Tag: acute
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Acute Thoracic Pain
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CLINICAL SIGNS: * suspicious signs , apart from an obvious clinical picture: – history of coronary heart disease. – pains that last for several seconds at least. – pain dependent on breathing. – Pain not reproducible by palpation and mobilization of the rib cage. – associated digestive symptoms. – risk factors for thromboembolic disease. * signs of gravity :…
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Acute renal failure in renal transplantation
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Introduction : Acute renal failure (ARI) in the renal transplant patient is an acute decrease in glomerular filtration rate (GFR). The IRA in the transplant recipient may be identical in its causes to that of the clean kidneys in a non transplanted subject, with in addition to specific causes related to the dysfunctional kidney transplant state. These…
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Acute renal failure and pregnancy
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Epidemiology: The frequency of acute renal failure (ARI) in pregnancy is very different in developed and developing countries. Prevalence and prognosis data can not be interpreted without taking into account the geographic context in which they were obtained. The IRA has become, in France, an exceptional complication of pregnancy. Its incidence has declined significantly in developed countries…
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Acute renal insufficiency
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Generalities: Acute renal failure (ARF) represents 20% of the ARI etiologies. Its incidence is increasing because of the emergence of new potentially nephrotoxic molecules and the multiplication of drug prescriptions. This incidence is, however, certainly underestimated in view of the apparently silent nature of the symptomatology. Medication ARIs are classically considered to be better prognoses than ARIs of…
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Epididymitis, acute orchi-epididymitis
Epididymitis is an infection of part or all of the epididymis, usually ascending, ductal, from urethritis or urological disease. If this infection wins, by proximity, the testicle, it is an orchi-epididymitis. CLINIC: Acute epididymitis is the most common picture, settling in one or two days: – unilateral scrotal pain, sharp, radiating to the groin; – thickening…
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Acute dyspnea of the adult
Dyspnea is defined as an abnormal and unpleasant awareness of breathing. It is a symptom that can reveal multiple causes, some of which are life-threatening. Urgent diagnoses such as pulmonary embolism or acute pulmonary edema are diagnoses not to be missed. CLINIC: Examination: It specifies the cardiovascular history, the mode of installation of the dyspnea, its schedule…
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Acute abdominal pain of the child
Acute abdominal pathology in children is a common cause of admission to emergencies. Interrogation (of the child and his entourage) and a complete clinical examination are essential for the diagnosis, which is quite often difficult because of certain hazards: absence of anamnesis, difficulty of the examination conditions, absence of control an ingestion or inhalation of…
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Acute abdominal pain of the adult
Acute abdominal pain in adults is common. Their support still remains difficult today and source of error due to: – the multiplicity of etiologies: more than a hundred disorders; – the clinic sometimes incomplete, atypical or misleading: extradigestive affections, “aberrant” irradiations or variables in time; – in general medicine, the initial clinical examination must make it…
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Acute renal failure during HIV infection
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Generalities: Acute renal failure (ARF) is a common complication in HIV-positive patients for the human immunodeficiency virus (HIV).It occurs on average 4.5 years after the diagnosis of seropositivity. The etiologies of the IRA are multiple. Acute tubular necrosis of ischemic origin is the leading cause of ARI in HIV patients. It mainly complicates shock and sepsis. It is favored…
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Clinical and biological diagnosis of acute renal failure
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Introduction: Acute renal failure (ARI) is defined in general terms as a sudden decrease in renal function, sufficient to lead to nitrogen waste retention and disrupt hydroelectrolytic homeostasis. While this qualitative definition is generally accepted, there is no consensus on the quantitative importance of the decrease in renal function necessary for the diagnosis of ARI. Commonly used…
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