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Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

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Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
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Acute Coronary Syndrome I: Introduction01:30

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
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Restless Leg Syndrome and Night Terrors01:27

Restless Leg Syndrome and Night Terrors

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Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Nephrotic Syndrome II : Assessment and Medical Management01:26

Nephrotic Syndrome II : Assessment and Medical Management

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IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
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Related Experiment Video

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[The « syndrome de glissement »].

Thomas Desmidt1

  • 1CHRU de Tours, Tours, France ; Inserm U1253 (iBrain) Imagerie et Cerveau, Tours, France.

La Revue Du Praticien
|April 16, 2019
PubMed
Summary

The "syndrome de glissement" is a controversial geriatric concept lacking international classification and evidence. Its clinical use may hinder diagnosis and therapy, suggesting it often overlaps with other conditions like apathy or depression.

Area of Science:

  • Geriatrics
  • Psychiatry

Background:

  • The
  • syndrome de glissement
  • is a debated concept in French geriatrics.
  • It lacks international disease classification and robust evidence.
  • Its clinical relevance and potential risks are discussed by experts.

Purpose of the Study:

  • To critically evaluate the concept of
  • syndrome de glissement
  • .
  • To assess its clinical utility and associated risks in geriatric care.
  • To explore alternative diagnostic frameworks for related symptoms.

Main Methods:

  • Literature review of existing evidence and clinical practice guidelines.
  • Analysis of expert opinions on the concept's validity.
Keywords:
depressionederly

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  • Comparison with established psychiatric and geriatric diagnoses.

    • Main Results:

    • The
    • syndrome de glissement
    • is not internationally recognized and has limited empirical support.
    • Clinical observations suggest it often represents symptoms of apathy, depression, or delusional disorders.
    • Potential risks include impeding accurate diagnosis and therapeutic discussions.

    Conclusions:

    • The notion of
    • syndrome de glissement
    • can likely be avoided in clinical practice.
    • Focusing on differential diagnoses like apathy and depression is recommended.
    • Addressing end-of-life wishes remains crucial, irrespective of this concept.