Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0235108 (tense)
 2,176 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A child of eight is in analysis for tics which started a year ago. He is very tense. Enuresis and sleeping and eating difficulties also occur from time to time. The clinical material presented concerns chiefly the initial phase of the treatment in which intense castration anxiety appeared under different forms. Interpretation was based on the fact that this boy, nine years old, still regularly crept into this parents' bed at night. Certain types of identification processes play an important role in the treatment of this child.
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PMID:[Identification processes in the analysis of a child. Treatment of a boy presenting with tics]. 342 37

The present study utilized EMG biofeedback in the treatment of functional bladder-sphincter dyssynergia, a learned incoordination of bladder and urethral sphincter activity during voiding. The condition is usually associated with a history of painful urination due to bladder infections, surgery, or harsh toilet training. The subject was an 8-year-old girl with chronic diurnal urinary frequency, urge incontinence, and nocturnal enuresis. Treatment consisted of intensive instruction in alternately tensing and relaxing her lower pelvic musculature, as well as relaxing during voiding. These exercises were accompanied by EMG biofeedback from perianal and perivaginal surface electrode sites. Home practice consisted of the tense-relax exercise, relaxation during voiding, and self-monitoring and record-keeping. There were 17 sessions over a period of 9 months. No medication was used. Marked reduction (to normal levels) in diurnal urgency and frequency occurred by the 3rd week of therapy, and complete recovery of normal function, including nocturnal continence without waking, occurred by the 13th therapy session, 5 months after therapy began. Follow-up 1 year after therapy revealed that these gains were being maintained. Pre- and posttherapy urodynamic studies corroborated the achievement of normal urinary function.
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PMID:EMG biofeedback for functional bladder-sphincter dyssynergia: a case study. 635 88

In a prospective study of high pressure chronic retention, a newly defined disorder of the urinary tract, 21 patients were analysed for their mode of presentation and urodynamic, renographic, and operative findings. High pressure chronic retention is characterised by late onset enuresis, a tense, palpable bladder, hypertension, and progressive renal impairment associated with bilateral hydronephrosis and hydroureter commonly leading to uraemia and death. Obstructive urological symptoms are typically absent in uncomplicated cases. The study confirmed that patients with the disorder are commonly elderly and present, not necessarily to a urologist, with late onset enuresis or symptoms of cardiac decompensation. After transurethral resection the patients, if correctly managed, may be expected to make a satisfactory recovery.
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PMID:High pressure chronic retention. 640 64

High-pressure chronic retention (HPCR) is a well-recognized common urological emergency which requires prompt treatment. It usually presents with nocturnal enuresis, a tense and palpable bladder, and symptoms of uraemia from renal failure George et al 1983.1 There have been isolated cases in the literature of HPCR presenting with symptoms of venous occlusion secondary to extrinsic bladder compression2,3 but it remains a rare presenting complaint. We discuss the case of a 56-year-old man who presented primarily with right lower limb swelling which was later revealed to be due to HPCR.
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PMID:Unilateral Lower Limb Oedema: An Unusual Presentation of High-Pressure Chronic Retention. 3232 40