Background: Vocal cord paralysis is disabling and can lead to morbidities such as dysphagia, dysphonia aspiration. It also loss of quality lives productivity in sufferers. An appropriate understanding etiologies, signs symptoms, diagnosis management are essential offering patients treatments. This article discussed a case report the physiotherapy assessment patient with vocal paralysis. Case Pr...

BACKGROUND The utility of clinical exercise tests depends on their support of treatment decisions. We sought to assess the utility of exercise tests for the selection of primary-care patients for referral to cardiologic care, and to determine whether referral decisions were biased by gender or socioeconomic status. We also evaluated referral rates and cardiovascular events in patients with posi...

BACKGROUND The referral letter is an important document facilitating the transfer of care from a general practitioner (GP) to secondary care. Hospital doctors have often criticised the quality and content of referral letters, and the effectiveness of improvement efforts remains uncertain. METHODS A cluster randomised trial was conducted using referral templates for patients in four diagnostic...

T he referral of a patient to a neurosurgeon for pain relief was once considered bad news, because the choice of procedures was limited to the creation of lesions offering significant risk and only modest success. The good news is that much has changed. Advances in technology and an improved understanding of pain have added sophisticated options and have guided attention to more effective proce...

Objectives To describe the clinical, neurophysiological and histopathological profile of patients with leprosy neuropathy neuropathic pain from a referral service for in southeastern Brazil. Results Among data analyzed, we found statistically significant correlation between duration associated pain, also age patient number nerves affected nerve conduction studies. We inverse relationship score ...

Introduction: Tonsillectomy is one of the most common surgeries in the world and the most common problem is post-tonsillectomy pain and bleeding. The relief of postoperative pain helps increase early food intake and prevent secondary dehydration. One method for relieving pain is peritonsillar injection of epinephrine along with an anesthetic, which has been shown to produce variable results in ...

The prevalence of pain in patients with sarcoma is not well documented. We investigated this in outpatients at a tertiary cancer referral centre, assessing the adequacy of pain control and for risk factors leading to higher prevalence and severity of pain. 149 patients were surveyed. Patients with pain within the previous 7 days completed pain assessment tools (BPI, S-LANSS, PMI). 53% of patien...