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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In ophthalmic herpes, very frequent residual pain may be the cause of severe facial neuralgia which may persist for many years. These cases of neuralgia often occur in the elderly and raise difficult therapeutic problems. Tiapride which is a neuro-visceral mediator of the substituted benzamide family gave excellent results in 3 cases of ophthalmic herpes zoster in the elderly. The dosage was 200 to 300 mg daily by the intramuscular route, then by the oral route. Tolerance was excellent.
Sem Hop
PMID:[Interest of the use of pain drug in hyperalgic ophthalmic herpes zoster (author's transl)]. 3 51

Headaches are frequent symptoms. Their etiology is due to multiple disturbances of various origins : vascular, digestive, arthrosic, ophthalmologic, ORL. The origin of a headaches is not always quickly revealable to the physician, and the usual analgesics do not soothe the pain. The studied cases prove that most of the headaches are accompanied by dental functional signs, and a panoramic radiography of the jaw can guide the diagnosis. For each studied case, the stomatologic treatment leads to the complete withdrawal of the aching symptom; therefore the presence of the dental etiology in headaches is proved.
Sem Hop
PMID:[Headaches of dental origin (author's transl)]. 3 85

During a limited period of time, the authors have systematically administered tiapride to all patients in the immediate post-operative phase presenting with: nausea, vomiting, pain. Intravenous injection of a single dose of 400 mg of tiapride produces: a strong anti-emetic action; an inconstant analgesic action, but very interesting for it is not accompanied with adverse effects.
Sem Hop
PMID:[Therapeutical trial in recovery room (author's transl)]. 3 11

Recent studies have shown that the explanation given for the analgesic effects of neuroleptics based only upon modification of pain interpretation is not valid at the present time. Studies by K. Ramabadran, J. J. C. Jacob, Greese et al., of Leysen and Smee and Overstreet, which take into the account the secretion of endogeneous "ligands" enkephalins and endorphins, offer the possibility of a better approach for understanding the role of neuroleptics in the control of pain. We have attempted to use this interpretation to explain the regular and constant efficacy of tiapride against pain generally and particularly in headaches.
Sem Hop
PMID:[Neuroleptics and analgesia (author's transl)]. 4 80

The authors report 3 cases and report the diagnostic usefulness of two signs of minor cholestasis described by one of them in 1966. A relative increase, in the absence of obvious virus hepatitis or cirrhosis, of the serum bilirubin, cholesterol, lipids and alkaline phosphatase, together with B.S.P. excretion. suggest minor cholestasis. The sign of "metacritical aggravation" when there is some suspicion of minor cholestasis, the supervision of the course of the disease, or a retrospective inquiry, permit, in the presence of minor symptoms, such as, pain, fever, jaundice, or pruritus, one to make the diagnosis of minor cholestasis. The latter is due either to the presence of small gall stones in the common bile duct, or to inflammation of the ampulla of Vater, or sphincter of Oddi, a Vaterian ampulloma, pancreatitis, or following damage to the common bile duct. In practice, liver biopsy confirms the diagnosis, and intravenous cholangiography, by the perfusion method, is usually able to demonstrate obstruction of the common bile duct.
Sem Hop 1975 Feb 14
PMID:[Relative increase and metacritic aggravation in the diagnosis of anicteric cholestasis]. 16 83

Spontaneous pneumomediastinum is a relatively rare disease, the clinical signs of which may be misleading, and the physiopathology is still unknown. The authors report 7 cases collected over a period of 3 years and note the etiology, the clinical findings and the X-ray findings. The disease often affectsyoung sybjects, without any sex predominance. The initial symptom is thoracic pain and is often accompanied by dispnea. Subcutaneous emphysema only appears secondarily and may be mild. The association with pneumothorax is not rare. Among the etiological circumstances, pneumomediastinum often occurs after an effort or a respiratory infection with dyspnea. The diagnosis depends on the discovery of subcutaneous emphysema and on radiological signs in A.P. and lateral chest views. Treatment should be as conservative as possible in the usual benign forms. It should be limited to bed rest, analgesics and sedatives. In severe cases, supra-sternal drainage permits decompression of the mediastinum. The physiopathological mechanisms are discussed, but the usually accepted theory is rupture of an alveolus into the pulmonary interstitial tissue. The pressure gradient necessary for this rupture may be due to variations in alveolar or vascular pressure.
Sem Hop
PMID:[Spontaneous pneumomediastinum]. 17 Jun 84

The authors report 45 cases of unilateral renal atrophy. The circumstances of discovery are related to the urological symptoms: pain, hematuria, pyuria. On the other hand, hypertension is rarely the reason for consultation. Women are more affected than men. Intravenous urography, retrograde cystography and arteriography are essential examinations to collect information concerning the etiology. Dynamic scintiscanning with measurement of the percentage of isotope fixed on the kidneys, has the advantage of permitting comparative evaluation of renal function on each side. In our study, obstruction of the urinary tract was more frequent than parenchymatous disease favoured by infection. Vascular abnormalities were rare. The etiological enquiry remained, however, negative in one third of cases. Surgical operation was necessary when a urological abnormality was the cause of persistence of severe symptoms. On the other hand, removal of the atrophic kidney does not seem to us advisable when decided simply to relieve hypertension. The latter point is particularly discussed.
Sem Hop 1975 Mar 20
PMID:[Unilateral renal atrophy]. 17 60

The authors report the case of a 72 year old man admitted to hospital for thoracic pain, who was found to have an Igd myeloma of lambda type. The diagnosis, suspected, in view of anemia, raised sedimentation rate and abnormal electrophoresis of serum proteins, was confirmed by marrow examination after sternal aspiration and by the use of a specific anti-serum during immuno-electrophoresis and on Ouchteriony medium. There were radiological lesions of diffuse, decalcifying myelomatous type. The course was characterised by : 1) a constant tendency to anemia, then preterminal thrombocytopenia, whereas the leukopenia remained moderate. 2) The secondary onset of Bence-Jones proteinuria and mild albuminuria with the aggravation of pre-existing renal failure. 3) Repeated attacks of infection and the intermittent onset of mental confusion, the etiology of which was not clear. Death occurred ten months later. No autopsy was carried out. In the light of this case, the authors review the world literature and the special characteristics of IgD myeloma.
Sem Hop 1975 Apr 14
PMID:[IgD myeloma. Apropos of a case]. 17 73

The authors report a personal case of mitral incompetence, due to rupture of the chordae tendineae and note the signs of this disease. The patient first developed pulmonary oedema with thoracic pain, a mitral systolic murmur and a presystolic gallop rhythm, which suggested the diagnosis in a patient in sinus rhythm with a normal size heart, the left atrium was expansive and there were obvious signs of pulmonary congestion. The rapidly fatal course may be explained by the large number of ruptured chordae tendineae. Autopsy showed that the mitral valve was normal in texture. Histological study of the ruptured cord, showed lesions of dense hyaline fibrosis and mucoid infiltration of the basic substance.
Sem Hop 1975 Oct 23
PMID:[Isolated rupture of the chordae tendineae of the mitral valve]. 17 95

The authors report 5 cases whose main characteristics appeared very similar. Constantly, they found the same skin signs, urticaria without pruritus, recurring over a long period. The latter was accompanied by a very high E.S.R. and immuno-electrophoresis showed, in all cases, an increase in monoclonal IgB, permitting one to make the diagnosis of macroglobulinemia. In four cases out of five, this clinical picture was accompanied by bony pain associated with radiological signs of condensation. The symptoms were accompanied by prolonged fever and lymphadenopathy. After being well tolerated for a long period, the disease may become worse and lead to death. Thus this seems to be a true disease entity?
Sem Hop 1976 Jan 23
PMID:[Chronic urticarial lesions and macroglobulinemia. Apropos of 5 cases]. 18 33


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