Friday, July 25, 2008

Bankart Lesion


Bankart lesions occur when there is a tear or detachment of the labrum. When this injury occurs there is a lot of instability of the shoulder joint. This can be caused by a dislocation.
Symptoms include:
-repeat dislocation
-shoulder pain
-a catching sensation
-instabilit especially when the arm is placed behind their head.
Treatment includes:
-rest and physical therapy
-surgical repair of the labrum which is generally done arthroscopically.
Diagnosis can be made via MRI or CT with MRI being the better test.
This was very interesting to me because as I was listening to the lecture, I felt that you were describing my symptoms with the exception of the dislocation. I injured my shoulder and whenever I tried to put my arm behind my head I felt as if it was going to dislocate. This had been going on since February of this year, it is slowly getting better. Did not ever have an actual diagnosis because I did not go to the doctor.

Sunday, July 13, 2008

Uterine Fibroids




Fibroids are non cancerous growths that occur in the uterus. Fibroid occur in about every 3-4 women.
Symptoms:
-pain
-leg pain
-constipation
-urinary incontinence
Testing includes:
-routine pelvic exam
-US,CT, or MRI with ultrasound being the better exam
Treatment includes:
-medication
-myomectomy
-hysterectomy

Pancreatitis


Pancreatitis is either chronic or acute, generally both the patient experiences severe pain.
Symptoms include:
acute - nausea and vomiting, rapid pulse, fever, tender abdomen.
chronic - all of the above and also including weight loss
Causes of pancreatitis include: alcohol abuse, genetic factors, abdominal trauma, increased levels of fats and calcium
Men are at more risk than women to develop pancreatitis and more often occurs in the black population.
Testing includes: blood work, CT, US
Treatment includes: alcohol control, medication for pain, dietary changes.

Wednesday, July 2, 2008

Aortic Dissection




When the inner layers of the aorta's wall split open it is called a dissection.
An acute dissection can cause chest pain which is sudden in nature.
It most often occurs in men between the ages of 50-55 for a proximal dissection and 60-70 years of age in a distal dissection.
Treatment:
-admission to the hospital
-meds to lower blood pressure and heart rate
-and in some cases surgery