[The instructive case. V. Abnormal hysterical state. (On phenomenal changes of abnormal life reactions in childhood].
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OBJECTIVES: In the paper authors present indications and results of using diagnostic and operative hysteroscopy in the clinical practise and compare histological result with introductory diagnosis of ultrasonography and hysteroscopy. MATERIALS AND METHODS: In period of 01.06.1998-01.09.2002 148 hysteroscopy were done with in 58 diagnostic and 90 operative histeroscopies. Received material was sent to histological research. RESULTS: non-pathologic change was diagnosed in 37 women, 43 endometrial polyps, 20 submucous myomas, 5 polyps and myomas together. CONCLUSIONS: 1. Most often observed change in intrauterine pathology were endometrial polyps and submucous myomas. 2. In a few cases only hysteroscopy let us discover the reason of pathological bleedings from the uterus. 3. hysteroscopy has become the method necesary in some cases of gynaecological pathology.
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In this case scenario, the reader has the the opportunity to diagnose the patient described in the title, on the basis of the history, examination results, laboratory evaluations, and neurophysiologic and imaging findings. The diagnosis and a discussion of the case are presented on pages 195-197.
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The quality of life of incontinent patients was analysed in a group of 494 children treated over 20 years. The ratio of incontinent children was constant above an age of 10 years. Incontinence correlates with social status of the family; it is better in single children and worse in single-parent families. School outcome and professional status is significantly better for continent patients. The main problems of the children and adults were analysed. Compensatory mechanisms and the importance of early care of incontinent patients are mentioned.
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