DOCTORS'
Medical Case Studies
DOCTORS'
Medical Case Studies
Steroid therapy
Hypermetabolism
Hypermetabolism is the physiological state of increased rate of metabolic activity. The impact of the hypermetabolic state on patient nutritional requirements is often understated or overlooked. Hypermetabolism typically occurs after significant injury to the body. In hospitals and institutions, the most common causes are infections, sepsis, burns, multiple trauma, fever, long-bone fractures, hyperthyroidism, prolonged steroid therapy, surgery and bone marrow transplants. During the acute phase, the liver redirects protein synthesis, up-regulating certain proteins and down-regulating others...
Steroid therapy - List of case studies
- Spinal Channel Stenosis
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transitional L5 vertebrae". Postural physio-kinetic therapy, swimming and massage therapy are advised. ... In case these measures are not enough, epidural steroid injection should be considered and only if this treatment fails, the ...
- Autoimmune hepatitis/cholangitis in patient with Crohn’s disease.
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as a light pancreatitis (treated with antibiotic therapy). Subsequently, persisting painful crises were observed despite blood ... in autoimmune hepatitis but does not cause systemic steroid side effects c) Azathioprine (AZA) is a good choice and the patient ...
- Treatments
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Abundant hydration Acupuncture Acupuncture therapy Acupuncture treatment Adaptation training exercises ... Enterostomy Epidural anesthesia Epidural steroid injections Epidural treatment Eradication of the irritative ...
- Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)_1
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2) What therapy do you suggest? In case the therapy performed is the best one could you ... possible further medical tests and therapies. The steroid dosage was gradually reduced in time: 50 mg daily from January 2007; 25 ...
- Diffuse Intra-Axial expansive Lesion of the Enchephalic Trunk not surgically investigated_4
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glioma). Following initiation of dexamethasone (Decadron, steroid for vasogenic edema), the child has started experimental treatment with ... 1) What therapy do you suggest? If you exclude the surgical operation do you share the ...
- Guillain-Barré Syndrome / Acute Myeloradiculoneuritis
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Guillain-Barré syndrome, a plasmapheresis therapy was performed. It was well tolerated by the patient (5 sessions) with ... myelitis (according to the radiological data), a steroid therapy was administered in IV boluses ( Solumedrol 500 mg for 5 ...
- Lichen planopilaris (follicular lichen planus) affecting the scalp
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1) Do you confirm the diagnosis? 2) What therapy do you suggest? 3) Do you think it will be possible to resolve ... Anti-histamines were initiated orally and eventually oral steroid tablets and methotrexate were prescribed. The patient underwent ...
- Chronic Glomerulonephritis
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Any suggestion for conservative therapy 3) Is it time for kidney ... continue to try and optimize her body weight since steroid administration after the transplant can significantly aggravate the ...
- Thrombotic thrombocytopenic purpura (TTP) secondary to Systemic Lupus Erythematosus (SLE)
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as noted. He was treated again with steroids and plasma therapy. Rituximab was added with eventual remission. A renal biopsy was ... positive role? 4. After the first episode of TTP steroid was reduced until suspension (it was suspended in approximately 2 weeks ...
- Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)_2
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2) What therapy do you suggest? In case the therapy performed is the best one could you ... possible further medical tests and therapies. The steroid dosage was gradually reduced in time: 50 mg daily from January 2007; 25 ...