Learned lessons about Venus Williams Case
Introduction Many times throughout our lives we have idols, people you admire and put on a pedestal, so the untouchable an...
General Information
 
 
Performance
Venus came into this U.S. Open ranked 2011 as the number 36, that in terms of ranking, so we had to play first round that ...
 
Recent titles won by Venus have been to Dubai in 2009 and Acapulco in 2010, tournaments that are highly relevant and compe...
VIDEO
Symptoms reported by Venus
No matter how hard I trained, I never had stamina http://www.youtube.com/watch?v=IrVknOd581A
I can not get in shape http://www.youtube.com/watch?v=rT6GSnBOo80
four years ago, I felt like I was not getting enough air but I was diagnosed with exercise-induced astma http://www.youtub...
Joints pain, my hands started swelling, my joints started to kinda change shape http://www.youtube.com/watch?v=lhG2TC0xNXc
I had some of the classic symptoms, dry eyes and dry mouth. http://www.youtube.com/watch?v=EYVd5mSVzHM
I lost a lot of feel. Like, I would miss shots by feet and I just couldn’t feel my hands, and my hands would hurt when I w...
  I had swelling and numbness http://www.youtube.com/watch?v=ZP1qMvyDJ5k
then fatigue which is really debilitating. http://www.youtube.com/watch?v=oMpXo4b9rlQ
It's not that you have no energy – you just feel beat up http://www.youtube.com/watch?v=wPQNzB3CbgM
I had a tough practice, I was just sitting there and it was taking an effort just to lift my arms http://www.youtube.com/w...
if you wake every morning and feel you have a cold but you do not have one http://www.youtube.com/watch?v=KVEL_eZoHqU
<ul><li>1. Shortness of breath (4 years ago) </li></ul><ul><li>2. Joint pain in hands  associated with swelling, inflammat...
Media reports
Media reports
Are the respiratory problems of Venus associated with pulmonary fibrosis secondary to Sjogren ? <ul><li>As described above...
Differential diagnoses  <ul><li>Evolution time (> 6 weeks), pain, inflammation and swelling in his hands anddeformity. </l...
Chronic Fatigue Syndrome.  <ul><li>A person with fatigue of more than six months of duration, but that has not suffered it...
<ul><li>Of which Venus has presented substantial reduction in her daily activities and can not be explained by known medic...
Fibromyalgia <ul><li>Fibromyalgia is a common disease characterized by widespread musculoskeletal pain, stiffness, paresth...
<ul><li>Clinical: Symptoms are characterized by widespread musculoskeletal pain, stiffness and fatigue. Patient sometimes ...
<ul><li>The symptoms reported by Venus Williams are related to fibromyalgia include: </li></ul><ul><li>musculoskeletal pai...
Polymyositis  <ul><li>The  polymyositis  is a  connective tissue disease  characterized by the presence of muscular weakne...
<ul><li>With regard to Venus we observe that she presents the muscular weakness, which we it see reflected in that she can...
¿Se debió retirar Venus del Tenis?
¿Regresará Venus al Tenis?
Other testimonies At 53 years, Jenny Inga, president of the &quot; Spanish Association of Sjögren Syndrome  ', acknowledge...
<ul><li>Victòria Espiniella, president of the  'Catalan Association of Sjögren Syndrome ', in getting it diagnosed. &quot;...
Analyzing the case of Venus Williams, recording each and every one of the symptoms expressed by her, and addressing the st...
Bibliography : <ul><li>http://books.google.com.co/books?id=o83v2ocK80IC&pg=PA471&lpg=PA471&dq=sindrome+sjogren+diagnostico...
Interviews <ul><li>http://www.youtube.com/watch?v=fsIfOLuCNRM </li></ul><ul><li>http://www.venustennis.com/interviews/usop...
Topic Information : <ul><li>http://www.sjogrens.org/home/about-sjogrens-syndrome </li></ul><ul><li>www.sjogrens-guidebook....
 
Upcoming SlideShare
Loading in …5
×

Sjogren´s Syndrome. Venus Williams Clinical ase

3,061 views

Published on

venus Williams Case taking in account media information by students of Rheumatology at Universidad del Norte in Barranquilla

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
3,061
On SlideShare
0
From Embeds
0
Number of Embeds
218
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Sjogren´s Syndrome. Venus Williams Clinical ase

  1. 1. Learned lessons about Venus Williams Case
  2. 2. Introduction Many times throughout our lives we have idols, people you admire and put on a pedestal, so the untouchable and we believe that nothing can happen, but when something happens that we are ordinary people, flesh and blood, and so are we.
  3. 3. General Information
  4. 6. Performance
  5. 7. Venus came into this U.S. Open ranked 2011 as the number 36, that in terms of ranking, so we had to play first round that normally do not play top-ranked players.
  6. 9. Recent titles won by Venus have been to Dubai in 2009 and Acapulco in 2010, tournaments that are highly relevant and competitive sports.
  7. 10. VIDEO
  8. 11. Symptoms reported by Venus
  9. 12. No matter how hard I trained, I never had stamina http://www.youtube.com/watch?v=IrVknOd581A
  10. 13. I can not get in shape http://www.youtube.com/watch?v=rT6GSnBOo80
  11. 14. four years ago, I felt like I was not getting enough air but I was diagnosed with exercise-induced astma http://www.youtube.com/watch?v=wZQjrYHrMAY
  12. 15. Joints pain, my hands started swelling, my joints started to kinda change shape http://www.youtube.com/watch?v=lhG2TC0xNXc
  13. 16. I had some of the classic symptoms, dry eyes and dry mouth. http://www.youtube.com/watch?v=EYVd5mSVzHM
  14. 17. I lost a lot of feel. Like, I would miss shots by feet and I just couldn’t feel my hands, and my hands would hurt when I was playing. http://www.youtube.com/watch?v=knCsOtjOMNM
  15. 18.   I had swelling and numbness http://www.youtube.com/watch?v=ZP1qMvyDJ5k
  16. 19. then fatigue which is really debilitating. http://www.youtube.com/watch?v=oMpXo4b9rlQ
  17. 20. It's not that you have no energy – you just feel beat up http://www.youtube.com/watch?v=wPQNzB3CbgM
  18. 21. I had a tough practice, I was just sitting there and it was taking an effort just to lift my arms http://www.youtube.com/watch?v=fV_1wjxlvcI
  19. 22. if you wake every morning and feel you have a cold but you do not have one http://www.youtube.com/watch?v=KVEL_eZoHqU
  20. 23. <ul><li>1. Shortness of breath (4 years ago) </li></ul><ul><li>2. Joint pain in hands  associated with swelling, inflammation and deformity </li></ul><ul><li>3. Weakness to lift arms </li></ul><ul><li>4. Fatigue, tiredness, and refers ‘she feel like she had a cold’  </li></ul><ul><li>5.  Sjogren's classic symptoms: mouth and dry eyes </li></ul>
  21. 24. Media reports
  22. 25. Media reports
  23. 26. Are the respiratory problems of Venus associated with pulmonary fibrosis secondary to Sjogren ? <ul><li>As described above it is possible to say that though Venus Williams comments that she was presenting respiratory difficulty, we do not believe that it is because a pulmonary fibrosis secundary to Sjogren, since the course of the disease has not been so chronic in her, we think that it is possible it is beacuse of the asthma induced by exercise, which was diagnosed 4 years ago,  of course,we affirm this with the little information we have about the case, because of that information we can`t say she really has asthma. So it would be necessary to perform more complex tests to reject the presence fibrosis, that maybe is making a debut as atypical form </li></ul>
  24. 27. Differential diagnoses <ul><li>Evolution time (> 6 weeks), pain, inflammation and swelling in his hands anddeformity. </li></ul><ul><li>Although there is no serological results </li></ul><ul><li>View ACR criteria for RA according to 2010 </li></ul>INFORMATION LINK Rheumatoid arthritis
  25. 28. Chronic Fatigue Syndrome. <ul><li>A person with fatigue of more than six months of duration, but that has not suffered it for the whole life, does not associate it with the exercise, does not get better with the rest, has produced a substantial reduction to him or her in his/her daily activities and it is not possible to make clear for medical or psychiatric known reasons and that presents in addition four or any more of the following symptoms or signs: </li></ul><ul><li>1. Disorders of the memory or of the concentration </li></ul><ul><li>2.Odinophagia </li></ul><ul><li>3. Axilar or cervical adenophaties </li></ul><ul><li>4.Osteomuscular pain. </li></ul><ul><li>5. Articular pain. </li></ul><ul><li>6.Headache of recent appearance. </li></ul><ul><li>7. Not repairer sleep </li></ul><ul><li>8. Post-exercise aches </li></ul>
  26. 29. <ul><li>Of which Venus has presented substantial reduction in her daily activities and can not be explained by known medical or psychiatric causes, osteomuscular pains, articular pains, not repairer sleep and post- exercise aches. </li></ul>INFORMATION LINK
  27. 30. Fibromyalgia <ul><li>Fibromyalgia is a common disease characterized by widespread musculoskeletal pain, stiffness, paresthesias, sleep disturbances and fatigue, painful sites and numerous large and symmetrical distribution. It is more common in women than in men, with a ratio of 9 to 1. The disease exists in almost all countries, the majority of ethnic groups and in all weather. Its prevalence in the general population of an American community under the 1990 classification criteria of the American College of Rheumatology is 3.4% in women and in men 0.55. Most patients are between 30 and 50 years of age. </li></ul>
  28. 31. <ul><li>Clinical: Symptoms are characterized by widespread musculoskeletal pain, stiffness and fatigue. Patient sometimes complains of joint pain and joint swelling seen, but on physical examination abnormalities are not observed. The stiffness is almost always in the morning when you wake up and improve over the course of hours but in some cases persists throughout the day. Many patients complain of numbness in hands and feet and many are tired and exhausted since they are awake. In many cases, anxiety, or depression </li></ul>INFORMATION LINK
  29. 32. <ul><li>The symptoms reported by Venus Williams are related to fibromyalgia include: </li></ul><ul><li>musculoskeletal pain </li></ul><ul><li>Fatigue </li></ul><ul><li>joint pain </li></ul><ul><li>Hand Numbness </li></ul><ul><li>anxiety </li></ul>INFORMATION LINK
  30. 33. Polymyositis <ul><li>The polymyositis is a connective tissue disease characterized by the presence of muscular weakness of predominance proximal, in the escapular waist and pelvic, the respiratory muscles, of the swallowing and the myocardium. </li></ul>
  31. 34. <ul><li>With regard to Venus we observe that she presents the muscular weakness, which we it see reflected in that she cannot lift the arms. </li></ul><ul><li>Also she presents artralgias. </li></ul><ul><li>Although she also feels pain, and dry eyes and dry mouth, these are not characteristic of the disease. </li></ul>INFORMATION LINK
  32. 35. ¿Se debió retirar Venus del Tenis?
  33. 36. ¿Regresará Venus al Tenis?
  34. 37. Other testimonies At 53 years, Jenny Inga, president of the &quot; Spanish Association of Sjögren Syndrome ', acknowledges that it is a fairly common disorder, although with different manifestations depending on the patient. &quot;It's very prevalent, but not all have the same degree of severity. People who only suffer from impairment in the eyes and mouth are often seen in primary care, the most serious cases are referred to hospital.&quot;
  35. 38. <ul><li>Victòria Espiniella, president of the 'Catalan Association of Sjögren Syndrome ', in getting it diagnosed. &quot;The average time to achieve a medical opinion is between six and eight years. In my case, they were eight. It all started one day in which, literally closed my eyes and could not open them. I went to the eye but treatments failed to overcome the problem. Any external agent hurts me. Gradually, the problem got worse until it affects the throat and started the muscle aches, tiredness and fatigue. &quot; </li></ul>
  36. 39. Analyzing the case of Venus Williams, recording each and every one of the symptoms expressed by her, and addressing the study and the relationship of these as described in the literature, we conclude that differential diagnosis and surplus (rheumatoid arthritis, SLE, secondary Sjogren's syndrome, fibromyalgia, polymyositis, chronic fatigue syndrome), but a definitive diagnosis is impossible to give without laboratories and related studies and even more when there is little information about the onset of symptoms presented by Venus. What is clear is that the established approach is sound and that would be by check which of these diagnoses is that which corresponds in this case, all the while possible and we have key data that we analyze, discuss and complete data, which unfortunately are not yet within our reach. CONCLUSION
  37. 40. Bibliography : <ul><li>http://books.google.com.co/books?id=o83v2ocK80IC&pg=PA471&lpg=PA471&dq=sindrome+sjogren+diagnosticos+diferenciales&source=bl&ots=8DAUmzL5Aq&sig=-3Br60B-NxpjfrOhSsl-_KyLXFk&hl=es&ei=omplTo2tMsOztweTq8yqCg&sa=X&oi=book_result&ct=result&resnum=10&ved=0CF4Q6AEwCQ#v=onepage&q&f=false </li></ul><ul><li>http://www.cieph.com.br/site_novo/downloads/Livros/Sindrome%20de%20Sjogren%20en%20espanol.pdf . </li></ul><ul><li>http://www.elmundo.es/elmundosalud/2011/09/01/noticias/1314888547.html </li></ul><ul><li>http://www.cieph.com.br/site_novo/downloads/Livros/Sindrome%20de%20Sjogren%20en%20espanol.pdf </li></ul><ul><li>http://www.niams.nih.gov/Portal_en_espanol/Informacion_de_salud/Sindrome_de_Sjogren/default.asp </li></ul><ul><li>http://www.encolombia.com/medicina/reumatologia/reuma82-01-manifestacionesis.htm </li></ul><ul><li>http://www.doctorponce.com/modules.php?name=Sections&op=viewarticle&artid=40 </li></ul><ul><li>http://www.bbc.co.uk/mundo/ultimas_noticias/2011/09/110901_ultnot_eeuu_tenis_venus_williams_en.shtml </li></ul><ul><li>aesjogren.org </li></ul><ul><li>http://www.revistacolombianadereumatologia.org/Portals/0/Descargas/3-enfermedad%20quistica%209-2.pdf </li></ul><ul><li>http://www.medicalcriteria.com/site/index.php?option=com_content&view=article&id=211:reusjs&catid=79:rheumatology&Itemid=80&lang=es </li></ul>
  38. 41. Interviews <ul><li>http://www.youtube.com/watch?v=fsIfOLuCNRM </li></ul><ul><li>http://www.venustennis.com/interviews/usopen20071.html.   </li></ul>
  39. 42. Topic Information : <ul><li>http://www.sjogrens.org/home/about-sjogrens-syndrome </li></ul><ul><li>www.sjogrens-guidebook.com http://www.wtatennis.com/page/Player/Stats/0,,12781~90 27,00.html </li></ul><ul><li>http://www.elespectador.com/deportes/tenis/articulo-296239-venus-williams-continuara-su-carrera-pese-extrana-enfermedad </li></ul><ul><li>http://es-us.deportes.yahoo.com/noticias/venus-williams-retira-us-open-182256776.html http://vimeo.com/16671907 </li></ul>

×