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Query: UMLS:C0038358 (gastric ulcer)
 5,179 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

It is known that collections of popular medical prescriptions and instructions appeared in areas without educated physicians, and all previously published manuscripts of this kind are inevitably anonymous. The reported manuscript comprises 23 pages written in sepia ink, appendixed to a prayer book published in 1747, containing popular medical instructions and prescriptions collected and practiced by orthodox priest Mihailo Plamenac in Montenegro at the turn of the 18th century. Mihailo Plamenac took an important part in historical events, as documented by numerous domestic historical data and several letters discovered in The Archives of Vienna. Being the only literate persons at the time, priests were both politicians and military officers, but they also offered medical services to the population. The manuscript comprises advices for various common emergencies (snake bites, urinary retention, contusions, fever, burns, eye injuries, rabies, otitis, traumatic wryneck) and diseases(impetigo, scabies, infertility, gastric ulcer, low back pain) as well as for certain poorly defined conditions (chest pain, abdominal discomfort). Besides medically fully adequate treatment, for example, the remedy against scabies containing sulfur, there are numerous examples of magic and ritual pagan elements, including famous medieval SATOR formula against rabies. Most of the herbs used in prescriptions have been identified: fig, dog rose, hyssop, leek, laurel, absinthe, rosemary, mallow, cypress, elder, endive, mangel, orache, ivy. The manuscript is the first manuscript undoubtedly attributed to a well known historical personality, as indicated in the first page of the manuscript: "This is a medical prayer book by Mihailo Plamenac, left to him by his ancestors."
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PMID:[Medical manuscript of Mihail Plamenac, a priest]. 952 86

The authors call on attention for the differential diagnostical problems of low back pain and the importance of the Head zones by describing one case. A patient was admitted to hospital with severe symptoms of low back pain. In her previous medical history there were musculo-skeletal problems for many years in addition to continuous medical investigation and treatment for low back pain for three months. Careful examination revealed a five-centimetre large gastric ulcer in the background of her symptoms.
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PMID:[The role of gastrointestinal ulcer in the differential diagnosis of low back pain]. 1182 Jan 50

Why do so many patients opt for a surgical solution to lumbosacral (L-S) radicular pain? A rhetoric as well as specific question.Recently a Big Ten coach underwent the scalpel for the third time in two years. "Pain" not masochism was his response when questioned by the press, "Why the knife?"Most physicians and patients equate the severity of L-S radicular pain with the seriousness of the disc derangement.This is not so!Most physicians are aware that radicular pain is inversely proportional to the weakness associated with L-S disc herniation or extrusion. The natural history is a general remission of pain with a little exercise, perhaps some medication, and mostly Mother Nature.A sudden cessation of pain suggests a "dead" root and significant weakness. Unfortunate? Not necessarily.Electrodiagnostic studies can demonstrate a L-S radiculopathy within two weeks of onset and after one week can differentiate neurapraxic (reversible) weakness from permanent weakness.In both instances surgery is not the treatment of choice. In the first instance a conduction block at this inflamed nerve root is the problem and in the second scenario the weakness is generally not reversible with surgery (in fact the operation could be blamed).Nonradicular back pain needs a physiatric evaluation and management program.Patients should be reassured in all situations that most people "get over" acute back pain (including radicular) with minimal residuals if they are patient and educable!After all, rehabilitation is essentially teaching and patient learning. All patients with low back pain need thorough grounding in anatomy and physiology of the low back and biomechanics of lifting, in order to fend off advice of well-meaning friends, relatives, or even other "health" professionals.A recent study announced 10 times more lumbar laminectomies are done in the United States than in Europe. To reduce this number, I suggest all second opinions for this major (e.g., Discectomy) lumbar assault be given by a nonsurgeon who understands back problems (i.e., a physiatrist).Isn't this essentially the same as a gastroenterologist presenting a second opinion for management of a gastric ulcer-medical versus surgical?A physiatrist would provide a second opinion instead of a seconding opinion.
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PMID:Low back pain. 2457 48