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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Levels of Health Promotion and Illness Prevention01:26

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Healthcare Agencies II01:17

Healthcare Agencies II

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Public Health.

Glauco Kody Nagata1, Eduarda Rosa Fernandes1, Tatiane Morgana da Silva1

  • 1Neurology Department, São Lucas Hospital of PUCRS, Porto Alegre, Rio Grande do Sul, Brazil.

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Summary
This summary is machine-generated.

A 66-year-old woman developed neurological symptoms like ataxia and vertigo, later diagnosed as paraneoplastic cerebellar degeneration. This rare condition was caused by an underlying breast cancer, highlighting the need for early diagnosis and treatment of both the cancer and neurological issues.

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Area of Science:

  • Neurology
  • Oncology
  • Immunology

Background:

  • A 66-year-old female presented with subacute vertigo and significant weight loss.
  • Medical history included rheumatoid arthritis, diabetes, GERD, hypertension, anxiety, and depression.
  • Six months post-initial evaluation, she developed opsoclonus, tongue fasciculations, dysmetria, tremor, hypoesthesia, and ataxia.

Purpose of the Study:

  • To investigate the cause of persistent neurological deficits in a patient with a history of chronic illnesses.
  • To establish the diagnosis of a paraneoplastic neurological syndrome.

Main Methods:

  • Extensive diagnostic workup including MRI, CSF analysis, CT, and PET-CT scans.
  • Immunohistochemical analysis of a lymph node biopsy.
  • Treatment with methylprednisolone pulse therapy.

Main Results:

  • MRI revealed cerebellar atrophy; CSF showed oligoclonal bands and elevated IgG index.
  • Chest CT and breast MRI identified a suspicious axillary lymph node and breast lesion.
  • Biopsy confirmed metastatic breast carcinoma, with specific immunohistochemical markers (CK7+, CK20-, GATA-3+, ER+, PR-, C-erbB-2 indeterminate, Ki-67 50%).

Conclusions:

  • The patient was diagnosed with paraneoplastic cerebellar degeneration secondary to breast cancer.
  • Paraneoplastic neurological syndromes can precede or follow cancer diagnosis, necessitating comprehensive evaluation.
  • Early recognition and management of both the neurological symptoms and the underlying malignancy are crucial.