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.
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Dementia stages symptoms Are you looking for dementia stages symptoms? Dementia is a serious loss of cognitive ability in a previously unimpaired person, beyond what might be expected from normal aging. It may be static, the result of a unique global brain injury, or progressive, resulting in long-term decline due to damage or disease in the body. Although dementia is far more common in the geriatric population, it can occur before the age of 65, in which case it is termed "early onset dementia".
Symptoms of dementia can be classified as either reversible or irreversible, depending upon the etiology of the disease. Less than 10% of cases of dementia are due to causes that may presently be reversed with treatment. Causes include many different specific disease processes, in the same way that symptoms of organ dysfunction such as shortness of breath, jaundice, or pain are attributable to many etiologies.
Listeria symptoms during pregnancy Are you looking for listeria symptoms during pregnancy? Listeria infection is a food-borne illness that can be very serious for pregnant women and people with impaired immune systems. Listeria infection is most commonly contracted by eating improperly processed deli meats and unpasteurized milk products.
Lasik Eye Surgery Cost and Prices Are you looking how much Lasik Eye Surgery Cost?
There have always been concerns about LASIK because of its tendency to induce higher-order aberrations. The advancement of the LASIK technology has helped reduce the risk of clinically significant visual impairment after surgery. There is a correlation between pupil size and aberrations. Effectively, the larger the pupil size, the greater the risk of aberrations. This correlation is the result of the irregularity between the untouched part of the cornea and the reshaped part. Daytime post-lasik vision is optimal, since the pupil is smaller than the LASIK flap. But at night, the pupil may expand such that light passes through the edge of the LASIK flap into the pupil which gives rise to many aberrations, including the appearance of halos surrounding sources of light. There are other currently unknown factors in addition to pupil size that also may lead to higher order aberrations
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.
Ambiguous Genitalia Wiki, causes and pictures Are you looking for ambiguous genitalia wiki and pictures? The first concept that an examiner might want to know if they were asking the question - or if you were approached with the clinical thing - is that there are many different levels of sex, and not just chromosomes. We all tend to focus on chromosomes but that’s just one. Gonads, ovaries or testes? What are the internal ducts? What do the external genitals look like? What is the hormonal sex; androgen or estrogen circulating? And what is the psychosocial sex? All these things must be consistent in order to have a successful outcome of sex assignment.
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.
Atkins diet plan food list Are you looking for atkins diet plan food list? The Atkins diet is great for dieters suffering from hypoglycemia, or low blood sugar, and those suffering from diabetes (high blood sugar). When the human body is on an all protein diet, the hunger cravings are less, and the body's conversion of glucose is steadier because it takes the body longer to break down fats and proteins than it takes for sugars and carbs. The consumption of sugar spikes the sugar level up about 20 minutes after eating, while a steak or beef patty would take much longer to digest.
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.
Pulmonary Embolism Symptoms and Prevention Pulmonary embolism is a condition in which a part of blood clot in a vein breaks away and travels through the heart and into the pulmonary circulatory system. Here the vessels leading from the heart branch like a tree, gradually becoming smaller until finally they form capillaries, the smallest blood vessels. Depending on its size, the clot will at some point reach a vessel through which it cannot pass, and there will lodge itself. The clot disrupts the blood supply to the area supplied by that vessel. The larger the clot, the greater is the area of lung that loses its blood supply, and the more drastic the results to the patient.
Kegel Exercises for Women, Benefits and Instruction Are you looking for instruction and benefits Kegel Exercises for Women? A pelvic floor exercise, more commonly called a Kegel exercise (named after Dr. Arnold Kegel), consists of contracting and relaxing the muscles that form part of the pelvic floor, which are now sometimes colloquially referred to as the "Kegel muscles". Several tools exist to help with these exercises, though many are ineffective. Exercises are usually done to reduce urinary incontinence and aid with childbirth in women, and reduce premature ejaculatory occurrences in men, as well as increase the size and intensity of erections.
Angina Useful Remedies
The amino acid L-carnitine taken daily (1-3g) helps to improve the functioning of the heart and reduces symptoms associated with angina.
Co-enzyme Q10 – 150mg a day – has helped angina patients manage more exercise with less symptoms.
Natural-source vitamin E (400-500 IU a day) taken for at least one or two years thins blood naturally. If you are taking blood-thinning drugs, have your blood checked regularly by a doctor.
Fish oil supply EPA and DHA, which are essential fats that thin the blood naturally. Take 3mg daily to help reduce chest pain.
The herb remedy Hawthorne, 1-2ml tincture or 1-2g in tablets daily, helps protect blood vessels and improved heart function.
Take 2g of vitamin C daily with 1g of the amino acid lysine, which work together to help reverse atherosclerosis.
Magnesium helps regulate the heartbeat. Begin on 200mg daily, thereafter increasing to 400mg.
Include a good quality multivitamin and mineral in this regimen.
Begin using grapefruit pectin fibre over your breakfast cereal or in low-fat yoghurts. In numerous clinical trials, regular intake has been shown to lower LDL levels (the ‘bad’ cholesterol) and the gently remove some of the sticky plague from artery walls. Available from all good health
Gallbladder diet after surgery Are you looking for gallbladder diet after surgery?
Most people never give a thought to the health of their gallbladder. The pear-shaped organ does have an important job, collecting and storing bile the fluid that helps the body digest fats. But unlike the heart, liver, and kidneys, the gallbladder isn't necessary to keep the body healthy and functioning. Even when it isn't working as well as it should and gallstones develop, most people are unaware that there is a problem.
Yet in a small percentage of people, gallstones can trigger a variety of symptoms, such as abdominal pain, bloating, gas, nausea, and vomiting. When gallstone symptoms are especially uncomfortable, the typical treatment is surgery.
Detached retina causes and Treatment Normally, the retina is firmly attached to the choroid, and underlying layer of tissue that is rich in blood vessels. If blood or other fluid collects between the retina and the choroid, the retina may become partially or totally detached. Fluid from the vitreous cavity (the fluid-filled space behind the lens) may penetrate beneath the retina because of a small hole in the retina. Fluid leaking out of certain blood vessels in the eye may also penetrate beneath the retina to cause detachment.