DOCSLIB.ORG

“A Clinical Study of Antimiasmatic Treatment on Patients with Haemorrhoids”

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
“A Clinical Study of Antimiasmatic Treatment on Patients with Haemorrhoids” “A CLINICAL STUDY OF ANTIMIASMATIC TREATMENT ON PATIENTS WITH HAEMORRHOIDS” A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE AWARD OF THE DEGREE OF DOCTOR OF MEDICINE IN HOMOEOPATHY: M.D. (HOM.) IN ORGANON OF MEDICINE AND HOMOEOPATHIC PHILOSOPHY By Dr. DIVYA PUSHPARAJ UNDER THE GUIDANCE OF Dr. MANOJ NARAYAN V., M.D. (HOM.) PROFESSOR DEPARTMENT OF ORGANON OF MEDICINE & HOMOEOPATHIC PHILOSOPHY SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, KULASEKHARAM, TAMILNADU. SUBMITTED TO THE TAMILNADU Dr. MGR MEDICAL UNIVERSITY, CHENNAI. 2019 ENDORSEMENT BY THE HEAD OF THE DEPARTMENT AND THE INSTITUTION This is to certify that the dissertation entitled, “A CLINICAL STUDY OF ANTIMIASMATIC TREATMENT ON PATIENTS WITH HAEMORRHOIDS” is a bonafide work carried out by Dr. DIVYA PUSHPARAJ, a student of M.D. (Hom.) in the DEPARTMENT OF ORGANON OF MEDICINE AND HOMOEOPATHIC PHILOSOPHY in SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE under the supervision and guidance of Prof. Dr. MANOJ NARAYAN V., M.D. (Hom.), PROFESSOR, DEPT. OF ORGANON OF MEDICINE & HOMOEOPATHIC PHILOSOPHY in partial fulfilment of the regulations for the award of the Degree of DOCTOR OF MEDICINE (HOMOEOPATHY) in ORGANON OF MEDICINE AND HOMOEOPATHIC PHILOSOPHY. This work conforms to the standards prescribed by THE TAMILNADU DR. MGR MEDICAL UNIVERSITY, CHENNAI. This has not been submitted in full or part for the award of any degree or diploma from any University. Dr. M. MURUGAN, M.D. (HOM.) Dr. N. V. SUGATHAN, M.D. (HOM.) Professor & Head, Principal Department of Organon of Medicine & Homoeopathic Philosophy Place: Kulasekharam Date: CERTIFICATE BY THE GUIDE This is to certify that the dissertation entitled, “A CLINICAL STUDY OF ANTIMIASMATIC TREATMENT ON PATIENTS WITH HAEMORRHOIDS” is a bonafide work of Dr. DIVYA PUSHPARAJ. All her work has been carried out under my direct supervision and guidance. Her approach to the subject has been sincere, scientific and analytic. This work is recommended for the award of degree of DOCTOR OF MEDICINE (HOMOEOPATHY) in ORGANON OF MEDICINE AND HOMOEOPATHIC PHILOSOPHY of THE TAMILNADU DR. MGR MEDICAL UNIVERSITY, CHENNAI. Place: Kulasekharam Date: Dr. MANOJ NARAYAN V., M. D. (Hom.) Prof. Dept. of Organon of Medicine & Homoeopathic Philosophy DECLARATION I, Dr. DIVYA PUSHPARAJ, do hereby declare that this dissertation entitled “A CLINICAL STUDY OF ANTIMIASMATIC TREATMENT ON PATIENTS WITH HAEMORRHOIDS” is a bonafide work carried out by me under the direct supervision and guidance of Dr. MANOJ NARAYAN V., M.D. (Hom.) PROFESSOR, DEPT. OF ORGANON OF MEDICINE & HOMOEOPATHIC PHILOSOPHY, in partial fulfilment of the regulations for the award of degree of Doctor of Medicine (Homoeopathy) in ORGANON OF MEDICINE AND HOMOEOPATHIC PHILOSOPHY of THE TAMIL NADU DR. MGR MEDICAL UNIVERSITY, CHENNAI. This has not been submitted in full or part for the award of any degree or diploma from any University. Place: Kulasekharam Dr. DIVYA PUSHPARAJ Date: ABSTRACT BACKGROUND Haemorrhoids or piles is one of the most common anorectal disease that have been nagging the mankind from ancient times. Haemorrhoids are rarely serious, but they can be extremely troublesome. Women are more commonly affected than males.. However haemorrhoids can be managed with homoeopathic medicine with antimiasmatic treatment. This study was done to evaluate the efficiency of homoeopathy in the treatment of haemorrhoids with antimiasmatic treatment. METHODS A clinical study on thirty cases with Haemorrhoids was taken for the study from the OPD, IPD and rural centers of Sarada Krishna Homoeopathic Medical College Hospital. The study cases were selected randomly as per the inclusion criteria and diagnosis was mainly based on the clinical presentation. Improvement criteria were based on the symptomatic relief according to score chart. RESULTS The result of this study showed that 28 (93%) cases were markedly improved and 2 (7%) cases showed mild improvement. The results are based on the statistical analysis of before and after treatment score. CONCLUSION The study resulted that antimiasmatic treatment is very effective in the treatment of patients with haemorrhoids. Homoeopathy treats the patient as a whole and it prevents the frequent recurrence of haemorrhoids and thus the quality of life can be improved. KEY WORDS: Haemorrhoids, Antimiasmatic treatment. ACKNOWLEDGEMENT First and foremost I thank Almighty God for all the love and blessings that has been showed upon me from my birth. I acknowledge with deep sense of reverence to my family especially my father Mr. PUSHPARAJ K., my most lovable mother Mrs BEENA PUSHPARAJ, my dear sister DHANYA PUSHPARAJ for their love, care and prayers. I am grateful to my husband Dr. ABHIJITH RANJAN S., for his advice, encouragement, timely support and love. I would have never accomplished my goal without them. I remain indebted to them for everything I have and whatever I have achieved. I express my sincere thanks to my guide Dr. MANOJ NARAYAN V., M. D. (Hom.), Professor, Dept. of Organon of Medicine and Homoeopathic Philosophy for his valuable guidance, advice, supervision, motivation, and constant support throughout my course of study and dissertation work. It’s my good fortune to be his student and to do this work under his guidance. I owe my sincere thanks to Dr. M. MURUGAN, M.D. (Hom.), Professor and Head, Department of Organon of Medicine and Homoeopathic Philosophy for the valuable guidance, inspiration and assistance all along for the completion of my work. I convey my respectful regards to Dr. C. K. MOHAN, B.Sc., M.D. (Hom.), Chairman, for providing the opportunity to undertake this work and extending all necessary facilities to carry out the work. I am thankful to Dr. N. V. SUGATHAN, M.D. (Hom.), Principal and Medical Superintendent, for his guidance and support. My profound gratitude and deep regards to Dr. WINSTON VARGHEESE, M.D. (Hom.) PG co-ordinator who has always been a source of support and inspiration. I am grateful to all my honourable teachers in the various departments who whole heartedly encouraged and supported me at all times. I am grateful to Dr. Dhanya S. S., Dr. Riswana and Dr. Vaishali, Dr. Vipin Das, Dr. Arun Vivek, Dr. Tini, Dr. Geethi S Gopinath, Dr. Brigit Cherian, Dr.Fretty Paul, Dr. Suwaamynaathan, Dr. Dinu Satheesh for being helpful and supportive all through our long stay together. I extend my sincere gratitude to librarians, all my seniors, friends, colleagues and juniors whose co-operation and timely help to finish my task. Thanks to all my patients without whose help and co- operation this work could never have seen the light of the day. Dr. DIVYA PUSHPARAJ TABLE OF CONTENTS SL. NO CONTENTS PAGE NO 1. INTRODUCTION 1 2. AIMS & OBJECTIVES 5 3. REVIEW OF LITERATURE 6 4. MATERIALS AND METHODS 31 5. OBSERVATION AND RESULTS 34 6. DISCUSSION 56 7. CONCLUSION 60 8. SUMMARY 62 9. BIBLIOGRAPHY 63 10. APPENDICES 69 LIST OF TABLES Table No. PARTICULARS Pg. No. 1. Distribution of cases according to age 34 2. Distribution of cases according to sex 36 3. Distribution of cases according to occupation 37 4. Distribution of cases according to family history 39 5. Distribution of cases according to dietary habits 41 6. Distribution of cases according to miasm 42 7. Distribution of cases according to medicines prescribed 43 8. Distribution of cases according to potency 45 Distribution of cases according to intensity scores of 9. 46 patients before and after treatment 10. Distribution of cases according to improvement status 46 11. Statistical analysis 52 LIST OF FIGURES FIGURE PARTICULARS Pg. No. NO 1. Distribution of cases according to age 35 2. Distribution of cases according to sex 36 3. Distribution of cases according to occupation 38 4. Distribution of cases according to family history 40 5. Distribution of cases according to dietary habits 41 6. Distribution of cases according to miasm 43 7. Distribution of cases according to medicines prescribed 44 8. Distribution of cases according to potency 45 Distribution of cases according to intensity scores of patients 9. 48 before and after treatment 10. Distribution of cases according to the improvement status 49 LIST OF ABBREVIATIONS USED SL. NO. ABBREVIATION EXPANSION 1. & And 0 2. F Fahrenheit 3. A/F Ailments from 4. BP Blood Pressure 5. % Percentage 6. SL Saccharum Lactis 7. aph, § Aphorism 8. D Dose 9. eg. Example 10. No. Number 11. O/E On Examination 12. OPD Outpatient department 13. IPD In patient department 14. Yrs. Years 15. i.e. That is 16. M Male 17. F Female 18. ˂ Aggravation, more than 19. ˃ Amelioration, less than 20. BMI Body Mass Index 21. H/0 History of. LIST OF APPENDICES SL. NO: APPENDICES PAGE NO: 1. Appendix I – Glossary 69 2. Appendix II - Case Record Format 71 3. Appendix III – CORECT SCALE 81 4. Appendix IV - Case Record 82 5. Appendix V – Master Chart 110 6. Appendix VI - Consent form 114 IInnttrroodduuccttiioonn 1.1 INTRODUCTION Haemorrhoids remain the most common anorectal disorder which is frequently seen in primary care clinics, emergency wards, gastroenterology units and surgical clinics. The word haemorrhoid is derived from the Greek word “haema” means blood and “rhoos” means flowing, that means flow of blood from the veins of the anus. It was probably Buqrat (Hippocrates 460 BC) who was the first to apply this name to the flow of blood from the veins of anus. Commonly in society it is known as piles. The term piles was derived from the latin word “pila” (ball) or a mass. Haemorrhoids have plagued humankind since ancient times and might have even influenced world history. Haemorrhoidal disease is the consequence of distal displacement of anal cushions, which are normal structures with an important role in continence. (1) Haemorrhoids develop when the venous drainage of the anus is altered, causing the venous plexus and connecting tissue to dilate, creating an outgrowth of anal mucosa from the rectal wall.
Load more

Recommended publications
  • C.O.E. Continuing Education Curriculum Coordinator
    CONTINUING EDUCATION All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or C.O.E. professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 1 of 199 Click Here To Take Test Now (Complete the Reading Material first then click on the Take Test Now Button to start the test. Test is at the bottom of this page) 5 hr. Nail Structure and Growth & TCSG Health and Safety Outline Why Study Nail Structure and Growth? • The Natural Nail • Nail Anatomy • Nail Growth • Know Your Nails Objectives After completing this section, you should be able to: C.O.E.• Describe CONTINUING the structure and composition of nails. EDUCATION • Discuss how nails grow. • Identify diseases and disorders of the nail All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. 1 CONTINUING EDUCATION All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O.
    [Show full text]
  • Eradication of Staphylococcus Aureus and MRSA in the Nares: a Historical Perspective of the Ecological Niche, with Suggestions for Future Therapy Considerations
    Advances in Microbiology, 2017, 7, 420-449 http://www.scirp.org/journal/aim ISSN Online: 2165-3410 ISSN Print: 2165-3402 Eradication of Staphylococcus aureus and MRSA in the Nares: A Historical Perspective of the Ecological Niche, with Suggestions for Future Therapy Considerations Eric Bornstein Nomir Medical Technologies, Woodmere, NY, USA How to cite this paper: Bornstein, E. (2017) Abstract Eradication of Staphylococcus aureus and MRSA in the Nares: A Historical Perspec- Nasal colonization with pathogenic bacteria continues to present challenges for tive of the Ecological Niche, with Sugges- patients undergoing surgical procedures, and for the physicians that treat them. tions for Future Therapy Considerations. Advances in Microbiology, 7, 420-449. Even as molecular medicine produces ever faster and improved data sets for cli- https://doi.org/10.4236/aim.2017.76034 nicians, it would benefit all medical personnel attempting to decolonize the nose to better understand the historical nasal decolonization data with specific refer- Received: April 28, 2017 ence to the ecological niche for these bacteria, as it has been recorded for more Accepted: June 12, 2017 Published: June 15, 2017 than a century. Much of the historical data points to the largest ecological niche for nasal Staphylococcus aureus as the vibrissae of the vestibulum nasi. A careful Copyright © 2017 by author and study shows that any topical antimicrobial preparation needs to successfully Scientific Research Publishing Inc. This work is licensed under the Creative penetrate the deepest recesses of these specialized nasal hair follicles, if decolo- Commons Attribution International nization is to be adequately accomplished. This review highlights the most rele- License (CC BY 4.0).
    [Show full text]
  • Module Test № 1 on Dermatology
    THE MINISTRY OF HEALTHCARE OF THE RUSSIAN FEDERATION FEDERAL STATE BUDGETARY EDUCATIONAL INSTITUTION OF HIGHER PROFESSIONAL EDUCATION PIROGOV RUSSIAN NATIONAL RESEARCH MEDICAL UNIVERSITY DEPARTMENT OF DERMATOVENEROLOGY Gaydina T.A., Dvornikov A.S., Skripkina P.A., Nazhmutdinova D.K., Heydar S.A., Arutunyan G.B., Pashinyan A.G. MODULE TEST №1 ON DERMATOLOGY FOR STUDENTS OF INSTITUTES OF HIGHER MEDICAL EDUCATION ON SPECIALTY THERAPEUTIC FACULTY DEPARTMENT OF DERMATOVENEROLOGY Moscow 2016 ISBN УДК ББК A21 Module test №1 on Dermatology for students of institutes of high medical education on specialty «Therapeutic faculty» department of dermatovenerology: manual for students for self-training//FSBEI HPE “Pirogov RNRMU” of the ministry of healthcare of the russian federation, M.: (publisher) 2016, 144 p. The manual is a part of teaching-methods on Dermatovenerology. It contains tests on Dermatology on the topics of practical sessions requiring single or multiple choice anser. The manual can be used to develop skills of students during practical sessions. It also can be used in the electronic version at testing for knowledge. The manual is compiled according to FSES on specialty “therapeutic faculty”, working programs on dermatovenerology. The manual is intended for foreign students of 3-4 courses on specialty “therapeutic faculty” and physicians for professional retraining. Authors: Gaydina T.A. – candidate of medical science, assistant of dermatovenerology department of therapeutic faculty Pirogov RNRMU Dvornikov A.S. – M.D., professor of dermatovenerology department of therapeutic faculty Pirogov RNRMU Skripkina P.A. – candidate of medical science, assistant professor of dermatovenerology department of therapeutic faculty Pirogov RNRMU Nazhmutdinova D.K. – candidate of medical science, assistant professor of dermatovenerology department of therapeutic faculty Pirogov RNRMU Heydar S.A.
    [Show full text]
  • Painful Penile Indurations and Homoeopathy
    Dr. Rajneesh Kumar Sharma Painful Penile MD (Homoeopathy) Indurations and Homoeopathy Painful Penile Indurations and Homoeopathy Painful Penile Indurations and Homoeopathy © Dr. Rajneesh Kumar Sharma BSc, BHMS, MD (Homoeopathy), DI (Hom) London, hMD (UK) etc. Homoeo Cure & Research Institute NH 74, Moradabad Road, Kashipur (Uttaranchal) INDIA, Pin- 244713 Ph. 05947- 260327, 9897618594 [email protected], [email protected] www.cureme.org.in, www.treatmenthomeopathy.com, www.homeopathyworldcommunity.com Contents Introduction ................................................................................................................................................... 2 Anatomy ......................................................................................................................................................... 2 Glans ........................................................................................................................................................... 2 Corpus cavernosum ................................................................................................................................ 2 Corpus spongiosum ................................................................................................................................. 2 Urethra ........................................................................................................................................................ 2 Peyronie Disease .........................................................................................................................................
    [Show full text]
  • Krok 2. Medicine
    Sample test questions Krok 2 Medicine () Терапевтичний профiль 2 1. A 25-year-old woman has been A. Transfer into the inpatient narcology suffering from diabetes mellitus since she department was 9. She was admitted into the nephrology B. Continue the treatment in the therapeutic unit with significant edemas of the face, arms, department and legs. Blood pressure - 200/110 mm Hg, C. Transfer into the neuroresuscitation Hb- 90 g/L, blood creatinine - 850 mcmol/L, department urine proteins - 1.0 g/L, leukocytes - 10-15 in D. Compulsory medical treatment for the vision field. Glomerular filtration rate - alcoholism 10 mL/min. What tactics should the doctor E. Discharge from the hospital choose? 5. After eating shrimps, a 25-year-old man A. Transfer into the hemodialysis unit suddenly developed skin itching, some areas B. Active conservative therapy for diabetic of his skin became hyperemic or erupted into nephropathy vesicles. Make the diagnosis: C. Dietotherapy D. Transfer into the endocrinology clinic A. Acute urticaria E. Renal transplantation B. Hemorrhagic vasculitis (Henoch-Schonlein purpura) 2. A 59-year-old woman was brought into the C. Urticaria pigmentosa rheumatology unit. Extremely severe case D. Psoriasis of scleroderma is suspected. Objectively she E. Scabies presents with malnourishment, ”mask-like” face, and acro-osteolysis. Blood: erythrocytes 6. A 25-year-old woman complains of fatigue, - 2.2 · 109/L, erythrocyte sedimentation rate - dizziness, hemorrhagic rashes on the skin. 40 mm/hour. Urine: elevated levels of free She has been presenting with these signs for a · 12 oxyproline. Name one of the most likely month.
    [Show full text]
  • Differential Diagnosis of the Scalp Hair Folliculitis
    Acta Clin Croat 2011; 50:395-402 Review DIFFERENTIAL DIAGNOSIS OF THE SCALP HAIR FOLLICULITIS Liborija Lugović-Mihić1, Freja Barišić2, Vedrana Bulat1, Marija Buljan1, Mirna Šitum1, Lada Bradić1 and Josip Mihić3 1University Department of Dermatovenereology, 2University Department of Ophthalmology, Sestre milosrdnice University Hospital Center, Zagreb; 3Department of Neurosurgery, Dr Josip Benčević General Hospital, Slavonski Brod, Croatia SUMMARY – Scalp hair folliculitis is a relatively common condition in dermatological practice and a major diagnostic and therapeutic challenge due to the lack of exact guidelines. Generally, inflammatory diseases of the pilosebaceous follicle of the scalp most often manifest as folliculitis. There are numerous infective agents that may cause folliculitis, including bacteria, viruses and fungi, as well as many noninfective causes. Several noninfectious diseases may present as scalp hair folli- culitis, such as folliculitis decalvans capillitii, perifolliculitis capitis abscendens et suffodiens, erosive pustular dermatitis, lichen planopilaris, eosinophilic pustular folliculitis, etc. The classification of folliculitis is both confusing and controversial. There are many different forms of folliculitis and se- veral classifications. According to the considerable variability of histologic findings, there are three groups of folliculitis: infectious folliculitis, noninfectious folliculitis and perifolliculitis. The diagno- sis of folliculitis occasionally requires histologic confirmation and cannot be based
    [Show full text]
  • MOOD and the MENSTRUAL CYCLE © Dr
    MOOD AND THE MENSTRUAL CYCLE © Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy) Homoeo Cure & Research Institute NH 74, Moradabad Road, Kashipur (Uttaranchal) INDIA Pin- 244713 Ph. 05947- 260327, 9897618594 E. mail- [email protected] www.treatmenthomoeopathy.com www.homeopathictreatment.org.in www.homeopathyworldcommunity.com INTRODUCTION A woman’s mood is very closely related to her gynecological conditions which can upset her sense of well- being, her feelings about her sexuality (Psora), her femininity (Psora), and her self-respect (Psora/ Sycosis). The arising picture of signs and symptoms may affect her intimate relationships and bring greater distress than any other disease. Women with gynecological problems often come into view tense (Psora) and anxious (Psora/ Psudopsora). This may be just because of the nature of the private questions and examinations by a doctor which they anticipate with apprehension (Psora/ Syphilis). Some women present distressed (Psora) and tearful (Psora/ Pseudopsora). They may feel shame (Psora/ Pseudopsora) and disgust about their symptoms (Psora/ Pseudopsora/ Sycosis). This may be because of the reaction of others (Psora/ Pseudopsora / Syphilis) too. Many women find the whole consultation a torment. The examination can remind a woman of previous threatening situations such as rape or childhood sexual abuse, or past experience of painful or demeaning examinations by previous clinicians (Psora/ Syphilis). Some situations like termination of pregnancy or sexually transmitted disease (Sycosis/ Syphilis)
    [Show full text]
  • A Clinical Study to See the Effect of Homoeopathic Medicines in Polycystic Ovarian Syndrome of Reproductive Age Group Between 12-45 Years
    International Journal of Health Sciences and Research Vol.10; Issue: 3; March 2020 Website: www.ijhsr.org Original Research Article ISSN: 2249-9571 A Clinical Study to See the Effect of Homoeopathic Medicines in Polycystic Ovarian Syndrome of Reproductive Age Group between 12-45 Years Priti Ashok.Malvekar1, Sameer S.Nadgauda2, Arun Bhargav Jadhav3 1Post Graduate, 2Assistant Professor, Department of Practice of Medicine, Homoeopathic medical college and Hospital, Dept. Of Postgraduate and Research Centre, Pune-Bangalore Highway, Katraj Dhankawadi, India. 3 Principal, Homoeopathic Medical College and Hospital, Dept. Of Postgraduate and research Centre, Pune- Bangalore Highway, Katraj-Dhankawadi, India. Corresponding Author: Sameer S.Nadgauda ABSTRACT Objective of the study -The present study was single arm, clinical study to determine the role of homoeopathic medicines in regulation of menstrual cycle.30 patient fulfilling the eligibility criteria enrolled in this study was underwent homoeopathic intervention, clinical evaluation and detailed menstrual history at baseline. Results- Out of 30 cases, 14 cases (46.66%) showed good improvement in cases of irregular menses, 21 cases (63.3 3%) showed good improvement in Complaints of acne and 25 cases(83.33%) showed good improvement in cases of health related quality of life related to PCOS. Conclusion-The Homoeopathic medicines showed significant improvement treating PCOS. From the analysis of the above results obtained it is obvious that Homoeopathic treatment is effective in Polycystic Ovarian Syndrome. Cases can be treated successfully by homoeopathic treatment. We should consider mental general and constitution of patient for most similar homoeopathic remedy. Life style modification along with homoeopathic treatment is effective in reducing signs and symptoms of PCOS.
    [Show full text]
  • Rheumatoid Arthritis and Homoeopathy © Dr
    Rheumatoid Arthritis and Homoeopathy © Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy) Homoeo Cure & Research Centre P. Ltd. NH 74, Moradabad Road, Kashipur (Uttaranchal) INDIA, Pin- 244713 Ph. 05947- 260327, 9897618594 [email protected], [email protected] Definition Rheumatoid arthritis (RA) is chronic multisystem disease of unknown origin, causing nonsuppurative arthritis (Sycosis) of peripheral joints with symmetrical distribution (Psora), producing pain (Psora/ Syphilis) , swelling (Psora/ Sycosis), stiffness (Psora/ Sycosis) and loss of function (Psora/ Syphilis). The disease usually begins in middle age, more in females, but no age or sex is immune to it. Cause Etiology is still unknown. There are following schools of thought- 1- Genetic predisposition- RA is common in HLADR 4 or HLADR 1 positive persons (Syphilis). 2- Infective theory- Mycobacteria, Paravoviruses, Retroviruses, Borrelia, Epstein Barr Virus, Mycoplasma as well as numerous others (Psora/ Sycosis/ Syphilis). 3- Autoimmune theory- T cells play the pivotal role in destructive RA by producing IgM (Psora/ Syphilis). Pathogenesis With advancement of disease, synovial membrane thickening (Sycosis), effusion (Psora/ Sycosis), articular cartilage degeneration (Syhilis) and osteoprosis start (Psora/ Syphilis). Ligaments and joint capsules become less effective supporting structures. Erosion of the articular cartilage (Syphilis), together with ligamentous changes, result in deformity (Sycosis/ Syphilis) and contractures (Sycosis/ Syphilis). As the disease progresses, pain and deformity increase ending with permanent disability. Symptoms Pain, morning stiffness, swelling, and systemic symptoms are common. (Psora/ Sycosis) Swelling, pain, and stiffness in the joint, even when it is not being used. (Psora/ Sycosis) Warmth around the joint. (Psora) Deformities and contractures of the joint. (Sycosis/ Syphilis) General symptoms, such as fever, malaise, loss of appetite and decreased energy.
    [Show full text]
  • XI. COMPLICATIONS of PREGNANCY, Childbffith and the PUERPERIUM 630 Hydatidiform Mole Trophoblastic Disease NOS Vesicular Mole Ex
    XI. COMPLICATIONS OF PREGNANCY, CHILDBffiTH AND THE PUERPERIUM PREGNANCY WITH ABORTIVE OUTCOME (630-639) 630 Hydatidiform mole Trophoblastic disease NOS Vesicular mole Excludes: chorionepithelioma (181) 631 Other abnormal product of conception Blighted ovum Mole: NOS carneous fleshy Excludes: with mention of conditions in 630 (630) 632 Missed abortion Early fetal death with retention of dead fetus Retained products of conception, not following spontaneous or induced abortion or delivery Excludes: failed induced abortion (638) missed delivery (656.4) with abnormal product of conception (630, 631) 633 Ectopic pregnancy Includes: ruptured ectopic pregnancy 633.0 Abdominal pregnancy 633.1 Tubalpregnancy Fallopian pregnancy Rupture of (fallopian) tube due to pregnancy Tubal abortion 633.2 Ovarian pregnancy 633.8 Other ectopic pregnancy Pregnancy: Pregnancy: cervical intraligamentous combined mesometric cornual mural - 355- 356 TABULAR LIST 633.9 Unspecified The following fourth-digit subdivisions are for use with categories 634-638: .0 Complicated by genital tract and pelvic infection [any condition listed in 639.0] .1 Complicated by delayed or excessive haemorrhage [any condition listed in 639.1] .2 Complicated by damage to pelvic organs and tissues [any condi- tion listed in 639.2] .3 Complicated by renal failure [any condition listed in 639.3] .4 Complicated by metabolic disorder [any condition listed in 639.4] .5 Complicated by shock [any condition listed in 639.5] .6 Complicated by embolism [any condition listed in 639.6] .7 With other
    [Show full text]
  • Dlo150003.Pdf
    Letters described in the Japanese population, several PP cases have 6. Valkenborgh T, Bral P. Starvation-induced ketoacidosis in bariatric surgery: also been reported in Western countries and, recently, in the a case report. Acta Anaesthesiol Belg. 2013;64(3):115-117. Middle East.2,3 The pathogenesis of PP is not completely clear. In addition Occurrence of Psoriasiform Eruption to being associated with several factors including exogenous During Nivolumab Therapy for Primary (physical trauma, friction) and hormonal (pregnancy,menstrua- Oral Mucosal Melanoma tion), PP has classically been reported in association with meta- The immunoinhibitory receptor programmed death 1 (PD-1) is bolic derangements, especially ketotic states (dieting, fasting, expressed on antigen-stimulated T cells. The interaction be- diabetes mellitus).2,3 Actually, several studies have detected el- tween PD-1 and its ligands, which are expressed on dendritic evated urine and/or blood ketone levels in patients with PP.2,3 cells, macrophages, and cancer cells, inhibits antitumor ac- In such circumstances, it is believed that ketone bodies may dis- tivity of cytotoxic T cells.1 A fully human anti–PD-1 antibody, tribute around blood vessels leading to perivascular inflamma- nivolumab, has been approved in Japan for unresectable mela- tion or enter into cells modifying their intracytoplasmic pro- noma. We report a case of melanoma that responded well to cesses. The inflammation is believed to be mainly mediated by nivolumab treatment, but the patient developed skin erup- neutrophils: PP usually responds well to medications with an- tions resembling psoriasis. tineutrophil effect, such as dapsone and tetracyclines, which would support this neutrophil-mediated theory.
    [Show full text]
  • Medical Education, Registration and Hospital Service
    51 ; Patrick Henry, statesman, 57; William Thomas Green Morton, discoverer of ether, 72; Augustus Saint-Gaudens, the Medical Education, Registration and sculptor, 67, and Roger Williams, the minister, a leader in Hospital Service liberal religion and founder of Providence, R. I., 66. The only woman who received enough votes to place her name on the COMING EXAMINATIONS roll was Alice Freeman Palmer, the educator, who received Delaware: Dover, Dec. 14-16. Sec., Reg. Bd., Dr. P. S. Downs, 53 votes. Dover. That Morton, together with our most beloved Mark Twain, Florida: Gainsville, Dec. 6-7. Sec. Reg. Board, Dr. W. M. Rowlett, 812 Citizens Bank Bldg., Tampa. should have received more votes than any other candidate Illinois: Chicago,. Dec. 6-7. Director, Mr. Francis W. bhepardson, Capitol is a omen for the medical and Bldg., Springfield. particularly good profession, Louisiana: New Orleans, Dec. 2-4. Sec, Dr. E. W. Mahler, 1551 it is to be hoped that in future elections the names of our Canal St., New Orleans. Maryland: Baltimore, Dec. 14. Sec, J. McP. Scott, 137 W. Wash¬ other great pathfinders in medicine and surgery may not be ington St., Hagerstown. forgotten. Such names as McDowell, Marion Ohio: Columbus, Dec. 1-3. Sec, H. M. Platter, State House, Ephraim J. Columbus. Sims, Benjamin Rush and Walter Reed all deserve a place Virginia: Richmond, Dec. 14-17. Sec, J. W. Preston, 511 McBam among the immortals in America's Hall of Fame. Bldg., Roanoke. S. Adolphus Knopf, M.D., New York. GRADUATE MEDICAL EDUCATION Special Conference of the Council on Medical Education Queries and Minor Notes and Hospitals A conference called by the Council on Medical Education and Hospitals was held at the University Club, Chicago, Anonymous Communications and queries on postal cards will not Thursday, Nov.
    [Show full text]