Presentation
Patients usually present with dyspnea, pelvic mass with or without a tender, distended abdomen and/or weight loss. [orpha.net]
The case of a 33 year-old female patient who presented rapid weight loss and a quickly increasing abdominal circumference is described. [obgyn.net]
Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. [books.google.com]
The pleural effusion was diagnosed six months prior to presentation and yielded negative cytology on aspiration. The patient re‐presented with marked abdominal discomfort and bloating. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
But if pain persists past six months after the procedure, it’s generally considered to be long-term, or chronic, pain. Several studies have looked at the frequency of chronic pain among total knee replacement patients. [drugwatch.com]
It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged. [icdlist.com]
N50.812 Left testicular pain N50.819 Testicular pain, UNSPEC N50.82 Scrotal pain Chapter 15 – Pregnancy, childbirth and the puerperium Refer to the ICD-10-CM manual Chapter 16 ‐ Certain conditions originating in the perinatal period P05.09 Newborn light [aappublications.org]
[…] show pain and more subtle symptoms function deteriorates over time pain worsens over time Physical exam inspection sinus tract to the joint is a definite infection warmth, redness, or swelling low grade fever motion limited by pain and swelling Imaging [orthobullets.com]
Painful Hardware ICD-10 T84.60XA Infection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter T84.7XXA Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and [eorif.com]
- Swelling
It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged. [icdlist.com]
You might get pain or swelling in your leg, but usually, there aren’t any warning signs. [webmd.com]
Symptoms and signs of prosthetic joint infectious arthritis may include pain, swelling, and limited motion; temperature may be normal. [msdmanuals.com]
Clicking by itself is not a serious problem, but patients should let their doctor know if they experience pain, swelling or other noises along with the clicking. [drugwatch.com]
Blood clots in the legs can occur after the surgery and may take several days after surgery to appear accompanied by swelling and pain in the legs. [recallcenter.com]
- Wound Infection
[…] of: · caesarean-section wound ( O90.0 ) · perineal obstetric wound ( O90.1 ) T81.4 Infection following a procedure, not elsewhere classified Abscess: · intra-abdominal · stitch · subphrenic · wound Septicaemia } } } } } } postprocedural Excludes: infection [apps.who.int]
Some patients have had a postoperative wound infection that appeared to resolve, satisfactory postoperative recovery for many months, and then development of persistent joint pain at rest and during weight bearing. [msdmanuals.com]
wound infection within 90 days of admission Note that Revisions or complete Removal with complete Replacement of a knee or hip joint prosthesis (DRGs 466, 467 and 468) would not be subject to the CJR payment model. [medpartners.com]
Minor infections in the wound are usually treated with drugs. Deep infections may need a second operation to treat the infection or replace the joint (see Revision Surgery). [recallcenter.com]
None of these patients had a reinfection or infection persistence. Hereby, we believe that the early surgical revision of the haematoma is an indispensable premise in the prevention of a wound infection. [medsci.org]
- Collapse
Furthermore, it is known that large pleural effusion in Meigs' syndrome is often associated with the chronic development of pleural effusion resulting in lung collapse. [jmedscindmc.com]
Otto von Spiegelberg first described a patient with fibroma, ascites and hydrothorax 1880 – Cullingworth detailed the history of a 36 year-old woman who complained of abdominal swelling dyspnoea, weight loss and menorrhagia who died from respiratory collapse [litfl.com]
[…] any site resulting from a procedure Excludes: haematoma of obstetric wound ( O90.2 ) haemorrhage due to prosthetic devices, implants and grafts ( T82.8, T83.8, T84.8, T85.8 ) T81.1 Shock during or resulting from a procedure, not elsewhere classified Collapse [apps.who.int]
- Weakness
ProPublica' s mission statement is to produce journalism that "shines a light on exploitation of the weak by the strong and on the failures of those with power to vindicate the trust placed in them." [mykneeguide.com]
Nerves going to the leg may become damaged in the process decreasing sensitivity and cause weakness in the limb. Mechanical failure. [recallcenter.com]
[…] joint motion with symptomatic relief outcomes 10% to 25% success rate of eradication 8% to 21% complication rate Operative polyethylene exchange with component retention, IV abx for 4-6 weeks indications acute infection ( acute hematogenous infection (weak [orthobullets.com]
Gastrointestinal
- Abdominal Bloating
Case Report An 84-year-old women, gravida 9, para 8, abortus 1, presented to our emergency room with a 2-day history of short of breath, anorexia, abdominal bloating and pain. [jmedscindmc.com]
Musculoskeletal
- Hip Dislocation
Patients who suffered a hip dislocation are predisposed to additional dislocations, as the dislocated ball disrupts the important muscles and ligaments around the hip. [hss.edu]
First time dislocations can often be treated with closed reduction of the hip and bracing. Recurrent dislocation significantly impairs the patient’s quality of life and necessitates revision hip replacement surgery. [bok.ahima.org]
- Knee Pain
pain 7 months following total knee arthroplasty. [orthobullets.com]
- Hip Pain
This bacteria can then seed and infect a hip replacement, causing hip pain and fever. In the presence of a prosthetic infection, the surgeon will attempt to identify the organism (bacteria) that is causing the infection. [hss.edu]
- Joint Swelling
It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged. [icdlist.com]
Psychiatrical
- Fear
A reinfection and/or infection persistence are the most feared complications after hip spacer implantation because they can be both associated with subsequent surgical revisions and higher morbidity and mortality rates, respectively. [medsci.org]
Urogenital
- Urinary Retention
Other possible complications include: Adverse effects of anesthesia and post-operative analgesia include the following: 1 Intense Itching sensation Hypotension Urinary retention Nausea Vomiting Airway Problems due to intubation Epidural hematoma (rare [recallcenter.com]
Urinary Obstruction/Retention Code 599.6, Urinary obstruction, unspecified, must currently be used even when the urinary obstruction is due to a specified cause. [bok.ahima.org]
Treatment
Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. [icdlist.com]
However, several other complications might also occur during a two-stage treatment protocol for late hip joint infections which can also lead to prolonged treatment courses and endanger the functional outcome. [medsci.org]
In the treatment of musculoskeletal infections, antibiotic-loaded cement by means of beads or spacers is impregnated with higher doses (usually 4 g antibiotics/40 g PMMA) for infection treatment [ 1 ]. [jbji.net]
In women of reproductive age, unilateral salpingo‐oophorectomy is the treatment of choice, whereas in post‐menopausal women treatment is total abdominal hysterectomy with bilateral salpingo‐oophorectomy. [ncbi.nlm.nih.gov]
Prognosis
Treatment and prognosis The condition is benign and the ascites and pleural effusion resolve after resection of the primary pelvic tumor. [radiopaedia.org]
Prognosis Within weeks to months of operation the ascites and pleural effusion resolve and the CA 125 returns to normal. Postoperative resolution of the fluid is part of the definition of the disease. [patient.info]
Mortality/Morbidity: Meigs syndrome, being a benign condition, has a very good prognosis if properly managed, though it mimics a malignant condition. Life expectancy after surgical removal of the tumor is the same as in the general population. [csh.org.tw]
Although the detection of malignant cells is a marker of malignant disease and a sign of poor prognosis, the benign effusions don't affect neither the stage of the disease nor the prognosis of the patient.13 Some authors emphasize that an ovarian mass [obgyn.net]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Pathophysiology: Etiology of ascitic fluid: The pathophysiology of ascites in Meigs syndrome is speculative. [csh.org.tw]
[…] disease) Function (functional disorders in the patho-physiological sense) Topography (anatomy) Morphology (pathologic anatomy/disease process) Etiology (agents causing disease) Etiology (agents causing disease) Classification component Procedural category [quizlet.com]
Origin of pleural effusion The etiology of pleural effusion is unclear. Efskind and Terada et al theorize that ascitic fluid is transferred via transdiaphragmatic lymphatic channels. [emedicine.medscape.com]
Epidemiology
Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]
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Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ.(2009) The epidemiology of revision total hip arthroplasty in the United States. [journals.sfu.ca]
Epidemiology[2, 3] Meigs' syndrome is rare. Fibromas account for around 3% of all ovarian tumours, and Meigs' syndrome for 1-2% of those. It tends to occur most often in postmenopausal women, with an average age of presentation of around 50 years. [patient.info]
Epidemiology Meigs' syndrome accounts for about 1% of ovarian tumours, and ovarian fibromata are found in 2–5% of surgically removed ovarian tumours. About 10–15% of women with an ovarian fibroma have ascites, and 1% has hydrothorax. [ncbi.nlm.nih.gov]
Pathophysiology
Other primary tumors include: ovarian fibrothecoma ovarian thecoma granulosa cell tumors of the ovary Brenner tumor: rare The pathophysiology of ascites in Meigs syndrome is speculative. [radiopaedia.org]
Pathophysiology: Etiology of ascitic fluid: The pathophysiology of ascites in Meigs syndrome is speculative. [csh.org.tw]
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Pseudo-pseudo Meigs syndrome includes patients with systemic lupus erythematosus and enlarged ovaries. [5] Pathophysiology Ascites is present in 10-15% of cases, and hydrothorax is found in only 1% of cases. [6, 7] Etiology of ascitic fluid The pathophysiology [emedicine.medscape.com]
Pathophysiology The exact pathogenesis of the ascites is still unknown. A possible theory is that there is filtration of interstitial liquid into the peritoneum through the ovarian tumour capsule. [ncbi.nlm.nih.gov]
Prevention
Some of the above-mentioned forms of failure can be prevented. Dislocations can be prevented by following the surgeon’s instructions. [hss.edu]
There are a few preventative measures that you and your doctor can discuss: Blood thinning medications. [healthline.com]
See guidelines from the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association (ADA) for the prevention of orthopedic implant infection in patients undergoing dental procedures. [msdmanuals.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]