Medical History, Physical Examination, and Laboratory Tests for the Evaluation of Dyspareunia

2009 ◽  
pp. 14-20 ◽  
Author(s):  
Andrew T. Goldstein
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Laboratory Tests

Diagnostics

2018 ◽  
pp. 25-50
Author(s):  
Philip A. Mackowiak
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Laboratory Tests ◽  
Imaging Techniques ◽  
Initial Evaluation ◽  
Clinical Specimens ◽  
Vast Array ◽  
Modern Era

Chapter 2 (“Diagnostics”) traces the evaluation of the patient as depicted in art from the earliest times to the present. Although ancient physicians had none of the vast array of sophisticated laboratory tests that are now so important in diagnosing diseases, little has actually changed in the initial evaluation of the patient for over 4000 years. In fact, the principles underlying today’s concept of a proper medical history and physical examination were clearly articulated by the Egyptians in medical papyri produced as early as 1950 B.C.E. The works featured in this chapter transport the reader from some of the earliest records of how to take a medical history, perform a proper physical examination, and examine clinical specimens such as blood and urine to employing the imaging techniques of the modern era.

Blue toe syndrome as the initial manifestation of ANCA-associated vasculitis

Open Medicine ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. 577-579
Author(s):  
Liubomir Marinchev ◽  
Maria Hristova ◽  
Marta Baleva ◽  
Zlatimir Kolarov
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Male Patient ◽  
Laboratory Tests ◽  
Accurate Diagnosis ◽  
Initial Manifestation ◽  
Cardiovascular Pathology ◽  
Caucasian Male ◽  
Anca Associated Vasculitis ◽  
Blue Toe Syndrome

AbstractThe blue (or purple) toe syndrome describes the development of a blue or violaceous discoloration in one or more toes in the absence of obvious trauma, serious cold-induced injury or disorders producing generalized cyanosis. The presence of blue toe syndrome requires the clinician to search for primary systemic vasculitides, as well as for malignancy, underlying infection, thrombosis, cardiovascular pathology and other diseases. An accurate diagnosis is critical because many of the causes threaten life or limb, but the patient’s medical history, accompanying non-dermatologic findings on physical examination and the use of discriminatory laboratory tests are usually more important than the nature of the cutaneous abnormalities. We describe the case of a 53-year-old Caucasian male patient presenting with blue toe syndrome as the initial manifestation of ANCA-associated vasculitis.

scholarly journals Diagnostic tests in women attempting pregnancy

2017 ◽  
Vol 16 (4) ◽  
pp. 5-8
Author(s):  
Wioleta Hynder ◽  
Małgorzata Piskorz-Szymendera ◽  
Aleksandra Zielińska ◽  
Katarzyna Plagens-Rotman ◽  
Agnieszka Dymek-Skoczyńska ◽  
...  
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Diagnostic Tests ◽  
Laboratory Tests ◽  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Diagnostic Methods ◽  
Medical Sciences ◽  
Hormonal Profile ◽  
Gynaecological Examination

AbstractIntroduction.Diagnosis of infertility usually begins after a year of waiting for pregnancy without any effect. Although it is usually woman who first reports to the doctor, the diagnostic tests should be conducted simultaneously with a woman and a man.Aim. The aim of the study was to evaluate the diagnostic tests performed in women seeking an offspring.Material and methods. The survey was conducted from February to April 2014 in the gynaecological wards of the Gynaecology and Obstetrics Clinical Hospital of the Karol Marcinkowski University of Medical Sciences in Poznan. The study included 104 patients during diagnosis and treatment of infertility. The research tool was the author's questionnaire.Results. The largest group comprised of women aged from 31 to 35 years (44%), the least numerous group – of women under 25 years of age (1%). The most commonly proposed trial was a detailed obstetric interview together with the general one (64%), then gynaecological examination (36%) and transvaginal ultrasound (30%). In 96% of the respondents diagnostic tests included conducted medical history, as well as physical gynaecological and ultrasound examination. Diagnostic methods, like hormonal profile, assessment of ovulation, laboratory tests were performed in 70% of patients. The survey also included questions concerning the diagnostic methods used in the partners of the respondents. In 35% of men one diagnostic test was performed, in 34% two tests and in more than 10% – 4 tests.Conclusion. Those who decide for the diagnosis of infertility are usually couples aged from 26 to 30 who do not an have offspring. Medical history, physical examination, gynaecological ultrasound and hormonal profile are the most commonly performed diagnostic tests for women applying for posterity.

scholarly journals Acute abdominal pain caused by accidental ingestion of Latoia species larva: a case report

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097948
Author(s):  
Youhong Cao ◽  
Yuejuan Fan ◽  
Yuwen Bei ◽  
Zhenguo Qiao
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Physical Examination ◽  
Medical History ◽  
Laboratory Tests ◽  
Rare Case ◽  
Clinical Characteristics ◽  
Acute Abdominal Pain ◽  
Diagnostic Methods ◽  
Accidental Ingestion

We report the clinical and endoscopic manifestations in a patient with acute abdominal pain caused by the accidental ingestion of a Latoia consocia (Walker) larva. Clinical data including the patient’s medical history, and the results of physical examination, laboratory tests, and gastroscopy were collected. Based on this rare case, we discuss the clinical characteristics and manifestations, diagnostic methods, and principles of this disease.

A new multisystem inflammatory syndrome temporally associated with SARS-CoV-2 in a 6-year-old boy

2020 ◽  
Vol 16 (3) ◽  
pp. 295-300
Author(s):  
Agnieszka Pawłowska-Kamieniak ◽  
◽  
Milena Wronecka ◽  
Natalia Panasiuk ◽  
Karolina Kasiak ◽  
...  
Keyword(s):  
Child Health ◽  
Physical Examination ◽  
Medical History ◽  
Royal College ◽  
New Disease ◽  
Imaging Findings ◽  
Inflammatory Syndrome ◽  
And Child Health

In December 2019, China reported cases of infections caused by a new zoonotic coronavirus, which gradually developed into a pandemic. The disease was initially believed to be mild in children. In April 2020, a possible relationship between a new paediatric multisystem inflammatory syndrome and SARS-CoV-2 was found. In May, the Royal College of Paediatrics and Child Health published the criteria for the diagnosis of this new disease. We present a case of a 6-year-old boy retrospectively diagnosed with SARS-CoV-2-related multisystem inflammatory syndrome based on medical history, physical examination, laboratory and imaging findings, as well as the available literature.

The Clinical Method and Subjectivity in Medicine

2018 ◽  
Author(s):  
J. Donald Boudreau ◽  
Eric J. Cassell ◽  
Abraham Fuks
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Medical Record ◽  
Chronic Conditions ◽  
Process Of Care ◽  
Clinical Method ◽  
Functional Assessments ◽  
Contemporary Medicine

The clinical method is defined as the means by which doctors gather information about their patients, think about and evaluate these medical facts, and enter the facts into their process of care. Its key components are the medical history, including the process by which it is acquired from patients and its subsequent documentation in the medical record, as well as the physical examination. Characteristics, such as the reproducibility and accuracy of various components, are discussed with a reference to prevailing opinions of subjectivity and objectivity in medicine. It is argued that as a consequence of a shift in the prevalence of illness, from acute to chronic conditions, a misalignment exists between the clinical method currently taught and contemporary medicine. It is suggested that a renewed and repurposed clinical method must incorporate enhanced strategies for functional assessments.

scholarly journals Primary pulmonary nodular Amyloidosis

2005 ◽  
Vol 63 (3) ◽  
Author(s):  
F. Agresta ◽  
A. Marin ◽  
D. Della Libera ◽  
F. Romanzi ◽  
L.F. Ciardo ◽  
...  
Keyword(s):  
Physical Examination ◽  
Laboratory Tests ◽  
Left Lung ◽  
Solitary Nodule ◽  
Radiological Features ◽  
Video Assisted ◽  
Patient’S History ◽  
Benign Course ◽  
Radiologic Characteristics ◽  
Multiple Nodules

Primary nodular amyloidosis of the lung is an uncommon manifestation. The disease runs a benign course, but offers diagnostic problems due to non-specific radiological features entering the big field of the solitary nodule. We describe the case of a 60 year old man with multiple nodules on the left lung operated on diagnostic and therapeutic video-assisted thoracoscopy and discuss the possibilities, if any, of suspecting such a disease through radiologic characteristics along with findings from the patient’s history, physical examination and laboratory tests.

scholarly journals Recém-nascido com deficiência de glicerol quinase: um caso clínico

2018 ◽  
Vol 28 (3) ◽  
pp. 31385
Author(s):  
Cristina Duarte P. V. G. Madureira ◽  
Cláudia Teles-Silva ◽  
Cláudia Melo ◽  
Susana Gama de Sousa
Keyword(s):  
Emergency Department ◽  
Metabolic Acidosis ◽  
Birth Weight ◽  
Physical Examination ◽  
Laboratory Tests ◽  
Neonatal Period ◽  
Glycerol Kinase ◽  
Glutamic Pyruvic Transaminase ◽  
Glycerol Kinase Deficiency ◽  
Hypernatremic Dehydration

AIMS: To report the case of a newborn with glycerol kinase deficiency, in which an isolated mutation not yet described in the GK gene was identified.CASE DESCRIPTION: A neonate with 10 days of age was brought to the emergency department for refusal to feed with 24 hours of evolution. Physical examination showed a loss of 31% of birth weight and signs of dehydration. Laboratory tests revealed a metabolic acidosis with increased anion gap, creatinine 2.41 mg/dL, urea 306 mg/dL, hypernatremia (182 mEq/L), hyperkalemia (6.8 mEq/L), hyperchloremia (151 mEq/L), glutamic-oxalacetic transaminase 879 U/L, glutamic-pyruvic transaminase 243 U/L, triglycerides 725 mg/dL. Chromotagraphy of organic acids revealed hyperglycerolemia and glyceroluria compatible with glycerol kinase deficiency. The genetic study revealed a mutation not yet described: c.187T> C (p.S63P) as hemizygote status in the GK gene.CONCLUSIONS: The most frequent cause of hypernatremic dehydration in the neonatal period is maternal hypogalactia. In more severe cases of dehydration, other etiologies should be considered, including metabolic causes such as glycerol kinase deficiency. In this case a mutation not yet described in the GK gene was found.

scholarly journals DECLINE OF CLINICAL ART AND TECNOLOGICAL MEDICINE BOOM

2021 ◽  
pp. 123-133
Author(s):  
José Antonio Rodríguez Montes
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Medical Practice ◽  
New Technologies ◽  
Clinical Skills ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Bedside Teaching ◽  
The Past

Currently there is a consensus that the clinical art have been greatly deteriorating during the past 50 years. This problem has raised worldwide attention through as increase in publications, courses, symposia and congress. The erosion of bedside teaching and the consequent decline of clinical skills, notably wrongfull and inadequate use of new technologies. At as result, it becomes difficult if not impossible obtain an appropiate collection of the synptoms sufferick for the sick. Together with the medical history, the physical examination is mandatory for the correct diagnosis and developing the treatment plan. In this paper, the decline of clinical art is exposed and how this ancient heritage of medical practice can be recovered.

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