Introduction and purpose: The aim of this study is to provide a comprehensive description of intervertebral disc herniation, with a focus on the lumbar spine, including the current conservative and modern surgical treatment options such as minimally invasive procedures. State of Knowledge: Spinal pain is a prevalent cause of disability in developed countries, with an increasing number of people affected by this condition. Intervertebral disc herniation resulting from degenerative changes is a common pathology, particularly in the lumbar and cervical spine. This condition involves the protrusion of the nucleus pulposus, which exerts pressure on the spinal roots, causing irritation. While the prognosis for herniated nucleus pulposus is usually positive and many patients can undergo conservative treatment, some may require a surgery. Due to advancements in technology, the current goal is to minimize tissue trauma during hernia repair procedures. Conclusions: Due to advances in treatment of lumbar intervertebral disc herniation, patients can achieve better clinical outcomes and improved quality of life. Conservative treatment should be considered as the first line treatment in a majority of cases. Surgery is usually a last resort when conservative treatment proves insufficient. No surgical method seems to be unequivocally superior to the others, so its choice is tailored to the individual patient's needs and depends on the surgeon's preferences and experience. Recent advances in endoscopic spine surgery are providing new insights into disc surgery and pain management strategies.
Introduction and purpose: Drug-induced reaction with eosinophilia and systemic symptoms (DRESS) is a severe, life-threatening systemic drug reaction. The challenges in identifying DRESS syndrome result from its symptoms being variable, diverse, and unspecific. Due to the potentially lethal consequence, any clinician should be aware of the symptomatology and be prepared to initiate the appropriate steps. This review summarizes the clinical manifestations and provides essential information on the management of the illness. State of knowledge: DRESS appears to be a rare reaction that frequently remains undetected due to its atypical clinical presentation. Fever, skin rash, lymphadenopathy, eosinophilia, and organ involvement as well as other manifestations, may occur. The onset may be delayed by weeks after exposure to the offending drug. DRESS syndrome is classified as a type IV hypersensitivity. It is thought to be triggered by antiepileptic drugs and antibiotics although many other medications can cause the condition. Certain genetic factors may also predispose some individuals to develop DRESS. Combining clinical and laboratory findings can help confirm the diagnosis. Discontinuation of the offending drug is the fundamental component of treatment such as supportive care including the use of antihistamines and corticosteroids, but recent research has discovered additional promising therapy options. Conclusions: Detecting DRESS syndrome early is crucial to ensure prompt treatment, prevent serious complications, and improve patient outcomes. Healthcare providers should be aware of the signs and symptoms of DRESS syndrome, especially in patients taking particular medications, and be prepared to investigate further if it is suspected.
Introduction and purpose: The aim of this study is to review and analyze scientific research on the topic of volleyball injuries. We attempt to identify the types of injuries that are characterized by increased frequency, diagnostic possibilities, and treatment methods. We believe that this work can support individuals involved in sports and sports medicine personnel in accessing information more quickly and facilitate the direction of further research into preventing injuries among volleyball players. State of Knowledge: Knee injuries are divided into overload and acute injuries. Overload syndromes include degenerative changes to the patellar ligament. Medical history and physical exam suffice for accurate diagnosis. Treatment for jumper’s knee is based mostly on conservative treatment. Meniscus injuries are equally common such as ACL rupture. Not all meniscus injuries require surgery, and the key factor in making a decision is the pattern of tearing and the presence of appropriate vascularization. Conclusions: Based on analyzed studies we assumed that every third serious injury among volleyball players is the knee injury. There is no single preferred method of treatment. Early diagnosis and intervention are crucial to prevent the progression of the disease. Stretching and eccentric strengthening exercises are recommended in the early stages. Efficiency of platelet-rich plasma injections remains uncertain. Further research is needed to determine the most effective treatment. In acute knee injuries, ACL damage often coexists. Treatment for such injuries typically involves surgical intervention. Arthroscopy is the preferred method. Meniscus repair has a high success rate and enables a rapid return to physical fitness.
Introduction and Purpose: Gynecomastia is a common clinical problem that can also be a symptom of many serious disorders. The aim of this study is to analyze the etiology, pathogenesis, diagnostics, as well as pharmacological and surgical treatment, while also addressing the psychological aspect of the condition. State of Knowledge: Gynecomastia is the development of noncancerous breast tissue in males. It can occur unilaterally or bilaterally and may cause pain. It can be a natural occurrence during infancy, adolescence, and and in older age. It is usually accompanied by an imbalance between estrogens and androgens. Hormonal disorders lead to the growth of stromal and ductal proliferation. In the diagnostic process, the most important aspect is establishing the cause of the condition, allowing for the implementation of appropriate treatment. Gynecomastia can cause a decrease in quality of life, depression, anxiety, and reduced self-esteem. Conclusions: Gynecomastia is a complex condition that requires an individualized approach to the patient. It can be a side effect of medication use, result from an underlying disease, or occur idiopathically. Surgical treatment forms the basis of the therapeutic process. Currently, combined surgical techniques are most commonly used to achieve the best cosmetic effect.
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