Conservative treatment

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Conservative treatment is a type of medical treatment defined by the avoidance of invasive measures such as surgery or other invasive procedures, [1] usually with the intent to preserve function or body parts. [2] For example, in appendicitis, conservative management may include watchful waiting and treatment with antibiotics, as opposed to surgical removal of the appendix. [3]

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<span class="mw-page-title-main">Appendicitis</span> Inflammation of the appendix

Appendicitis is inflammation of the appendix. Symptoms commonly include right lower abdominal pain, nausea, vomiting, and decreased appetite. However, approximately 40% of people do not have these typical symptoms. Severe complications of a ruptured appendix include widespread, painful inflammation of the inner lining of the abdominal wall and sepsis.

<span class="mw-page-title-main">Appendectomy</span> Surgical removal of the vermiform appendix

An appendectomy or appendicectomy is a surgical operation in which the vermiform appendix is removed. Appendectomy is normally performed as an urgent or emergency procedure to treat complicated acute appendicitis.

<span class="mw-page-title-main">Randomized controlled trial</span> Form of scientific experiment

A randomized controlled trial is a form of scientific experiment used to control factors not under direct experimental control. Examples of RCTs are clinical trials that compare the effects of drugs, surgical techniques, medical devices, diagnostic procedures, diets or other medical treatments.

<span class="mw-page-title-main">Arthroscopy</span> Medical procedure

Arthroscopy is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope, an endoscope that is inserted into the joint through a small incision. Arthroscopic procedures can be performed during ACL reconstruction.

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<i>The BMJ</i> British peer-reviewed medical journal

The BMJ is a weekly peer-reviewed medical journal, published by BMJ Group, which in turn is wholly-owned by the British Medical Association (BMA). The BMJ has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Previously called the British Medical Journal, the title was officially shortened to BMJ in 1988, and then changed to The BMJ in 2014. The journal is published by BMJ Publishing Group Ltd, a subsidiary of the British Medical Association (BMA). The current editor-in-chief of The BMJ is Kamran Abbasi, who was appointed in January 2022.

<span class="mw-page-title-main">Diverticulitis</span> Digestive disease of the large intestine

Diverticulitis, also called colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—that can develop in the wall of the large intestine. Symptoms typically include lower abdominal pain of sudden onset, but the onset may also occur over a few days. There may also be nausea, diarrhea or constipation. Fever or blood in the stool suggests a complication. People may experience a single attack, repeated attacks, or ongoing "smouldering" diverticulitis.

<span class="mw-page-title-main">Minimally invasive procedure</span> Surgical technique that limits size of surgical incisions needed

Minimally invasive procedures encompass surgical techniques that limit the size of incisions needed, thereby reducing wound healing time, associated pain, and risk of infection. Surgery by definition is invasive and many operations requiring incisions of some size are referred to as open surgery. Incisions made during open surgery can sometimes leave large wounds that may be painful and take a long time to heal. Advancements in medical technologies have enabled the development and regular use of minimally invasive procedures. For example, endovascular aneurysm repair, a minimally invasive surgery, has become the most common method of repairing abdominal aortic aneurysms in the US as of 2003. The procedure involves much smaller incisions than the corresponding open surgery procedure of open aortic surgery.

<span class="mw-page-title-main">Medical guideline</span> Document with the aim of guiding decisions and criteria in healthcare

A medical guideline is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare. Such documents have been in use for thousands of years during the entire history of medicine. However, in contrast to previous approaches, which were often based on tradition or authority, modern medical guidelines are based on an examination of current evidence within the paradigm of evidence-based medicine. They usually include summarized consensus statements on best practice in healthcare. A healthcare provider is obliged to know the medical guidelines of their profession, and has to decide whether to follow the recommendations of a guideline for an individual treatment.

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In medicine, a case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. Case reports may contain a demographic profile of the patient, but usually describe an unusual or novel occurrence. Some case reports also contain a literature review of other reported cases. Case reports are professional narratives that provide feedback on clinical practice guidelines and offer a framework for early signals of effectiveness, adverse events, and cost. They can be shared for medical, scientific, or educational purposes.

<span class="mw-page-title-main">Iain Chalmers</span> British medical researcher

Sir Iain Geoffrey Chalmers is a British health services researcher, one of the founders of the Cochrane Collaboration, and coordinator of the James Lind Initiative, which includes the James Lind Library and James Lind Alliance.

<span class="mw-page-title-main">Alvarado score</span> System for diagnosing appendicitis

The Alvarado score is a clinical scoring system used in the diagnosis of appendicitis. Alvarado scoring has largely been superseded as a clinical prediction tool by the Appendicitis Inflammatory Response score.

International Medical Corps is a global, nonprofit, humanitarian aid organization that provides emergency medical services, healthcare training and capacity building to those affected by disaster, disease or conflict." It seeks to strengthen medical services and infrastructure in the aftermath of crises."

<span class="mw-page-title-main">Amiphenazole</span> Chemical compound

Amiphenazole (Daptazile) is a respiratory stimulant traditionally used as an antidote for barbiturate or opiate overdose, usually in combination with bemegride, as well as poisoning from other sedative drugs and treatment of respiratory failure from other causes. It was considered particularly useful as it could counteract the sedation and respiratory depression produced by morphine but with less effect on analgesia. It is still rarely used in medicine in some countries, although it has largely been replaced by more effective respiratory stimulants such as doxapram and specific opioid antagonists such as naloxone.

Leonid Ivanovich Rogozov was a Soviet general practitioner who took part in the sixth Soviet Antarctic Expedition, 1960–1961. In April 1961 he had developed appendicitis while at Novolazarevskaya Station, and being the only medical professional there at the time, had to perform his own appendectomy.

<span class="mw-page-title-main">Baricitinib</span> Chemical compound

Baricitinib, sold under the brand name Olumiant among others, is an immunomodulatory medication used for the treatment of rheumatoid arthritis, alopecia areata, and COVID-19. It acts as an inhibitor of janus kinase (JAK), blocking the subtypes JAK1 and JAK2.

James Sherren was a British surgeon. Two medical terms related to appendicitis — a diagnostic sign and a conservative treatment regimen — bear his name.

Lockwood's sign is a medical sign that indicates Crohn's disease and/or chronic appendicitis. This sign is named after the English surgeon and anatomist, Charles Barrett Lockwood, who stated that:

"The patient lies on his back with his head raised on a pillow and his knees drawn up, so that the superficial abdominal muscles are relaxed. The surgeon sits down near his right side and palpates the right iliac region near McBurney's spot with the three inner fingers of his left hand. If he feels a trickle of flatulence passing his fingers and if this can be often repeated after waiting a half to one minute, or a little longer, the patient has either a chronically inflamed appendix or adhesions near it."

During the illegal Russian invasion of Ukraine The Russian Military has repeatedly attacked Ukrainian medical facilities, hospitals, clinics, and ambulances, and health workers. The Ministry of Defense of the United Kingdom stated that Russia was prioritizing attacks on Ukrainian medical facilities as a method of warfare, often striking these, as well as power infrastructure with Iranian-made drones such as Shahed 131, Shahed 136.

References

  1. "conservative treatment". TheFreeDictionary.com. Retrieved 2016-04-25.
  2. "Medical Definition of CONSERVATIVE". www.merriam-webster.com. Retrieved 2016-04-25.
  3. Bakker, Olaf J. (2012-04-05). "Should conservative treatment of appendicitis be first line?". BMJ. 344: e2546. doi:10.1136/bmj.e2546. ISSN   1756-1833. PMID   22491791. S2CID   206894901.