Characteristic appearance of the oropharynx in patients with postnasal drip (PND)‐induced cough

Author(s):  
Katsuyuki Tomita ◽  
Tomoyuki Ikeuchi ◽  
Hirokazu Touge ◽  
Yosuke Nakamura ◽  
Yuko Yamamoto ◽  
...  
2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Bougherara Hithem ◽  
Boukhechem Saïd ◽  
Aguezlane Abdelaziz ◽  
Benelhadj Khouloud ◽  
Aissi Adel

Background: Sticker sarcoma, also called venereal sarcoma or venereal lymphosarcomatosis, is a tumor of the external genital organs in females and males. In male animals the penis and foreskin (prepuce) are affected, in the female, it happens in vagina (vagina) and labia (vulva). The diagnosis of sticker sarcoma is based on the chronic discharge, the typical locations and the characteristic appearance of the tumor. Methods: We have relied on the treatment method on the complete surgical removal of all cancer cells that we can access. Results: After surgery, we notice recurrent tumors about six months after surgical treatment, indicating the need for other treatments in addition to surgery. Conclusion: Although spontaneous regressions of sticker sarcoma are documented (with permanent immunity), chemotherapy is the treatment of choice today. Irradiation should also be effective. If the tumor is only removed surgically, there is a high rate of recurrence, and this is what happened with the case that we treated, as the tumor reappeared after less than six months.


1995 ◽  
Vol 104 (7) ◽  
pp. 529-531 ◽  
Author(s):  
Bruce Benjamin ◽  
Christopher Dalton ◽  
Glen Croxson

Sarcoidosis is usually a multisystem granulomatous disease, and it sometimes affects the larynx and causes symptoms of dysphonia, dyspnea, and dysphagia. Laryngeal sarcoid has a characteristic appearance at direct or indirect laryngoscopy: the supraglottic tissues are symmetrically affected with a pale, diffusely swollen appearance somewhat like that of epiglottitis. Five cases of laryngeal sarcoid are presented. Three photographs taken at direct laryngoscopy, and one at indirect laryngoscopy, document and emphasize the typical appearance of the supraglottic tissues. The appearance of this uncommon condition is sufficiently characteristic to suggest the diagnosis, which can finally be confirmed only by biopsy.


PEDIATRICS ◽  
1964 ◽  
Vol 33 (3) ◽  
pp. 435-440
Author(s):  
G. M. HOCHWALD ◽  
G. J. THORBECKE

Myeloma-like immune globulins present themselves as narrow bands upon paper electrophoresis, and usually show a characteristic appearance in immunoelectrophoresis. Two antigenically different groups of myeloma proteins have been described: groups I and II. Recently, 60% of normal γ-globulin, throughout the mobility range of γ-globulin, has been shown to possess the antigen characteristic for group I, and 30% that for group II myeloma. Occurrence of myeloma-like proteins in the serum is not restricted to multiple myeloma. They may also be seen with other tumors, such as reticulum cell sarcoma, and various carcinomas. In addition, Sonnet and Milhaux have reported on the frequent occurrence of myeloma-like ("monoclonal") γ-globulins in the serum of adult Bantus with different diseases. When large amounts of a myeloma protein are present in the serum, it may be found in a much lower concentration in the spinal fluid.


1964 ◽  
Vol 54 (6A) ◽  
pp. 1915-1925 ◽  
Author(s):  
I. Lehmann

abstract The European records from distances 36°-50° of the deep Hindu Kush earthquake of March 4, 1949 were studied. The many clearly recorded deep-focus reflections lend to the records a characteristic appearance which is repeated in many other shocks from the same focal region. The ratios of the amplitudes of these phases vary somewhat from one shock to another. In the shock here considered sP and sPP are exceptionally large at most stations; in the Italian stations they are not so large, while pP is a clear phase. pP is not very well defined at most other stations. Most of the 1949 records were from the old type long-period instruments having their highest magnification for periods from about 5 sec to 12 sec. Present day instruments of quite short or of very long proper period while admirable for many purposes do not record waves in this period range very well and therefore do not produce a satisfactory picture of the forerunners of earthquakes. The difference between the records obtained on different instruments is illustrated. It is shown in examples that the amplitude ratio PP:P may differ strongly at the same epicentral distance and also that pP may vary greatly with azimuth. The deficiency of station readings is noted. Travel times and their residuals are tabulated and travel times plotted versus epicentral distances.


2006 ◽  
Vol 43 (6) ◽  
pp. 756-761 ◽  
Author(s):  
Takuya Iida ◽  
Susam Park ◽  
Kogo Kato ◽  
Ichiko Kitano

Kabuki syndrome is a syndrome of rare congenital anomalies that was named after its characteristic appearance, a face resembling that of an actor in a Kabuki play. Although cleft palate is a feature that is sometimes observed in patients with Kabuki syndrome, there are few clinical reports of cleft palate associated with Kabuki syndrome. This report presents six cases of Kabuki syndrome with cleft palate and reviews their clinical features. Our results suggest that (1) patients with cleft palate in Kabuki syndrome tend to fail in acquiring normal velopharyngeal function and (2) submucous cleft palate might be more common in patients with Kabuki syndrome than previously was reported.


2022 ◽  
Vol 21 (4) ◽  
pp. 308-311
Author(s):  
K. A. Molokov ◽  
V. V. Novikov

Introduction. Welded joints in large-sized metal structures (e.g., in the structures of ship hulls) subject to low-cycle fatigue are considered. The characteristic appearance of soft interlayers, which are significantly plastically deformed under working loads, was noted. Deformation of the metal structure with damage, especially in the form of cracks, reduces the strength and reliability of structural elements and joints. Pre-deformation negatively affects plasticity; therefore, much depends on the residual plasticity of the cracking material. At the same time, with a decrease in residual plasticity, such an important reliability indicator as the resistance of the material to crack propagation — the fracture toughness – decreases. The paper is devoted to the development of a model that includes analytical dependences for assessing the crack resistance of metal structures and their welded joints with soft interlayers according to the crack resistance limit for all crack sizes.Materials and Methods. The theory and methods of linear mechanics of materials destruction, structural-mechanical approach are used. The calculation results were analyzed and compared to the experimental data and other analytical solutions. The numerical experiment was performed for the ferrite-perlite steel grades of 10, 50, 22K, St3sp, etc., widely used in industry, as well as for alloy steels hardened to medium and high strength of 30KhGSA, 37KhN3A, etc. Results. Analytical dependences are obtained for calculating the relative crack resistance limit according to three main known mechanical characteristics of the state of the material of the soft interlayer of the welded joint.Discussion and Conclusions. The results obtained can be used to assess the crack resistance of pre-deformed structural elements and welded joints (including those with soft interlayers) operating under a transverse load. The results of experimental data and analytical calculations are shown in dimensionless form, which enables to obtain invariant results with respect to the fracture toughness limit.


2021 ◽  
Vol 53 (10) ◽  
pp. 886-889
Author(s):  
John Malaty ◽  
Dongyuan Wu ◽  
Susmita Datta

Background and Objectives: Most literature about flexible nasolaryngoscopy comes from specialty clinics, making it unclear if these indications can be effectively managed without referral. This study evaluated effectiveness of diagnosis and management of upper airway complaints, utilizing flexible nasal endoscopic procedures, in a family medicine center. Methods: We performed retrospective chart review for all patients who had nasal endoscopy, nasopharyngoscopy, and nasolaryngoscopy performed at the University of Florida Family Medicine Center over 3 years (n=89) with 5 additional years of follow up. We used descriptive statistics to evaluate indications, diagnoses, effectiveness of management by family medicine, and referral rate. Results: The most common primary indications were hoarseness (n=33, 37%), chronic cough (n=20, 22%), nasal obstruction (n=9, 10%), and unilateral ear dysfunction (n=6, 7%). The most common primary diagnoses found were allergic rhinitis/postnasal drip (n=41, 46%), laryngopharyngeal reflux (LPR)/gastroesophageal reflux disease (GERD; n=24, 27%), masses concerning for malignancy (n=4, 4.5%), true vocal cord (TVC) polyp (n=3, 3%), TVC nodules (n=3, 3%), and epistaxis (n=3, 3%). Of the four concerning masses, two were confirmed cancers (2%). In addition, there was one case (1%) of erythroleukoplakia with dysplasia of the TVC. Most patients had documented improvement with family medicine management (n=57, 64%) and another six (7%) had follow up without documentation of status and no need for referral. Thus, a total of 71% (n=64) did not require referral and 20% (n=18) needed specialist referral. Conclusions: Flexible nasal endoscopic procedures are effective in the care of patients in a family medicine residency center and can be safely performed and taught to residents.


2015 ◽  
Vol 49 (2) ◽  
pp. 91-93
Author(s):  
Karan Gupta ◽  
Satheesh Kumar Sunku

ABSTRACT Isolated sphenoid sinus mucoceles are uncommon and difficult to diagnose clinically owing to the inaccessibility of the sphenoid sinus to clinical examination. A case of infected sphenoid sinus mucocele in which the patient complained of progressive nasal obstruction and postnasal drip without any other classical features of sphenoid sinus mucocele is discussed here. The pathology of mucocele and endoscopic sinus surgery as the treatment has been discussed in this article. How to cite this article Gupta K, Virk RS, Sunku SK. Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature. J Postgrad Med Edu Res 2015;49(2):91-93.


2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Sarmad Said ◽  
Chad J. Cooper ◽  
Haider Alkhateeb ◽  
Juan M. Galvis ◽  
German T. Hernandez ◽  
...  

Moyamoya disease was first described in 1957 as <em>hypoplasia of the bilateral internal carotid arteries</em>, the characteristic appearance of the associated network of abnormally dilated collateral vessels on angiography was later likened to something hazy, like a puff of cigarette smoke, which, in Japanese, is <em>moyamoya</em>. This paper describes two cases of moyamoya presentations, including moyamoya disease and moyamoya syndrome. Moyamoya may rarely occur in North American Hispanic patients. The presentation can vary significantly and ranges bwtween fulminant outcome and prolonged survival. Awareness about moyamoya and its different presentations may be beneficial for the patients and can improve the outcome.


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