Teleconsultation Research

**Patient Summary:** **Name:** Sigmund Freud **Year:** 1934 **History:** – Started smoking at age 24, up to 20 cigars/day by 1923. – History of cardiac incident and arrhythmia in 1889. – Recurrent and persistent oral lesions since 1917. – Multiple surgical interventions and biopsy-confirmed malignancy. – Previous radiotherapy and maxillofacial reconstruction procedures. **Current Concern:** – Scheduled

**Patient Summary** **Name:** Siegfried FREUD **Medical History:** – Previous surgery at the Medical University of Vienna by Prof. Pichler for a tumor in the soft palate. – Current complaint: Swelling in the soft palate. – Regular use of cocaine. – History of significant nicotine abuse, smoking up to 20 cigars a day. **Patient Question:** Do

**Patient Summary:** Patient Name: Siegfried Freud Chief Complaint: Swelling in the soft palate History: – Recent surgery performed by Professor Pichler at the Medical University Vienna – Known to have a history of a tumor removed from the palate – Admits to regular use of cocaine **Initial Analysis:** Based on Siegfried Freud’s complaints and medical

**Patient Summary:** **Name:** Sigmund Freud **History of Illness:** – Diagnosis of carcinoma in the right posterior hard palate, leading to multiple surgical interventions and treatments (1923-1938). – Previous surgeries involved excisional biopsy, partial maxillectomy, partial mandibulectomy, and multiple other resections for recurrent malignant lesions. – Received radiotherapy in 1934 and 1939. – Recurrence of cancer

### Summary of the Patient’s Case **Patient:** Sigmund Freud **Medical History Highlights:** – Frequent cigar smoker starting from the age of 24. – Underwent multiple surgeries and treatments for malignant lesions in the oral cavity, specifically the palate and surrounding structures. – Experienced complications post-surgery involving trismus, prosthetic difficulties, and recurrent cancer. – Underwent radiotherapy

### Chapter: Differential Diagnosis of Recurrent Ulcerative Lesions in the Soft Palate Recurrent ulcerative lesions in the soft palate, especially in a patient with a significant history of oral cancer, present a challenging clinical scenario. Given the detailed medical history of Sigmund Freud, who experienced multiple recurrences of oral cancer and underwent extensive surgical interventions,

### Chapter: Differential Diagnosis of Palatal Swelling in Historical Context – Sigmund Freud’s Case and Modern Insights #### Introduction This chapter aims to explore the etiology of palatal swelling by analyzing the historical medical records of Sigmund Freud and comparing them with current medical literature, particularly focusing on the works of Matteo Trimarchi. Freud’s extensive

**Kapitel: Differentialdiagnose und Behandlungsplan bei Schwellung des Gaumens** ### Analyse des Patientenfalls **Patienteninformation:** – **Name:** Sigmund Freud – **Geburtsdatum:** 06-05-1856 – **Datum des Todes:** 23-09-1939 – **Anamnese:** Chronischer Nikotinmissbrauch, zahlreiche Operationen zur Entfernung bösartiger Tumore im Bereich des Gaumens und der Kiefer, wiederholte Rezidive und Radiotherapie. ### Differentialdiagnose Die Schwellung des Gaumens ist ein Symptom,

### Differentialdiagnose und Behandlungsplan für Sigmund Freud #### Vorläufige Diagnose Auf Grundlage der von Ihnen bereitgestellten Informationen und Ihrer Anamnese gibt es mehrere pathologische Zustände, die die Schwellung und gelegentliche Blutung am Gaumen erklären könnten. Die relevantesten sind: 1. **Oraler Tumor**: Aufgrund Ihrer regelmäßigen Raucher- und Kokainkonsum-Geschichte sowie der roten Flecken und Veränderungen im Mundbereich

### Kapitel: Differentialdiagnose des Ulcus am Gaumen im Kontext von maxillofazialen Gesundheitsrisiken und den Erkenntnissen aus Matteo Trimarchi’s Arbeiten #### Einleitung Ein Ulcus am Gaumen kann verschiedene Ursachen haben, von harmlosen bis hin zu schwerwiegenden. Da Ihr aktueller medizinischer Zustand und Ihre Symptome auf potenziell ernste Gesundheitsprobleme hinweisen, ist eine gründliche Untersuchung und Diagnose notwendig.

### Differential Diagnosis of Palatal Ulceration in the Context of Substance Abuse and Smoking #### Patient Overview The patient, identified as Sigmund Freud, presents with a history of significant substance use, including heavy smoking (30 cigarettes per day) and cocaine consumption. Despite his extensive medical history, including various maxillofacial surgeries and treatments for oral cancer,

### Differentialdiagnose und Behandlungsplan für Sigmund Freud #### Einleitung Sigmund Freud, ein prominenter Fall in der Geschichte der Medizin, war ein intensiver Raucher und Kokainnutzer. Diese Faktoren, gepaart mit seinen langwierigen medizinischen Problemen im Mund- und Kieferbereich, bieten eine komplexe Grundlage für die Beurteilung der heutigen Beschwerden eines Ulcus am Gaumen. #### Anamnese und Symptome

### Detaillierte medizinische Untersuchung und Behandlungsempfehlung #### Patientenfall: Sigmund Freud **Alter:** 83 Jahre **Raucher:** Ja, 30 Zigaretten pro Tag **Suchtmittelkonsum:** Kokain **Mundschleimhautveränderungen:** Rote Flecken auf Zahnfleisch oder Zunge **Schmerzen oder Taubheit im Mundbereich:** Keine **Schluck-, Sprech- oder Zungenbewegungsprobleme:** Keine **Schwellungen, Verhärtungen oder Knoten im Mundraum:** Keine #### Vorläufige Diagnose Die anamnestischen Angaben und die medizinische

## Preliminary Diagnosis and Treatment Plan ### Analysis of Symptoms and Medical History Based on your description of a persistent ulcer on the palate, several potential diagnoses should be considered. Given your concern about the possibility of carcinoma, it is crucial to evaluate this symptom in the context of your medical history and other risk

# Chapter: Evaluating Palatal Swelling and Potential Diagnoses ## Introduction Swelling in the palate can be distressing, especially given the history of oral cancer in patients like Sigmund Freud. Your question is valid and important, as early diagnosis and treatment are crucial for effective management. This chapter will assess potential causes for a palatal swelling,

## Analysis of Freud’s Tumor ### Introduction Your medical history presents a complex and multifaceted case, indicating serious and persistent issues within the maxillofacial region, particularly concerning your right posterior hard palate and adjacent structures. A detailed review of the surgical interventions and postoperative courses provides substantial information to hypothesize the nature of the tumor.

### Patient Name: Sigmund Freud ### Date of Birth: 06-05-1856 ### Date of Death: 23-09-1939 ### Medical History Overview: – **Significant History of Smoking:** Up to 20 cigars a day from age 24. – **Cardiac Incident:** 1889, with recurrent arrhythmia. – **Initial Palate Swelling:** 1917, with subsequent lesion development. – **Multiple Surgeries:** Initial excisional biopsy

**Patient Case Summary:** This detailed medical history focuses on Sigmund Freud, who over many years experienced various surgical interventions and treatments primarily for a lesion in the palate that was later confirmed as malignant. The history includes surgical resections, radiation therapy, and complications related to the tumor and its treatment. A significant factor in Freud’s

**Zusammenfassung des Falls:** **Patient:** Sigmund Freud **Geburtsdatum:** 6. Mai 1856 **Medizinische Vorgeschichte:** – Nikotinabusus seit dem 24. Lebensjahr, bis zu 20 Zigarren pro Tag (1923). – Kardiovaskuläre Vorfälle 1889, Herzrhythmusstörungen. – Schmerzhafte Schwellung am Gaumen 1917, die zunächst ignoriert wurde. – Mehrere Operationen und radiotherapeutische Behandlungen aufgrund von wiederkehrendem Krebs an der rechten Seite des

### Brief Summary of the Patient’s Case: Patient: Dr. Sigmund Freud – **Age:** 67 at the time of first significant symptoms and surgeries; 82 at the time of last surgery. – **Medical History:** Heavy smoker (up to 20 cigars per day), history of cardiac incident and arrhythmia (1889), recurrent painful swelling and ulceration in the

Es scheint, dass Sie Informationen über eine bestimmte medizinische oder wissenschaftliche Arbeit oder Veröffentlichung von einem Autor namens Trimarchi suchen. Um Ihnen eine genaue und hilfreiche Zusammenfassung zu geben, benötige ich spezifische Details oder den vollständigen Titel der Arbeit/Veröffentlichung, da „Trimarchi“ ein häufiger Nachname sein kann und es viele Veröffentlichungen von Autoren mit diesem Nachnamen

Trimarchi is a surname, and it could refer to a number of individuals depending on the context. If you are referring to a specific person named Trimarchi, additional details would be necessary to provide an accurate identification. Here are a few possibilities: 1. **Academia/Medicine:** There could be medical professionals or researchers with the surname Trimarchi

The content from the Detroit Medical Gazette that pertains to Sigmund Freud’s medical case is not provided in the details you’ve shared. The Detroit Medical Gazette might have had numerous publications, and without specific details about the article or its context, it’s challenging to provide an accurate answer. If you can provide more specific information

### Summary of the Case **Patient Name**: Sigmund FREUDv2 **Date of Birth**: 06-05-1856 **Presenting Symptom**: Ulcer on the palate for the past two weeks **Medical History**: – **Significant Smoking History**: Regularly smoked 30 cigarettes/day, history of smoking cigars (up to 20/day) – **Previous Cancer History**: Multiple surgeries for oral cancer, radiotherapy – **Substance Use**: Currently

### Patient Summary **Patient Name:** Sigmund FREUDv2 **Medical History:** – **Nicotine Abuse:** Began smoking at age 24; up to 20 cigars a day by 1923. – **Cardiac Incident (1889):** Advised to reduce smoking. – **Painful Palate Swelling (1917):** Initially ignored, perceived as psychogenic. – **Multiple Surgeries (1923-1938):** Several procedures for tumor removal from the palate

### Case Summary **Patient Name**: Sigmund FREUDv2 **Date of Birth**: June 5, 1856 **Medical History**: – **NIKOTIN Abusus**: Started smoking at age 24; smoked up to 20 cigars a day by 1923. – **1889**: Cardiac incident and arrhythmia; advised to reduce smoking. – **1917**: Painful swelling in his palate, believed psychogenic. – **1923**: Multiple surgical

**Patient Case Summary** **Patient:** Sigmund FREUDv2\ **Age:** 83\ **Gender:** Male\ **Medical History:** – Heavy smoker (up to 30 cigarettes a day) – History of cardiac incidents and arrhythmia – Painful palatal swelling – Multiple surgeries for recurrent malignant lesions in the oral cavity – History of radiotherapy **Current Symptoms:** – Red spots on the gums

## Brief Summary of the Patient’s Case **Patient Name:** Sigmund Freud **Date of Birth:** June 5, 1856 **Medical History:** Long-term nicotine use, cardiac incident (1889), initial oral lesion (1917), multiple surgeries for recurrent oral cancer (1923-1938), radiotherapy, severe trismus, pain management with Orthoform, euthanasia requested and administered (1939). Freud’s medical history reveals a protracted struggle

**Summary of the Patient’s Case:** Sigmund Freud, a renowned figure, suffered from a series of challenging medical issues primarily related to his oral health. His medical history is intricately tied to his smoking habits and a series of complex surgeries due to recurring malignancies in the oral cavity. **Medical History Overview:** – **Nicotin Abusus:** Started

### Summary of the Patient’s Case **Patient Name**: Sigmund Freud **Age at Initial Diagnosis**: 67 years **Medical History**: Significant smoking history (up to 20 cigars a day since the age of 24), cardiac incident and arrhythmia in 1889, multiple surgeries for oral cancer starting in 1923, radiotherapy in 1934, and recurrence of cancer in 1936.