A small bowel obstruction is one of the most prevalent life-threatening situations. The most common clinical signs are vomiting, stomach discomfort, abdominal distension, and severe constipation. A 23-year-old girl presented to the multispecialty hospital with stomach pains that had persisted for two days. The patient experienced identical issues two months earlier and was treated conservatively. Radiography in the manner of abdominal X-ray and ultrasound were used to appropriately diagnose intestinal blockage. She underwent exploratory laparotomy for the same. Numerical pain rating scale, Incentive Spirometer (IS), mobility scale, anxiety and depression scale, independence measure were used as an outcome measure. Medical management was successful, but to return the patient to her normal daily routine activities without signs of dyspnea or early fatigue following abdominal surgery, a comprehensive rehabilitation program incorporating various respiratory techniques was developed, which proved to be effective and correlated with medically substantial gains in physical functioning and wellbeing.
Chronic obstructive pulmonary disease (COPD) is a chronic illness characterized by an acute exacerbation of respiratory symptoms. Recurrent episodes of acute exacerbation result in acute hypercapnia and acute carbon dioxide narcosis, which are often accompanied byan altered level of consciousness. Acute exacerbations in the elderly have a worse outcome, as evidenced by an increase in comorbid illnesses, length of stay, rehospitalization rate, and death rate. This article describes the case of an elderly female patient who presented to the emergency unit with complaints of altered conscious state, dyspnea, cough with expectoration, fever, loss of appetite, and abdominal pain. Her ABG tests also revealed a low pH and an abnormal level of blood gases with acute hypercapnia. The patient was admitted to the medical ICU with ventilator assistance as well as medications, but to restore the patient's respiratory capacity and improve the patient's quality of life, a complete physiotherapy management plan was implemented for four weeks. The treatment primarily aimed at stabilizing ABG levels using integrated physiotherapy approaches and thereby improving the patient's medical state. The patient's improvement was measured in the outcomes of ABG levels, COPD assessment test score, Peak expiratory flow rate, FIM scores, dyspnea levels, and walking distance over four weeks, demonstrating the effectiveness of the treatment.
India has one of the highest rates of mouth cancer in the world among which gingivobuccal cancer (GBC) is the most prevalent. A 45-year-old man was reported to the hospital on November 23rd, 2021, with symptoms of difficulties eating and swallowing meals and pain when executing facial movements for 6 months. Six months ago, the patient was diagnosed with well-differentiated squamous cell carcinoma of the upper right gingivobuccal sulcus after a series of tests, and he has now finished three cycles of neoadjuvant treatment. On December 1, 2021, a right hemi-mandibulectomy with ipsilateral modified radical neck dissection and pectoralis major myocutaneous flap repair was done. Key indicators include pulmonary function, appropriate mouth opening, discomfort alleviation, and wellbeing.The Oral Rehabilitation Program is beneficial, as evidenced by statistically significant improvements in exercise capacity and well-being. This case study represents a comprehensive rehab strategy for people who have had oral surgery.
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