TENNIS ELBOW
TESTICULAR FEMINIZATION
tennis elbow Pain and tenderness on
the outside of the elbow and in the back
of the forearm. Commonly called epicon-
dylitis, it is caused by inflammation of
the
tendon
that attaches the muscles
that straighten the fingers and wrist to the
humerus.
Treatment consists of resting
the arm, applying
ice-packs,
and taking
analgesic drugs
or
nonsteroidal anti-
inflammatory^ drugs
(NSAIDs).
Ultrasound
treatment,
injection of a
corticosteroid
drug,
or surgery are sometimes needed.
tenosynovitis Inflammation of the lin-
ing of the sheath that surrounds a
tendon.
The usual cause is excessive fric-
tion caused by repetitive movements;
bacterial infection is a rare cause. The
hands and wrists are most often affect-
ed. Symptoms include pain, tenderness,
and swelling over the tendon. Treatment
is with
nonsteroidal anti-inflammatory/
drugs
(NSAIDs) or a local injection of a
corticosteroid drug.
However, if infection
is the cause,
antibiotic drugs
are pre-
scribed.
A splint
to immobilize the joint,
or surgery, may also be needed.
tenovaginitis Inflammation or thicken-
ing of the fibrous wall of the sheath that
surrounds a
tendon.
TENS
Abbreviation for transcutaneous
electrical nerve stimulation, a method
of pain relief. Minute electrical impulses,
which block pain messages to the brain,
are relayed from an impulse generator
to electrodes attached to the skin in the
TENS
area of the pain. TENS can help relieve
chronic pain not controlled by
analgesic
drugs
and may be used in
childbirth.
tension A feeling of mental and physical
strain associated with
anxiety/.
Muscle
tension may cause headaches and stiff-
ness in muscles. Persistent tension is
related to generalized anxiety disorder.
(See also
stress.)
teratogen A physical, chemical, or bio-
logical agent, such as radiation, the
drug
thalidomide,
and the
rubella
virus,
that causes abnormalities in a develop-
ing
embryso
or
fetus.
teratom a A primary
tumour
consisting
of cells totally unlike those normally
found in that part of the body,
terbinafine An
antifungal drug
used to
treat fungal nail or skin infections. Side
effects are rare with topical use but may
include local irritation. Taken as tablets,
the drug may cause nausea, abdominal
pain, and, occasionally a rash,
terbutaline A
bronchodilator drug
used
to treat
asthma
and chronic obstructive
pulmonary/ disease,
and also to prevent
premature labour. Possible adverse ef-
fects include nervousness, restlessness,
tremor, nausea, and palpitations,
terminal care See
dying, care o f the.
termination of pregnancy See
abor-
tion, induced.
testicle See
testis.
testicular feminization syndrome A
rare inherited condition in which a gen-
etic male with internal
testes
has the
external appearance of a female. The syn-
drome is a form of
intersex
and is the
most common form of male
pseudoher-
maphroditism.
The cause is a defective
response of the body tissues to
testos-
terone.
The causative genes are carried
on the X chromosome, and so females
can be carriers. Affected individuals ap-
pear to be girls throughout childhood,
and most develop female secondary
sexual characteristics
at
puberty;
but
amenorrhoea
occurs, and a diagnosis is
usually made during investigations to
find its cause.
Chromosome anafysis
shows the presence of male chromo-
somes and blood tests show male levels
of testosterone. Treatment of testicular
feminization syndrome involves surgi-
cal removal of the testes, to prevent
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