Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A 75-year-old woman was admitted with a two-week history of anorexia and vague abdominal pain. She had been taking amitriptyline 75 mg at night for depression for four months before her admission. On presentation she was jaundiced, but with no stigmata of chronic liver disease. Initial liver function tests showed a slightly raised bilirubin, but were otherwise normal. Over the next three weeks her bilirubin concentration continued to rise without evidence of biliary obstruction on ultrasound examination. Her condition continued to deteriorate, and she later developed renal failure consistent with hepatorenal syndrome. Seven weeks after admission she died following a large gastrointestinal bleed. At autopsy, liver histology confirmed pure cholestasis consistent with amitriptyline ingestion.
 ...
PMID:Fatal cholestatic jaundice associated with amitriptyline. 1109 17

Osmotic pressure maintained by liver or kidney tissue measured by its water equilibrium with solutions of sodium chloride remains unchanged from 5 minutes up to 1(1/2) hours following removal of the tissue from the body. Then with autolytic increase of molecular concentration within the cytoplasm of cells it reaches a higher level. Osmotic pressure maintained by pancreas or submaxillary gland, as ascertained in the same way, remains unchanged during (1/2) hour and later increases. Liver tissue of rat, mouse, guinea pig, rabbit, and cat maintains an osmotic pressure greater than twice that of the blood, and kidney tissue maintains an osmotic pressure somewhat less than twice that of blood. Fasting throughout a period of 7 days has little influence upon osmotic pressure maintained by cells of liver or kidney. Low protein diet has been found to depress osmotic pressure of liver cells after about 4 weeks, and with degenerative changes in the parenchyma, notably fatty infiltration, this pressure has remained at a diminished level during approximately 90 days. Increase of pressure within the common bile duct and the changes following biliary obstruction are accompanied by depression of the osmotic pressure maintained by liver tissue and ligation of the ureter diminishes the osmotic pressure maintained by kidney tissue. In both instances osmotic pressure tends later to rise to its former level. The osmotic pressure maintained by liver or by kidney tissue preserves an approximately uniform level under normal conditions and may be little changed by conspicuous injury to the organ. When this osmotic homeostasis is impaired by severe injury the pressure maintained by the tissue returns to its former level with recovery from the injury.
 ...
PMID:Osmotic homeostasis maintained by mammalian liver, kidney, and other tissues. 1305 14

Pancreatic cancer is one of the most lethal malignancies. An estimated 32,300 patients will die of pancreatic cancer in year 2006. It is the tenth most common malignancy in the United States. Despite recent advances in pathology, molecular basis and treatment, the overall survival rate remains 4% for all stages and races. Palliative care represents an important aspect of care in patient with pancreatic malignancy. Identifying and treating disease related symptomology are priorities. As a physician taking care of these patients it is essential to know these symptoms and treatment modalities. This review discusses symptom management and supportive care strategies. Common problems include pain, intestinal obstruction, biliary obstruction, pancreatic insufficiency, anorexia-cachexia and depression. Success is needed in managing these symptoms to palliate patients with advanced pancreatic cancer. Pancreatic cancer is a model illness to learn the palliative and supportive management in cancer patient. It is important for oncologists to recognize the importance of control measures and supportive measures that can minimize the symptoms of advanced disease and side effects of cancer treatment.
 ...
PMID:Supportive and palliative care of pancreatic cancer. 1735 51

Adenomyoma of the small intestine is rare. It occurs mostly in the periampullary region or ileum. The common presentations are intussusception and intestinal or biliary obstruction, depending on the location. To our knowledge, gastrointestinal (GI) bleeding from a jejunal adenomyoma has not been reported previously. We present a 74-year-old female patient who suffered intermittent tarry stool passage for 1 month. Initial upper GI endoscopy, colonoscopy and computed tomography failed to find the bleeder. A papilla-like tumor with central depression and active bleeding in the proximal jejunum was found by push enteroscopy. Exploratory laparotomy showed a submucosal nodule about 1.5 cm in size located about 20 cm distal to the Treitz ligament. Wedge resection was carried out. Pathologic examination revealed that the tumor was composed of some cystic exocrine-type ducts and bundles of smooth muscle, indicating adenomyoma. The patient was symptom-free following operation.
 ...
PMID:Adenomyoma of the jejunum --- a rare cause of gastrointestinal bleeding. 1829 Feb 55

The role of preoperative biliary drainage (PBD) for periampullary and hilar malignancy is still controversial. We retrospectively studied consecutive 144 patients (92 periampullary and 52 hilar malignancy) undergoing surgical resection to evaluate the effects of PBD on surgical outcomes. The rate of PBD was 59% and 56%, and postoperative complications developed in 27% and 19% in periampullary and hilar malignancy, respectively. Risk factors for postoperative complications were overweight [odds ratio (OR), 7.6] and depression (OR, 8.5) in distal malignancy and American society of anesthesiologists score of 3 (OR, 6.6), depression (OR, 13.8), and portal vein embolization (OR, 6.1) in hilar malignancy. PBD was not associated with postoperative complications but reinterventions for PBD were necessary in 43% and 27% in distal and hilar biliary obstruction. In conclusion, PBD in pancreatobiliary surgery was not associated with postoperative complications, but the improvement of PBD is necessary given the high rate of reinterventions.
...
PMID:Impact of Preoperative Biliary Drainage on Surgical Outcomes in Periampullary and Hilar Malignancy: A Single-Center Experience. 2684 20


<< Previous 1 2