Pyrexia of unknown origin (PUO) is not infrequently a diagnostic dilemma for clinicians. Endocrine causes of PUO are rare. The endocrine disorder likely to present as PUO is subacute thyroiditis. Subacute thyroiditis usually occurs in middle-aged women as viral prodrome, classic symptoms of thyrotoxicosis, and an elevated erythrocyte sedimentation rate. The patient may have abrupt onset of fever and chills with complaints of thyroid pain, or only low-grade fever with poorly characterized anterior neck pain. We present a case of PUO in a 40-year-old male who had fever for more than two month. Despite an extensive evaluation, the patient had persistent fever and no cause was found, with the exception of subacute thyroiditis. The fever resolved from the fifth day of treatment with low-dose steroid (Prednisolone, 10mg per day). This case illustrates that subacute thyroiditis should be considered in cases of FUO.
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Practical teaching is an important part of the teaching of fixed prosthesis. This work aims to evaluate fixed prosthesis practical teaching of the 2 nd , 3 rd and 4 th year in terms of organization, developed skills, learning and assessment activities at the Faculty of Dentistry of Casablanca. A descriptive survey was conducted through questionnaires distributed to students who have completed their academic year 2011/2012. The results revealed the presence of numerous shortcomings regarding this teaching in relation to scheduled sessions, coaching, equipment, communication and argumentation of continuous exam's marks. In the light of this work, an action plan tailored to the reality of the Faculty of dentistry of Casablanca resources was proposed.
Biological width is the natural distance (combine heights) between the base of the healthy gingival sulcus OR epithelial attachment to the tooth and the height of the alveolar bone or connective tissue. For better description of relationship between the periodontal tissues and conservative procedures is to restore form, function, esthetics, and comfort for the dentition. Most of the dentists are aware of biological width, its maintenance and its importance during application of crown lengthening. Relevant publications regarding biologic width, its violation and management were identified up to August 2011 using manual and electronic database search in Medline, Embase, Directory of Open Access Journals, and Google Scholar.
This report describes management of furcal perforation in mandibular first molar by bicuspidization and regeneration of bone using an osseograft. 45 years male individual was reported having inflammation in the right mandibular posterior region of the jaw with periodic exacerbation and remission. On examination, sinus opening was found in relation to buccal side of 46. Radiographic examination revealed radiolucency and radio-opaque mass in the furcation area of 46 suggestive of foreign body. The patient was diagnosed of primary endodontic involvement with secondary periodontal lesion of tooth 46. Antibiotic coverage followed by abscess drainage of 46 was done. Surgical procedure was scheduled with bicuspidizaton technique and bone grafting. After the thorough debridement, the furcation defect was filled with an osseograft. Subsequently, 6 week later, toot preparation for porcelain fused to metal restorations was performed on dissected portions. Post operatively, the patient follow up was done at 1 st month, 2 nd month and 6 th month.
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