Assuntos
Aprotinina/efeitos adversos , Hemostáticos/efeitos adversos , Transplante de Fígado/efeitos adversos , Embolia Pulmonar/etiologia , Tromboembolia/etiologia , Adulto , Eletrocardiografia , Feminino , Fibrinolíticos/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Embolia Pulmonar/tratamento farmacológico , Embolia Pulmonar/fisiopatologia , Tromboembolia/tratamento farmacológico , Tromboembolia/fisiopatologiaRESUMO
Most physicians regard polymyalgia rheumatica (PMR) as a disease that affects only the elderly. This case report of a 24-year-old man with proximal limb girdle muscle pain, stiffness, tenderness, weakness, and an elevated erythrocyte sedimentation rate, who had a dramatic response to steroids, supports the premise that PMR may affect a wider range of our population. Increased physician awareness that this illness does occur in patients younger than 50 may prevent delays in diagnosis, and decrease the needless suffering and incapacitation of younger patients with this disorder.
Assuntos
Polimialgia Reumática/diagnóstico , Adulto , Sedimentação Sanguínea , Diagnóstico Diferencial , Relação Dose-Resposta a Droga , Esquema de Medicação , Arterite de Células Gigantes/diagnóstico , Arterite de Células Gigantes/tratamento farmacológico , Humanos , Masculino , Equipe de Assistência ao Paciente , Polimialgia Reumática/tratamento farmacológico , Prednisona/administração & dosagem , Atenção Primária à Saúde , RecidivaRESUMO
Syncope is a very common presentation to the primary care provider and the emergency room physician. The consequences of syncope while driving can be tragic. Likewise the consequences in the flight environment can be devastating. This case presents tussive syncope while driving in a 41-yr-old previously healthy male aviator. The diagnosis, management, and aeromedical disposition are presented.
