1/6. Anaerobic septicaemia by fusobacterium necrophorum: Lemierre's syndrome.Lemierre's syndrome is characterized by acute pharyngotonsillitis with secondary thrombophlebitis of the internal jugular vein which is complicated by multiple metastatic foci of infections. This syndrome is caused by fusobacterium necrophorum in healthy young persons and is extremely rare in occurrence. A pre-school child with Lemierre's syndrome is reported. The diagnostic and therapeutic aspects are emphasized in order to sensitize physicians to this uncommon condition.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/6. Lingual tonsillectomy for refractory paroxysmal cough.Historically, the lingual tonsils are the most neglected members of Waldeyer's ring. They are often overlooked even in a thorough head and neck exam because of their anatomic location and the ambiguous constellation of symptoms which they produce when they are diseased or enlarged. The lingual tonsils have been reported to be associated with a variety of upper aerodigestive tract symptoms including odynophagia, dysphagia, otalgia, globus, halitosis, chronic cough, and dyspnea. Many patients with lingual tonsillar pathology may undergo extensive work-up for some of these non-specific upper airway complaints by their primary physician before referral to an otolaryngologist. Consequently, the diagnosis of lingual tonsillar disease requires a high index of suspicion and a thorough physical exam including evaluation of the tongue base and hypophaynx with indirect mirror or fiberoptic exam. In order to draw attention to this frequently unrecognized entity, we present a case report of a child with chronic cough resulting from lingual tonsillar hypertrophy.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/6. Poststreptococcal glomerulonephritis presenting as impending airway obstruction.The presence of poststreptococcal glomerulonephritis in the pediatric patient remains a diagnostic challenge to the emergency physician. The variability of both patient presentation and laboratory parameters often obscures the diagnosis. We describe a child who presented to the emergency department with subglottic edema and the possibility of impending airway compromise. The child was admitted to the hospital under close observation, and several days later, the diagnosis of poststreptococcal glomerulonephritis was made.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/6. Clinical holistic medicine: chronic infections and autoimmune diseases.The consciousness-based (holistic) medical toolbox might be useful in general practice and in cases of recurrent infections and chronic infection or inflammation. From our clinical experiences, there is hope for improvement from a number of diseases caused by disorders affecting the regulation of the immune system when the physician includes the holistic medical approach. Our scientific understanding of the connection between consciousness and cellular order is still limited. consciousness-based holistic medicine removes (as explained by the holistic process theory of healing) the "blockages" in the tissues of the body and facilitates function and informational exchange of the cells of the body. Many blockages and repressed feelings in an area would imply "noise and disturbances" on the level of intercellular communications, which in turn means major difficulties for the cells of the immune system. For this they are totally dependent on the body information system, which the holistic treatment aims to recover. Processing the blockages increases the coherence of the cells and organism, thus increasing the intercellular flow of information in the area and thus strengthening the immune defense and healing the disease. The area of clinical holistic medicine is going through a rapid development and the toolbox of consciousness-based medicine is available for dealing with many diseases arising from disturbances in the regulation of the immune system. Holistic medicine has yet to be better explained scientifically and our proposed holistic cures have yet to be documented clinically. We invite the medical community to cooperate on this important challenge.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/6. An appraisal of measures to prevent and control psoriasis.Prevention in a broad sense refers to limiting the progress of disease at any stage of its course; control refers to reduction in frequency and/or severity of a disease in a population. Measures to prevent and control psoriasis require a knowledge on behalf of both the physician and the patient to recognize genetic and environmental components in the onset and course of the disease. Triggering factors include streptococcal throat infection, injury, drugs, low humidity, and emotional stress. From a study of 102 severely affected psoriasis patients, the "Three-P Concept" for the management of psoriasis has evolved encompassing: (1) prevention of injury, (2) persistence in avoiding overtreatment, and (3) pauses or rest periods in the course of treatment with sedation, emolliation, and humidification. Educating psoriasis patients about their disease and encouraging them to take responsibility for self-care will lessen the morbidity.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/6. Acute lingual tonsillitis.A 45-year-old woman presented to the emergency department (ED) with a 3-day history of fever, progressive sore throat, dysphagia, and difficulty speaking. She was diagnosed with acute lingual tonsillitis. The ED physician must consider this rarely discussed disorder when presented with the previously mentioned signs and symptoms. This will allow for prompt diagnosis and treatment of acute lingual tonsillitis and may help to avoid potential airway compromise.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |