulty with this serious and often life-threatening condition is that it rarely displays any symptoms at all. For this reason, it is vital that we all have our blood pressure checked from time to time and there is no easier way to do that nowadays than by using your own home blood pressure monitor.
Modern automatic monitors are simple to use and most have large digital readouts which are also very easy to read. Many also have memory facilities which allow you to keep a record or your blood pressure readings over time and sometimes to print these out or to load them into your computer where they can be plotted into a clear graphical picture.
Symptoms of Salmonella infection Salmonella infection is a common bacterial disease that affects the intestinal tract. Salmonella bacteria typically live in animal and human intestines and are shed through feces. Humans become infected most frequently through contaminated water or food sources. So what are symptoms of Salmonella infection?
Glaucoma Treatment Guidelines Are you looking for glaucoma treatment guidelines? Glaucoma is an eye disorder in which the optic nerve suffers damage, permanently damaging vision in the affected eye(s) and progressing to complete blindness if untreated. It is often, but not always, associated with increased pressure of the fluid in the eye (aqueous humour). The term 'ocular hypertension' is used for cases having constantly raised intraocular pressure (IOP) without any associated optic nerve damage. Conversely, the term 'normal' or 'low tension glaucoma' is suggested for the typical visual field defects when associated with a normal or low IOP.
Paleo Diet Plan for Weight Loss The Paleo Diet is a way of eating that is very similar to the way our ancestors allegedly ate during the Paleolithic period, which was about 10,000 years ago. According to the Paleo Diet creator Dr. Loren Cordain the foods suggested in the Paleo Diet are high in the nutrients our bodies need to stay fit, and low in those that contribute to weight gain and illnesses related to too much weight gain.
The creators of the Paleo diet and recipes contend that the human body is genetically made to eat the way our ancestors did prior to the industrialization of agriculture.