Presentation
Coronary artery disease was present as identified by an episode of retrostrenal chest pain and a stress test showed ST segment elevation in the electrocardiogram. No palpable abnormalities were present in the breast or axilla. [ncbi.nlm.nih.gov]
The patient was asymptomatic, and the image is identical to that presented in Keats (5-109). Osteitis condensans : Rare. Invariably unilateral. Primarily affects women between the ages of 20 to 60. [roentgenrayreader.blogspot.com]
We present a case of temporal artery medial ossification in a patient with suspected giant cell arteritis (GCA). [canadianjournalofophthalmology.ca]
CLINICAL PRESENTATION An individual is usually asymptomatic unless severe. However, if severe, it is a poor prognostic sign for diabetics and heart patients due to the stiffening of vessel. [medrx-education.com]
Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. Seite 29 - B. [books.google.de]
Entire Body System
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Hypersomnia
Seite 30 - In children, consider failure to make expected weight gains 4 Insomnia or hypersomnia nearly every day 5 Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed [books.google.de]
Jaw & Teeth
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Jaw Claudication
Her scalp tenderness, jaw claudication, and hearing loss all resolved and did not recur after the taper. [canadianjournalofophthalmology.ca]
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Oral Ulcers
An 85-year-old female presented with a 2-week history of left-sided scalp tenderness, jaw claudication, 1 new oral ulcer, and left-sided hearing loss. [canadianjournalofophthalmology.ca]
Cardiovascular
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Vascular Disease
See also Vascular disease. References Klatt, Edward C. (2006). Robbins and Cotran Atlas of Pathology (1st ed.). Saunders. pp. 7. ISBN 978-1416002741. [librepathology.org]
] I73.8 Other specified peripheral vascular diseases Acrocyanosis Acroparaesthesia: · simple [Schultze's type] · vasomotor [Nothnagel's type] Erythrocyanosis Erythromelalgia I73.9 Peripheral vascular disease, unspecified Intermittent claudication Spasm [apps.who.int]
Background : Although various factors may influence the outcome of diabetic foot ulcers in diabetic subjects, the severity of peripheral vascular disease (PVD) is the main independent risk factor for amputation. [dbpia.co.kr]
Differentiation of multipotent vascular stem cells contributes to vascular diseases. Nat Commun, 3 (2012), pp. 875 [19] G. Lefthériotis, L. Omarjee, O. Le Saux, D. Henrion, P. Abraham, F. Prunier, et al. [elsevier.es]
) Diseases of the circulatory system I70 ICD-10-CM Diagnosis Code I70 Atherosclerosis 2016 2017 2018 2019 Non-Billable/Non-Specific Code Includes arteriolosclerosis arterial degeneration arteriosclerosis arteriosclerotic vascular disease arteriovascular [icd10data.com]
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Bounding Pulse
Areas affected are “pulseless” due to the calcified encasement; areas beyond the sclerosis have a “bounding pulses”. [newmedicalterms.com]
Areas affected are “pulseless” due to the calcified encasement; areas beyond the sclerosis have a “bounding” pulse. [medical-dictionary.thefreedictionary.com]
Typically calcification is observed in the arteries of the upper and lower limb although it has been seen in numerous other medium size arteries. [5] In the radial or ulnar arteries it can cause "pipestem" arteries, which present as a bounding pulse at [en.wikipedia.org]
Skin
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Subcutaneous Nodule
CONCLUSION Herein, we report two rare cases of Monckeberg’s medial sclerosis in a 60-year-old man and 57-year- old woman, They both had asymptomatic, pulsatile, subcutaneous nodules on the cheek. [cheapmedicinechest.com]
Eyes
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Cotton Wool Spots
There were no cotton wool spots. Erythrocyte sedimentation rate was 23 mm/hour, C-reactive protein 1.0 mg/L, and platelet count 225 109/L. [canadianjournalofophthalmology.ca]
Psychiatrical
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Euphoria
People who have temporal lobe seizures may experience odd feelings, such as euphoria, déjà vu, or fear. [inova.org]
The most common aura involves feelings, such as deja vu, impending doom, fear, or euphoria. Or you may have visual changes, hearing abnormalities, or changes in your sense of smell. [hopkinsmedicine.org]
Depression and dysphoria were found most frequently, occurring in 80% of cases; anxiety, agitation, and irritability were found in approximately one-third (33%); and euphoria, disinhibition, and psychotic symptoms were found in a significantly smaller [dovepress.com]
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Indecisiveness
Seite 30 - Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others) 9 Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan [books.google.de]
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Feeling of Worthlessness
[…] of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick... [books.google.de]
Neurologic
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Temporal Headache
The 70-year-old female had temporal headache in addition to vision loss. [canadianjournalofophthalmology.ca]
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Deja Vu
The most common aura involves feelings, such as deja vu, impending doom, fear, or euphoria. Or you may have visual changes, hearing abnormalities, or changes in your sense of smell. [hopkinsmedicine.org]
Workup
Metastatic workup was ordered and medical consultation was requested for possible infectious etiology. The patient underwent bone scan and CT of the chest, abdomen, and pelvis. They were all negative. [egms.de]
MRI has become integral to the initial diagnostic workup of patients with MS. [dana.org]
X-Ray
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Joint Space Narrowing
Osteoarthritis : Joint space narrowing and subchondral sclerosis and subchondral cysts on both sides of the joint. Sternoclavicular hyperostosis : Rare. Typically bilateral. [roentgenrayreader.blogspot.com]
(Top) The first film, obtained in 1997, demonstrates bilateral, superolateral joint space narrowing (arrows) at the hips that is worse on the left side. [aafp.org]
Urine
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Microalbuminuria
Psyrogiannis et al. found that microalbuminuria was strongly associated with medial arterial sclerosis, irrespective of the presence or absence of neuropathy. Fig. 3. [cheapmedicinechest.com]
QT, RR, ST Intervals
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ST Elevation
An ECG revealed widespread ST-elevation (Figure 1B). [dovepress.com]
Treatment
The first step in treatment of cortical dysplasia is controlling the seizures. Anti-seizure medications are often prescribed as a treatment for cortical dysplasia. [inova.org]
It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs. [sharecare.com]
[…] medial calcific sclerosis, calcific medial sclerosis of Monckeberg, Mönckeberg's arteriosclerosis (also written Monckeberg's arteriosclerosis) LM calcifications of the tunica media LM DDx atherosclerosis Site blood vessels - arteries Prognosis good Treatment [librepathology.org]
The dosage was tapered over 2 weeks and treatment discontinued. Her scalp tenderness, jaw claudication, and hearing loss all resolved and did not recur after the taper. [canadianjournalofophthalmology.ca]
Prognosis
Synonyms Moenckeberg medial calcific sclerosis, calcific medial sclerosis of Monckeberg, Mönckeberg's arteriosclerosis (also written Monckeberg's arteriosclerosis) LM calcifications of the tunica media LM DDx atherosclerosis Site blood vessels - arteries Prognosis [librepathology.org]
But it is a prognosis snapshot for today, based on clinical signs and tests results that might aid a longer term estimate of progression. [multiplesclerosisnewstoday.com]
OBJECTIVE: To analyze retrospectively a series of patients with temporal lobe epilepsy (TLE) and mesial temporal sclerosis (MTS), and the association of patterns of hippocampal sclerosis with clinical data and surgical prognosis. [ncbi.nlm.nih.gov]
Treatment and prognosis Because of the high prevalence of asymptomatic iliac vein compression, follow up is not necessary unless the patient is symptomatic from the process. [radiopaedia.org]
Prognosis Multiple sclerosis can have severe debilitating effects within 20-25 years of onset. [eyewiki.aao.org]
Etiology
As a possible etiologic factor inducing these two responses, hyperphosphatemia among various metabolic disturbances recognized in uremia may play an important role in the development of MMS in uremia. [ncbi.nlm.nih.gov]
The etiology of mesial temporal sclerosis is controversial. It is thought to possibly result from an early injury to the brain or congenital malformation. [casemed.case.edu]
Although its etiology is still not known, its presence can predict the risk of cardiovascular events and leg amputation in diabetic patients. There have also been a few cases where healthy young men have had the medial calcification. [cheapmedicinechest.com]
Applicable To Mönckeberg's (medial) sclerosis Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]
Epidemiology
Epidemiological observations link medial sclerosis not only to diabetes, but also to other disease states commonly encountered in the population, such as osteoporosis and chronic kidney disease. [jrdiabet.ro]
Epidemiological studies have used the ratio of ankle to brachial blood pressure ( ankle brachial pressure index, ABPI or ABI) as an indicator of arterial calcification with ABPI 1.3 to 1.5 being used as a diagnostic criterion depending on the study. [ [en.wikipedia.org]
Pathophysiology
The pathophysiology of Monckeberg’s arteriosclerosis is still unclear, but it can be induced in animal models by injecting adrenalin, nicotine, parathyroid hormone, and vitamin D. 2 In addition, lumbar sympathectomy has been shown to promote occurrence [bjo.bmj.com]
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Etiology Pathophysiology Immune-mediated damage Most common sites of demyelination in MS Periventricular areas Brainstem Cerebellum Spinal cord References:[2] Clinical features Optic neuritis (most often the earliest manifestation): impaired vision and [amboss.com]
Although MS is suspected to play a role, the underlying pathophysiological reasons for the differences still remain elusive today. [ncbi.nlm.nih.gov]
Prevention
Sterile talc or an antibiotic may be inserted at the time of surgery to prevent the recurrence of fluid build-up. [my.clevelandclinic.org]
According to the researchers, the overgrowth of bone may sometimes help realign bowed knee joints and prevent excessive abrading. [verywellhealth.com]
How can mediastinitis be prevented? Prevention of mediastinitis depends on the cause. Mediastinitis due to oropharyngeal infection can be prevented by the rapid diagnosis and treatment of the inciting infection to prevent further spread. [infectiousdiseaseadvisor.com]
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First-line treatment is with thrombolysis and stenting 2, which removes the clot and relieves the compression to prevent recurrence. [radiopaedia.org]