A Clinical Study to See the Effect of Homoeopathic Medicines in Polycystic Ovarian Syndrome of Reproductive Age Group Between 12-45 Years

Total Page:16

File Type:pdf, Size:1020Kb

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. Keywords- Homoeopathy, Polycystic Ovaries, Menstrual Irregularity, Polycystic Ovarian Syndrome Questionnaire. INTRODUCTION ordinarily have many number of little cysts Polycystic Ovarian Syndrome around the edge of their ovaries. Polycystic otherwise called PCOS OR PCOD ovaries mean the ovaries containing [Polycystic Ovarian Disorder] is a typical countless blisters that are not greater than hormonal issue and a main source of female 8mm and grow a larger number of follicles infertility around the world. PCOS is consistently than ordinary ovaries. The additionally called as Stein-Leventhal growths are the egg containing follicles that Syndrome after two specialists who don't grow appropriately as a result of originally depicted it in 1935 [1] The hormone imbalance. A few females proceed Rotterdam 2003 criteria characterizes PCOS to create PCOS [Polycystic Ovarian as frequency of any two of 3 key criteria in Syndrome] which implies they have particular, oligoovulation and anovulation, different indications including polycystic hyperandrogenism and polycystic ovaries ovaries. PCOS might be heredity also. [PCO]. [2][3] Poly cystic Ovarian Syndrome Studies shows that ladies with family (PCOS) is a condition wherein females ancestry of polycystic ovaries are half International Journal of Health Sciences and Research (www.ijhsr.org) 43 Vol.10; Issue: 3; March 2020 Priti Ashok. Malvekar et.al. A clinical study to see the effect of homoeopathic medicines in polycystic ovarian syndrome of reproductive age group between 12-45 years bound to create PCOS.PCOS is seen as the Homeopathy directs the menses in most widely recognized explanation behind characteristic manner. Diminishes Hirsutism menstrual abnormalities in 4-12% of ladies (undesirable hairs) and builds the odds of of conceptive age [12-45 yrs. old]. [4][5] 5- considering. PCOS is the most widely 10% of ladies create PCOS during their recognized reason for anovulatory young or youngster bearing years. [6] infertility. There is absence of awareness in Worldwide PCOS influences up to 6-7% of the public about PCOS and its difficulties the populace. In any case, the pervasiveness like fruitlessness, diabetes type 2, explicit to the nation fluctuates widely. In cardiovascular sicknesses. Passionate India, the frequency of PCOS/PCOD is on prosperity issues are critical. [9,10] In the climb; about 35% of ladies experience Allopathy the medications ordinarily the ill effects of it. In 2014 examination led utilized for treatment in ladies with PCOS in Mumbai (independent) among 600 pre- are metformin which can bring down TSH adult young ladies detailed an expected levels and hypothyroidism. commonness of 22.5% when the finding There are scarcely any reports was finished utilizing Rotterdam criteria. showing the convenience of the Another examination was led by All India Homeopathic treatment. Symptomatic just Institutions of Medical Science(AIIMS) it as ultrasonological improvement in PCOS. was discovered that one out of four females Yet, more investigations are required with experience the ill effects of PCOS. appropriate thoroughness. The Respondent population right now to the conceptive age bunch 12-48 MATERIAL AND METHODS years. Most noteworthy number of sufferers Study setting – A clinical study was carried was the understudy classification with out on with detail case study and follow up 21.27% of them experiencing the Disorder. in Bharati Vidyapeeth Medical Foundation’s This demonstrates more young ladies Homoeopathic Hospital, OPD, IPD and with increasingly inclined to hormonal the help of senior Homoeopathic physicians. imbalance. [7] PCOS Present with different Total 30 patients of Reproductive age group level of Symptoms like sporadic, rare between 12-45 yrs. who were suffering from periods inside 3 or 4years of beginning polycystic ovarian syndrome. (PCOS) was discharge lighter overwhelming during enrolled for the study which fulfils the case period, weight gain, and unnecessary hair definition & inclusion /exclusion criteria growth to changing degrees on face, chest, those who were participated willingly in and lower midriff. Moderate stomach research. Since it is a time bound study, inconvenience during periods, skin subject attending, Bharati Vidyapeeth inflammation, and over the top skin Medical Foundation Homoeopathic development on neck or in armpit Hospital, peripheral O.P.D. and various additionally called as acanthosis nigricans. rural and urban camps series. Bone pain [arthralgia] and male pattern Study design – A prospective clinical trial baldness [alopecia], stoppage, flauntulence, interventional single arm single blind and heartburn. Polycystic ovarian disorder method. Study was carried out at Bharati (PCOS) Divided essentially into two types. Vidyapeeth Medical Foundation [8] 1. Insulin Resistant (IR) PCOS. 2. Non- Homoeopathic Hospital, peripheral OPD, Insulin Resistant PCOS. Various rural & urban camp series, OPD, The main cause of PCOS lies in the IPD from 20192020 (Approximately 25 hormonal aggravation. Homeopathy weeks).minimum 30 Cases was selected redresses the hormonal aggravation and which fulfils the case definition & inclusion brings harmony, without the danger of and exclusion criteria those who reaction. It is anyway basic to take participated willingly in the research. Data homeopathic treatment for PCOS. collection was done through Rotterdam International Journal of Health Sciences and Research (www.ijhsr.org) 44 Vol.10; Issue: 3; March 2020 Priti Ashok. Malvekar et.al. A clinical study to see the effect of homoeopathic medicines in polycystic ovarian syndrome of reproductive age group between 12-45 years 2003 criteria as per ASRM (American remedy is already available in the society of reproductive medicine) & Homoeopathic literature, well proved on ESHRE (European society of human healthy human beings and is harmless, reproduction and embryology) guidelines. having no side effects. Intervention Inclusion criteria- inclusion criteria for the Patients fulfilling the eligibility criteria was study are: 1) Female aged 12-45years. 2) enrolled to receive the homoeopathic Oligomenorrhoea (intermenstrual period of intervention. Medicine was given in 30C, more than 35 days for 3 consecutive cycles/ 200C or 1M, LM potency as per the amenorrhea for more than 3 months (2 years prescribing totality. The medicines were after menarche) 3) 3) ultrasound findings of repeated depending on the potency and polycystic ovaries. [11] 4) Clinical evidence complaints of the patient in accordance with of hirsutism (Ferriman score 8 and above) the principles of homoeopathy. [12] and/ or acne (acne global severity scale score 1 and above) [13] 5) Body Mass Index Selection of tool – (BMI) 23 and above. 6) Females who are Drug was acquired from standard pharmacy diagnosed with PCOS. 7) Patient who (SBL Uttarakhand) & was stored as per willing to give written informed consents rules of Homeopathic Pharmacopoeia. for research participation. Medicines was stored in Bharati Vidyapeeth Homoeopathic Pharmacy, Katraj, Pune- Exclusion criteria – 1) Patient with other 411043.Liquid was stored in amber colour systemic illnesses (DM, Cushing syndrome, glass bottle kept in dark place, under hyperprolactenemia. 2) untreated hypo or appropriate temperature, away from hyperthyroidism. 3) Adrenal hyperplasia sunlight& humidity condition. Freshly and adrenal tumour4) ovarian tumour. 5) prepared powder dose was used for Hyperthecosis. 6) History of intake of drugs dispensing purpose. Log no. & Batch no. aldactone/ metformin or history of oral was maintained. contraceptive pills (OCP) use or intake of drugs known to interfere with carbohydrate Brief of procedures- metabolism
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]
  • “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.
    [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]
  • 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]