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Pilonidal Disease
Pilonidal Disease What is pilonidal disease and what causes it? Pilonidal disease is a chronic infection of the skin in the region of the buttock crease (Figure 1). The condition results from a reaction to hairs embedded in the skin, commonly occurring in the cleft between the buttocks. The disease is more common in men than women and frequently occurs between puberty and age 40. It is also common in obese people and those with thick, stiff body hair. Figure 1: Pilonidal disease is a chronic skin infection in the buttock crease area. Two small openings are shown (A). What are the symptoms? Symptoms vary from a small dimple to a large painful mass. Often the area will drain fluid that may be clear, cloudy or bloody. With infection, the area becomes red, tender, and the drainage (pus) will have a foul odor. The infection may also cause fever, malaise, or nausea. There are several common patterns of this disease. Nearly all patients have an episode of an acute abscess (the area is swollen, tender, and may drain pus). After the abscess resolves, either by itself or with medical assistance, many patients develop a pilonidal sinus. The sinus is a cavity below the skin surface that connects to the surface with one or more small openings or tracts. Although a few of these sinus tracts may resolve without therapy, most patients need a small operation to eliminate them. A small number of patients develop recurrent infections and inflammation of these sinus tracts. The chronic disease causes episodes of swelling, pain, and drainage. -
Vide. Specific Exercises and Activities Are Listed for the Various Physical Deviations
DOCUMENT RESUME ED 051 216 SP 007 315 AUTHOR Muller, Robert M. TITLE Adaptive Physical Education. INSTITUTION Bensalam Township School District, Cornwolls Heights, Pa. PUB DATE riov 70 NOTE 46p. EDRS PRICE EDRS Price MP-$O.65 BC-$3.29 DESCRIPTORS *Curriculum Guides, *Elementary School Curriculum, Handicapped Students, *Physical Education, *Physically Handicapped, *School Health Services ABSTRACT GRADES OR AGES: Elementary grades. SUBJECT MATTER: Adaptive physical education. ORGANIZATION AND PHYSICAL APPEARANCE: The aims and objectives of the program and the screening procedure are described. Common postural deviations are identified and a number of congenital and other defects described. Details of the modified program are given. There is a glossary of terms and samples of letters to physicians and parents in connection with the program. The guide is mimeographed and spiral bound with a sott cover. OBJECTIVES AND ACTIVITIES: The objectives are briefly outlined at the beginning of the 'vide. Specific exercises and activities are listed for the various physical deviations. INSTRUCTIONAL MATERIALS: There is no information on materials. STUDENT ASSESSMENT: No provision is made for evaluation. (MBM) VS. DEPARiMENT OF HEALTH, LCUCATIDN & WELFARE OFFICE OF EDUL,ATION THIS DOCUMENT HA:, BEES REPRO- DUCED Ex,ArTLY AS RECEIVED FROM THE PERSON 09 ORGAN,ZAT1ON ORIG, INATIND IT PO.NTS OF VIEW OR OPIN- IONS STATED CO NOT NECESSAMIT REPRESENT OFF,CIAL OFF.CE OF EDO- CATION POSITION OR MUD' \:7 HYSICAL FDUCATION FOREWORD We believe all students should participate in a planned program of physical education.It ie the ultimate goal of the Adaptive Physical Education Department to provide every student with such a program, Adaptive Physical Eduction can offer helpful services to handicapped students so they can live and function more ef- fectively.All studrnts ,tending school should have the oppor- tunity to achieve a maximum of growth wad development. -
24/7 Nurseline Audio Health Topics
24/7 Nurseline Audio Health Topics What are audio health topics? Health care questions and concerns are present even when symptoms are not. The 24/7 Nurseline audio health topics are available to help you and your family educate yourselves about many common and chronic illnesses and diseases — 24 hours a day, 7 days a week. Pre-recorded messages on topics provide the information you need to help: • Prevent illness • Identify warning signs • Administer self care How can I listen to audio health topics? It’s easy, just call the same toll-free number you call to speak with a nurse. You can call anytime for information on a variety of health care topics. If you are calling from a touchtone phone, just follow the directions below. If you are calling from a dial phone (rotary phone), please stay on the line and a nurse can direct you to a topic. Call instructions: • Look up the 4-digit number for the topic you want to hear. • Call the toll-free number. While listening to a topic, you can activate • Select the option for audio health topics. You will be transferred the following options by pressing the to an agent who can connect you to the appropriate recording. corresponding key on your telephone keypad. • Listen to the recording. Topics are usually 2 to 5 minutes Press 0 to speak to a nurse. in length. Press 1 to replay the entire topic. Press 9 to end the call. Call the 24/7 Nurseline at 800-581-0393 to access audio health topics. -
Ectodermal Dysplasia Syndrome with Cleft Palate, Hypodontia, Metatarsus Adductus and Imperforate Anus: a New Syndrome?
Ectodermal Dysplasia Syndrome ORAL MEDICINE ECTODERMAL DYSPLASIA SYNDROME WITH CLEFT PALATE, HYPODONTIA, METATARSUS ADDUCTUS AND IMPERFORATE ANUS: A NEW SYNDROME? 1UMAIR KHAN, BDS, C-Radiology (UK), MSc Oral Medicine (EDI-UCL, UK),MIAOMT (USA), MBSOM (UK) 2RABIA AZIZ, BDS 3GHAZALA HASSAN, BDS 4TAHIRA ZAFAR, BDS 5SAHAR IQRAR, BDS ABSTRACT Ectodermal dysplasia constitute a large group of rare, heterogenous (under clinical and genetic aspects), congenital/hereditary disorders characterized by a constellation of findings involving a primary defect (hypoplasia or aplasia) in at least two embryonic ectodermal-derived tissues including the teeth, skin, appendageal structures, hair, nails, nerve cells, eccrine glands, sebaceous glands and parts of the eye (conjunctiva), ear, and certain other structures. More than 192 distinct disorders have been described. The most common Ectodermal dysplasias are X-linked recessive hypohidrotic/ anhidrotic type known as Christ-Siemens Touraine syndrome with the gene mapping to Xq12-q13 and hydrotic type known as Clouston’s syndrome. Several ED syndromes may manifest in association with midfacial defects, mainly cleft palate and/or lip. Hypodontia of the primary and permanent dentition is the most common oral finding. This study presents four cases of the same family, two suffering from Ectodermal dysplasia along with hypodontia and cleft palate, one of which also presents metatarsus adductus and imperforate anus (proband) and the remaining two out of four with hypodontia in the absence of ectodermal dysplasia, one of which also presents metatarsus adductus (elder sibling) with imperforate anus in the other (youngest sibling). Oral and Maxillofacial Physicians & Dentists can be the first to diagnose ectodermal dysplasia due to the presence of specific facio-oral features and absence of teeth respectively. -
Organ System % of Exam Content Diseases/Disorders
Organ System % of Exam Diseases/Disorders Content Cardiovascular 16 Cardiomyopathy Congestive Heart Failure Vascular Disease Dilated Hypertension Acute rheumatic fever Hypertrophic Essential Aortic Restrictive Secondary aneurysm/dissection Conduction Disorders Malignant Arterial Atrial fibrillation/flutter Hypotension embolism/thrombosis Atrioventricular block Cardiogenic shock Chronic/acute arterial Bundle branch block Orthostasis/postural occlusion Paroxysmal supraventricular tachycardia Ischemic Heart Disease Giant cell arteritis Premature beats Acute myocardial infarction Peripheral vascular Ventricular tachycardia Angina pectoris disease Ventricular fibrillation/flutter • Stable Phlebitis/thrombophlebitis Congenital Heart Disease • Unstable Venous thrombosis Atrial septal defect • Prinzmetal's/variant Varicose veins Coarctation of aorta Valvular Disease Patent ductus arteriosus Aortic Tetralogy of Fallot stenosis/insufficiency Ventricular septal defect Mitral stenosis/insufficiency Mitral valve prolapse Tricuspid stenosis/insufficiency Pulmonary stenosis/insufficiency Other Forms of Heart Disease Acute and subacute bacterial endocarditis Acute pericarditis Cardiac tamponade Pericardial effusion Pulmonary 12 Infectious Disorders Neoplastic Disease Pulmonary Acute bronchitis Bronchogenic carcinoma Circulation Acute bronchiolitis Carcinoid tumors Pulmonary embolism Acute epiglottitis Metastatic tumors Pulmonary Pulmonary nodules hypertension Croup Obstructive Pulmonary Cor pulmonale Influenza Disease Restrictive Pertussis Asthma Pulmonary -
For Sexual Health Care of Clinical
Clinical Guidelines for Sexual Health Care of Men Who Have Sex with Men Clinical ...for Sexual Health Care of IUSTI Asia Pacific Branch The Asia Pacific Branch of IUSTI is pleased to introduce a set of clinical guidelines for sexual health care of Men who have Sex with Men. This guideline consists of three types of materials as follows: 1. The Clinical Guidelines for Sexual Health Care of Men who Have Sex with Men (MSM) 2. 12 Patient information leaflets (Also made as annex of item 1 above) o Male Anogenital Anatomy o Gender Reassignment or Genital Surgery o Anogenital Ulcer o Genital Warts o What Infections Am I At Risk Of When Having Sex? o Hormone Therapy for Male To Female Transgender o How To Put On A Condom o Proctitis o What Can Happen To Me If I Am Raped? o Scrotal Swelling o What Does An STI & HIV Check Up Involve? o Urethral Discharge 3. Flip Charts for Clinical Management of Sexual Health Care of Men Who Have Sex with Men (Also made as an annex of item 1 above) The guidelines mentioned above were developed to assist the following health professionals in Asia and the Pacific in providing health care services for MSM: • Clinicians and HIV counselors who work in hospital outpatient departments, sexually transmitted infection (STI) clinics, non-government organizations, or private clinics. • HIV counselors and other health care workers, especially doctors, nurses and counselors who care for MSM. • Pharmacists, general hospital staff and traditional healers. If you would like hard copies of the set of clinical guidelines for sexual health care of Men who have Sex with Men, please contact Dr. -
“When Our Feet Hurt, We Hurt All Over.”
Search Doctors/ what a relief! About Us Products Services Referrers Downloads F.A.Q. Home “When our feet hurt, With a highly experienced team of foot care providers at your service, we hurt all over.” the Foot Power clinic in Sydney’s Dee Why offers innovative foot care solutions. Put simply, at Foot Power we put feet first. Socrates Your feet are your body’s foundation so give them the best possible care and get the most from your body. Back pain, aching joints and foot discomfort can all be signs that your feet are in need of some TLC! A visit to the Foot Power clinic can help you reduce your discomfort, train effectively and get back in the game! Contact Us | Useful Links © Footpower 2009 | Site Map Search Doctors/ what a relief! About Us Products Services Referrers Downloads F.A.Q. Home “When our feet hurt, With a highly experienced team of foot care providers at your service, we hurt all over.” the Foot Power clinic in Sydney’s Dee Why offers innovative foot care solutions. Put simply, at Foot Power we put feet first. Socrates Your feet are your body’s foundation so give them the best possible care and get the most from your body. Back pain, aching joints and foot discomfort can all be signs that your feet are in need of some TLC! A visit to the Foot Power clinic can help you reduce your discomfort, train effectively and get back in the game! Contact Us | Useful Links © Footpower 2009 | Site Map Search Doctors/ what a relief! About Us Products Services Referrers Downloads F.A.Q. -
Practice Parameters for the Management of Pilonidal Disease Scott R
PRACTICE PARAMETERS Practice Parameters for the Management of Pilonidal Disease Scott R. Steele, M.D. • W. Brian Perry, U.S.A.F., M.C. • Steven Mills, M.D. W. Donald Buie, M.D. Prepared by the Standards Practice Task Force of the American Society of Colon and Rectal Surgeons he American Society of Colon and Rectal Surgeons were also performed in selected circumstances. Although is dedicated to ensuring high-quality patient care not exclusionary, primary authors focused on all English Tby advancing the science, prevention, and man- language manuscripts and studies of adults. Recommen- agement of disorders and diseases of the colon, rectum, dations were formulated by the primary authors and re- and anus. The Standards Committee is composed of So- viewed by the entire Standards Committee. The final grade ciety members who are chosen because they have dem- of recommendation was performed by using the Grades of onstrated expertise in the specialty of colon and rectal Recommendation, Assessment, Development, and Evalua- surgery. This Committee was created to lead internation- tion (GRADE) system (Table 1).1 al efforts in defining quality care for conditions related to the colon, rectum, and anus. This is accompanied by developing Clinical Practice Guidelines based on the best STATEMENT OF THE PROBLEM available evidence. These guidelines are inclusive, and Pilonidal disease is a potentially debilitating condition not prescriptive. Their purpose is to provide information affecting 70,000 patients annually in the United States on which decisions -
Horseshoe Abscesses in Primary Care
CASE REPORT Horseshoe abscesses in primary care Jeremy Rezmovitz MSc MD CCFP Ian MacPhee MD PhD FCFP Graeme Schwindt MD PhD CCFP norectal abscesses are a common presentation in metformin, gliclazide, atorvastatin, and low-dose primary care. While most abscesses are mild and acetylsalicylic acid. can be treated effectively with incision and drain- On physical examination, the patient was in no Aage, unrecognized anorectal abscesses might cause sep- distress. He was obese (body mass index of 35 kg/m2) sis and ultimately require surgery if left untreated.1-4 In this and afebrile, his blood pressure was 143/75 mm Hg, case, we demonstrate the importance of recognizing the and his heart rate was 99 beats/min and regular. evolution of symptoms in the face of an unusual presenta- Findings of a digital rectal examination (DRE) dem- tion of perianal pain not responding to medical treatment. onstrated multiple nonthrombosed external hemor- rhoids and a normal-sized but exquisitely tender Case prostate. He was diagnosed clinically with prostati- A 68-year-old man presented to his family physician tis. Investigations were ordered, including complete with a 3-day history of gradual difficulty in passing blood count and urine testing for culture, gonorrhea, urine and stool. While the patient was able to pass and chlamydia; the results showed no abnormality gas, he was finding it painful to walk owing to rectal except a white blood cell count (WBC) of 9.2 × 109/L, discomfort and reported 1 day of “chills.” He denied the upper limit of normal. A 14-day course of sulfa- hematuria, hematochezia, dysuria, nausea, vomiting, methoxazole (800 mg) and trimethoprim (160 mg) or fever, and had no history of sexually transmitted was prescribed, and the patient was asked to return infections. -
Evidence-Based Management of Skin and Soft-Tissue Infections In
VISIT US AT BOOTH # 203 AT THE ACEP PEDIATRIC ASSEMBLY IN NEW YORK, NY, MARCH 24-25, 2015 February 2015 Evidence-Based Management Volume 12, Number 2 Authors Of Skin And Soft-Tissue Jennifer E. Sanders, MD Pediatric Emergency Medicine Fellow, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, Infections In Pediatric Patients New York, NY Sylvia E. Garcia, MD Assistant Professor of Pediatrics and Pediatric Emergency In The Emergency Department Medicine, Icahn School of Medicine at Mount Sinai, New York, NY Abstract Peer Reviewers Jeffrey Bullard-Berent, MD, FAAP, FACEP Skin and soft-tissue infections are among the most common condi- Health Sciences Professor, Emergency Medicine and Pediatrics, University of California – San Francisco, Benioff tions seen in children in the emergency department. Emergency de- Children’s Hospital, San Francisco, CA partment visits for these infections more than doubled between 1993 Carla Laos, MD, FAAP and 2005, and they currently account for approximately 2% of all Pediatric Emergency Medicine Physician, Dell Children’s Hospital, Austin, TX emergency department visits in the United States. This rapid increase CME Objectives in patient visits can be attributed largely to the pervasiveness of community-acquired methicillin-resistant Staphylococcus aureus. The Upon completion of this article, you should be able to: 1. Describe the pathophysiology of community-acquired emergence of this disease entity has created a great deal of controver- methicillin-resistant Staphylococcus aureus. sy regarding treatment regimens for skin and soft-tissue infections. 2. Differentiate the clinical presentation of common skin and soft-tissue infections. This issue of Pediatric Emergency Medicine Practice will focus on the 3. -
Pilonidal Sinus Disease - a Literature Review
Review Article World Journal of Surgery and Surgical Research Published: 10 Apr, 2019 Pilonidal Sinus Disease - A Literature Review Lim J and Shabbir J* Department of Colorectal Surgery, University Hospital Bristol, UK Abstract Pilonidal Sinus Disease (PSD) is a common condition that has had controversies surrounding its aetiology and treatment since its first description in the mid-19th century. The prevalence in the UK has been estimated at 0.7% with peak age of incidence at 16 years to 25 years. Males are more commonly affected than females and risk factors include stiff body hair, obesity, and a bathing habit of less than two times a week, and a sedentary occupation or lifestyle (i.e. those who sit for more than six hours a day). Pilonidal sinus disease is best managed by specialists with an interest in the disease such as a colorectal or plastic surgeon experienced in treating recurrent cases. Emergency treatment should primarily consist of off-midline incision and drainage with subsequent referral to a specialist should the condition recur. The aim of this article is to summaries the current practice for treatment of pilonidal sinus disease including difficult modalities used and their limitations. Introduction Pilonidal Sinus Disease (PSD) was previously referred to as Jeep disease when it was noticed amongst American soldiers driving the eponymous vehicles in World War II [1]. It is a common condition that has had controversies surrounding its aetiology and treatment since its first description in the mid-19th century [2]. Due to its high recurrence rate, PSD has previously been ascribed to a congenital origin such as a caudal remnant of the neural tubeor sequestered ectodermal tissue during development [3,4]. -
A Review of Pilonidal Sinus Lesions and a Method Oftreatment
Postgrad Med J: first published as 10.1136/pgmj.43.499.353 on 1 May 1967. Downloaded from Postgrad. med. J. (May 1967) 43, 353-358. A review of pilonidal sinus lesions and a method of treatment B. P. FLANNERY H. A. KIDD F.R.C.S. F.R.C.S.E. St Helier Hospital, Carshalton, Surrey Introduction barbers has been reported by Patey & Scarff (1946, This paper on pilonidal lesions is presented with 1948, 1955). Lesions have also been found in the the object of reviewing the disease and describing anterior perineum (Smith, 1948), axilla and a method of treatment introduced by Jacobsen umbilicus (Aird, 1952) and also in an amputation (1959). stump (Shoesmith, 1953. From a review of umbilical A pilonidal sinus is an anomalous condition, in sinuses and fistulae (Steck & Helwig, 1965) thirty- which there may be found a nidus of epithelial and eight sinuses have been histologically identified as hair cells submerged in the cutaneous tissues of the pilonidal. intergluteal cleft. These elements under certain conditions give rise to symptoms or signs. Their Aetiology presence is indicated by a number of fine circular The cause of pilonidal sinuses has during the last pits, which are aligned vertically and are of four to five decades been in doubt. For some time, variable orifice-diameter. They are usually two or two beliefs supporting a congenital theory of origin thiree in number, although larger numbers have were held: (a) remnants of the neural canal be- copyright. been described. They extend to the caudal end of came separated off and isolated, thus leading to a the anal cleft, superior to the posterior anal verge sinus tract; and (b) malfusion of the body halves beyond which they are not seen.