Tag: Syndrome
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Brugada Syndrome (BrS)
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CLINICAL SIGNS: * loss of consciousness in a young adult, most often a man: syncope. * Sudden death by ventricular rhythm (FV, TV). * notion of family history of sudden death, malaise in 60% of cases. DIAGNOSTIC TESTS: * ECG : – often normal. – right branch block with J point elevation. – sometimes the ST segment offset in front.…
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Bouveret Syndrome
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CLINICAL SIGNS: * in a young subject, without a cardiovascular history. * tachycardia attacks at the beginning and end abrupt (sensation of clicks) from a few minutes to several hours. * the patient feels palpitations, precordialgia and anxiety. * sometimes lipothymies, functional angina, syncope. * regular rhythm , frequency to 180-220 / min . EXAMINATIONS COMPLEMENTAIRESS: * scope. * ECG during the crisis if it is possible: –…
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Hepatorenal syndrome
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Definition: Acute renal failure (ARI) during hepatocellular insufficiency (HIC) has many etiologies (functional renal failure [FRI], tubulopathy and hepatorenal syndrome [SHR]). The vast majority of ARI etiologies in the cirrhotic patient are represented by acute tubular necrosis. The SHR ARI is characterized by a deterioration of renal function without histological alteration; the collapse of the glomerular filtration rate…
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Dementia and insane syndrome
It is about the global and progressive loss of the intellectual functions acquired previously, without disturbances of the vigilance. CLINIC: It is necessary to know how to evoke the diagnosis in two circumstances: – Memory disorders noticed by the patient, but more often by the entourage. – Behavioral disorders. The memory disorder is often the first…
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Nephrotic syndrome
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Introduction: The nephrotic syndrome is defined by a set of biological signs secondary to proteinuria sufficiently abundant to cause disturbances in plasma. It combines proteinuria classically greater than 50 mg / kg / 24 h and albumin less than 30 g / L.In fact, when the plasma albumin level is very low, the concentration of urinary…
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Polyuropolydipsic syndrome
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Introduction: The polyuropolydipsic syndrome is defined by a urinary flow rate greater than 3 l / d (or 2 ml / min) defining polyuria, associated with a parallel increase in oral fluid intake defining polydipsia. The volume of drinks and urine can reach up to 20 l / d and impede the patient in his daily…
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Complications of nephrotic syndrome
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Introduction: Nephrotic syndrome (SN) is defined as proteinuria greater than 3 g / d with hypoalbuminemia below 30 g / l. For many authors, SN is better defined by an abundant proteinuria greater than 3 g / d, without mentioning threshold values of albuminemia and protidemia which are arbitrary, all the more so as the complications…
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Nephrotic syndrome with minimal acquired glomerular lesions
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Introduction: The nephrotic syndrome with minimal glomerular lesions (SN-LGM) is characterized clinically by a nephrotic syndrome pure and histologically by minimal ultrastructural abnormalities consisting of an eradication of the pedicels. This is the most common cause of SN in children. Most forms are corticosensitive, but relapses are possible. Significant progress has been made in recent years in…
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Mechanism and risk factors for Brugada syndrome
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Electrophysiological mechanism of elevation ST: The heterogeneity of repolarization of the action potential between the epicardium and the endocardium explains both the ECG aspect and the rhythm disorders. Unlike endocardial cells, which have a classical morphological action potential, epicardial cells have an aspect called “tip and dome” or “notch”. The principal but not the only cause…
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Chronic lung syndrome
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Physiopathology: This frequent pathological entity is totally underestimated and presents, from a physiopathological point of view, a common denominator – notwithstanding its topography – which is the increase in intratissular pressure. This intratissular hyperpressure will result from an inadequacy between the rigidity of the aponeurosis of overlapping and the increase of the muscular volume to…
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