Phimosis (from Greek φίμωσις phimōsis muzzling.) is a condition in which the ridged band of the foreskin of the penis cannot stretch to allow it to be pulled back past the glans. A balloon-like swelling under the foreskin may occur with urination. In teenagers and adults, it may result in pain during an erection, but is otherwise not painful. Those affected are at greater risk of inflammation of the glans, known as balanitis, and other complications.In young children, it is normal not to be able to pull back the foreskin at all. Over 90% of cases resolve by the age of seven, although full retraction is still prevented by preputial adhesions in over half at this age. Occasionally, phimosis may be caused by an underlying condition such as scarring due to balanitis or balanitis xerotica obliterans. This can typically be diagnosed by seeing scarring of the opening of the foreskin.Also, other pathologies should be considered in the differential diagnosis, such as congenital megaprepuce. Typically, the condition resolves without treatment by the age of 18. Efforts to pull back the foreskin during the early years of a young males life should not be attempted. For those in whom the condition does not improve further, time can be given or a steroid cream may be used to attempt to loosen the tight skin. If this method, combined with stretching exercises, is not effective, then other treatments such as circumcision may be recommended.
May be described as the worst headache of the patients life. Depending on the location of bleeding, may be associated with new fixed neurologic deficit. In unruptured brain AVMs, the risk of spontaneous bleeding may be as low as 1% per year. After a first rupture, the annual bleeding risk may increase to more than 5%. Seizure or brain seizure (46%) Depending on the place of the AVM, it can cause loss of vision in one place. Headache (34%)
Progressive neurologic deficit (21%)
May be caused by mass effect or venous dilatations. Presence and nature of the deficit depend on location of lesion and the draining veins. Pediatric patients
Heart failure
Macrocephaly
Prominent scalp veins

Pulmonary arteriovenous malformations
Pulmonary arteriovenous malformations are abnormal communications between the veins and arteries of the pulmonary circulation, leading to a right-to-left blood shunt. They have no symptoms in up to 29% of all cases, however they can give rise to serious complications including hemorrhage, and infection. They are most commonly associated with hereditary hemorrhagic telangiectasia. Genetics
Can occur due to autosomal dominant diseases, such as hereditary hemorrhagic telangiectasia. Pathophysiology
Arteries and veins are part of the vascular system. Arteries carry blood away from the heart to the lungs or the rest of the body, where the blood passes through capillaries, and veins return the blood to the heart. An AVM interferes with this process by forming a direct connection of the arteries and veins. AVMs can cause intense pain and lead to serious medical problems.