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The Treatment of the Special Forms of Mental Disease
Published in Francis X. Dercum, Rest, Suggestion, 2019
Because morphin patients are so untrustworthy, and because the means of obtaining the medicine save under rigid isolation are so many, the physician should carefully watch the patient in order to learn whether withdrawal is actually taking place. Absolute supervision is possible only under absolute isolation, and even then, by the most unexpected means, the patient may be placed in possession of the stimulant. However, if the quantity administered is really being diminished, certain symptoms inevitably make their appearance. They are, first, restlessness, which may become very marked, and is accompanied by more or less insomnia. The patient also yawns a great deal or sneezes, complains perhaps of having caught a slight cold, or perhaps has an attack of difficult respiration, simulating asthma. In addition to restlessness, he manifests signs of fear, complains of a sense of oppression, declares himself dissatisfied with the treatment, and insists upon going home. Involuntary movements of the legs and arms also make their appearance, the limbs being thrown about the bed. At times this is merely due to restlessness; at other times distinct involuntary jerkings are observed. Intention tremor also becomes evident. When, for instance, the patient attempts to pick up a glass of water, it is noticed that he trembles decidedly. Sometimes, instead of an asthmatic attack, all the symptoms referable to a cold in the head or a spasmodic cough may be noted. Sometimes vesical tenesmus is present. Palpitation of the heart may also be evident, or the patient may complain of fluttering sensations in the precordia.
Integrative hyperthermia treatments for different types of cancer
Published in Clifford L. K. Pang, Kaiman Lee, Hyperthermia in Oncology, 2015
Clifford L. K. Pang, Kaiman Lee
Early prostate cancer can have no warning symptoms other than elevated serum PSA values found by screening and (or) prostatic abnormal changes found by digital rectal examination. Once the symptoms appear, it often has become late progressive prostate cancer. It manifests as progressive dysuria (urinary thinned, urinary skewed, urinary bifurcated, or urinary prolonged), urinary frequency, urgency, dysuria, and vesical tenesmus. When it is severe, urinary dribbling and urinary retention occur. For advanced progressive prostate cancer, fatigue, weight loss, body pain, and other symptoms may appear. Because pain seriously affects diet, sleep, and mentality, in the long term the general condition is increasing frailty with weight loss, fatigue, and anemia, ultimately systemic failure and cachexia.
Anterior abdominal wall parasitic leiomyoma: case report
Published in Gynecological Endocrinology, 2018
María Fernanda Garrido Oyarzún, Adela Saco, Camil Castelo-Branco
A 53 years old woman, multiparous of one, presented at our clinic for a gynecological evaluation with persistent compressive pelvic symptoms, mainly vesical tenesmus, high urinary frequency of small volumes (urination every 2 h), moderate stress urinary incontinence, rectal tenesmus and postprandial abdominal distention. The menstrual cycles were regular with occasional dysmenorrhea and no abnormal uterine bleeding. She had been using an intrauterine device for birth control over the past 7 years. She had no previous abdominal surgeries or other relevant medical data. Speculum examination showed a normal cervix and no vaginal bleeding or discharge. Pelvic examination revealed an irregular palpable mass occupying the pelvis to the level of the umbilicus, and another mass of 5 cm in the Douglas. Both masses were slightly painful during manual mobilization and appear to explain the compressive symptomatology. Results of laboratory examinations were normal.