3 Result(s) for ' chronic fatigue'
|
|
|
Metastatic Colorectal Cancer to the Right Ventricle
|
|
Jamila Asif, Ahmad El-Gammal, Jad Said, Crystal Seudeal, Wehbi Hanayni, Steven Werns
|
|
American Journal of Medical Case Reports. 2023 11 (2). doi: 10.12691/ajmcr-11-2-5
|
|
Keywords: colorectal cancer, cardiac metastasis, Adenocarcinoma, right ventricle/metastasis, pathology
|
Context: ....3 - 18.3% in the literature. The clinical presentation is silent in 90% of cases. Symptoms can range from being asymptomatic to chronic fatigue and shortness of breath due to reduced cardiac output, to sudden cardiac death from embolization of metastatic tumor. ...
|
|
|
Context: Multiple Myeloma usually presents with end organ damage like bone symptoms such as pain, pathologic fracture, renal dysfunction, chronic fatigue from anemia or symptoms of hypercalcemia. Although frequently associated with venous thromboembolisms, the presentation of mu...
|
|
|
|
Community Based Pilot Study of Diagnostic Paths to the Gluten Free Diet
|
|
Joan C. Stevenson, Kelle Rankin-Sunter, Crystal Maki, Sean Bruna, MJ Mosher, Christopher E. Barrett
|
|
International Journal of Celiac Disease. 2015 3 (1). doi: 10.12691/ijcd-3-1-7
|
|
Keywords: presenting symptoms, medically unexplained conditions, chronic fatigue , autoimmune thyroiditis
|
Context: Wheat consumption is increasing worldwide and also increasing is the frequency of celiac disease (CeD), a pathological response to wheat protein (gluten) in genetically susceptible individuals. Non-celiac gluten sensitivity (NCGS) is another, less studied wheat-induced pathology. The treatment for both is a gluten-free diet (GFD). More individuals choose the diet than predicted by the epidemiological 1-2% prevalence. A preliminary survey by questionnaire asked members and attendees of the local gluten information group (GIG) meetings and functions about their diagnostic experiences and symptom levels in order understand the increased demand for gluten-free foods. Same-aged and -sex friends participated as a comparative “control”. Mixed methods were used including content analyses of prose narratives and independent and paired t tests of symptom levels measured with Likert scales. This convenience sample, surveyed in 2011-2012, is mostly female (54 F, 5 M) with an average age of 54.6 ± 2.0 years. Most participants consulted medical professionals with mean time to diagnosis of 7 years determined mostly from “classic” presenting symptoms. Negative biopsies or blood tests and atypical symptoms that overlap other conditions delayed diagnosis. There were 43 and 16 participants with CeD and NCGS, respectively differing little in symptom levels. Self-diagnosis and use of naturopaths account for some of the “excess” individuals. General practitioners should be encouraged to get additional nutrition training and to discuss with patients dietary choices that support wellness and minimize the risk for pathological immune responses. Patients with CeD particularly need support and follow-up in the transition to a GFD.
|