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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Cymothoa Exigua in Human and Life Cycle Cymothoa exigua is a tiny crustacean that sneaks up on a fish (specifically, a red snapper) and works its way in through the gills. Typical parasite behavior so far.
Then it attaches itself to the base of the fish's tongue, the tongue evidently being the tastiest part of the fish (get it!?). The parasite uses its claws to dig into the tongue and drink the fish's blood--and that's just the beginning
Angina Pectoris Causes The most common symptom of coronary artery disease is angina pectoris, chest pain caused by insufficient oxygen getting to the muscles of the heart. Angina is usually described as a tightness, pressure, or dull aching pain under the breastbone and on the left side of the chest. Often it is described as "feeling like someone's sitting on my chest." The pain may radiate from the chest to the left arm or the left side of the jaw, and occasionally to the back.
The symptoms of angina are experienced in different ways by different people, but an individual usually experiences the same symptoms every time an attack occurs. Many experience sweating, shortness of breath, chills, or nausea during an attack. Others have no symptoms but a mild chest discomfort. Angina usually resolves five to ten minutes after exertion stops.
Somatoform Disorders Symptoms and Classification Somatization is defined as the transference of mental experiences and sense into bodily symptoms. Somatzations disorder is characterized by presence of recurrent and multiple, frequently changing somatic complaints of several years duration, for which medical attention has been sought, but these apparently are not due to any physical disorder.
Somatoform disorders are characterized by physical symptoms suggesting medical disease but without demonstrable organic pathology or known pathophysiological mechanism to account for them. They are classified as mental disorders because there is either evidence or strong presumption that physiological factors are the major cause of symptoms or not understandable by existing laboratory procedures. Three central features of somatoform disorders are as follows:
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.
The Foetal Circulation To understand the foetal circulation, it must be appreciated that the foetus develops its own blood and that at no time does the foetal and maternal blood mix unless some pathological process is present. The foetus produces its own red and white blood corpuscles. During intrauterine life the foetal gastrointestinal and respiratory system are not functioning, so the maternal blood furnishes the necessary nutrients and oxygen through the placenta, which in this case acts as the organ of respiration.
Best countries for Plastic Surgery Are you looking for Best countries for plastic surgery?
Cosmetic plastic surgery includes surgical and nonsurgical procedures that reshape normal structures of the body in order to improve appearance and self-esteem. Healthy individuals with a positive outlook and realistic expectations are appropriate candidates for cosmetic procedures. Plastic surgery is a personal choice and should be done for yourself, not to fulfill someone else's desires or to try to fit an ideal image. Because it is elective, cosmetic surgery is usually not covered by health insurance.
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.
Failure patterns of combined modality treatment in lung cancer By C.J. Hoekstra, H. Rijna, E.F. Smit, J.C. van Mourik, P.E. Postmus, A.A. Lammertsma, O.S. Hoekstra 17
Background: Patients with locally advanced non-small cell
lung cancer (NSCLC) may be treated with induction
chemotherapy (IC) followed by surgery with curative
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
Diet for Diabetics Type 1 Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to allow sugar (glucose) to enter cells to produce energy. Type 2 diabetes, which is far more common, occurs when the body becomes resistant to the effects of insulin or doesn't make enough insulin.
Scarlet fever rash picture, symptoms and treatment Scarlet fever (sometimes referred to as scarlatina) is an infectious disease characterized by fever, sore throat (pharyngitis), and a characteristic rash. Scarlet fever is caused by an infection with group A Streptococcus, the same bacteria responsible for causing "strep throat" and various other skin infections (for example, impetigo and erysipelas). Scarlet fever is predominantly a childhood disease occurring in children 2-10 years of age, though it can less commonly occur in older children and adults. The incidence and mortality rates associated with this once feared disease have significantly decreased due to the introduction and widespread use of antibiotics.
Apnea in children and adults Apnea is strictly defined as the absence of breathing. The term is also used to refer to an interruption in breathing that occurs in some premature babies and also during the sleep of some children and adults.
Apnea in infants
The usual cause of apnea in infants is immaturity of the brain centers that regulate breathing. From time to time, the infant suddenly stops breathing completely and turns blue. If the baby is stimulated in some way (for example, by a flick of the finger on the bottom of the foot), he or she will usually start breathing normally at once. Seldom is it necessary to use first-aid measures or a mechanical respirator to restart breathing. However, because a history of apnea is one of the factors that may be associated with sudden infant death syndrome (SIDS), physicians sometimes recommend monitoring high-risk infants with equipment that sounds an alarm if any stoppage of breathing is detected. In some cases, the tendency toward apnea disappears a few week after birth, when the breathing control centers have matured.
Best osteopathic medicine schools in USA Osteopathic medicine is a branch of the medical profession in the United States. Osteopathic physicians, known as DOs, are licensed to practice medicine and surgery in all 50 states and are recognized in forty-seven other countries, including most Canadian provinces.
Frontier physician Andrew Taylor Still founded the profession as a radical rejection of the prevailing system of medical thought of the 19th century. Still's techniques relied heavily on the manipulation of joints and bones to diagnose and treat illness, and he called his practices "osteopathy". By the middle of the 20th century, the profession had moved closer to mainstream medicine, adopting modern public health and biomedical principles. American "osteopaths" became "osteopathic physicians", gradually achieving full practice rights as medical doctors in all 50 states, including serving in the US armed forces as physicians.