Diagnosis and Management Strategies in Congenital Middle and External Ear Anomalies

Pediatric ENT ◽  
2007 ◽  
pp. 361-375
Keyword(s):  
Management Strategies ◽  
External Ear ◽  
Diagnosis And Management ◽  
Ear Anomalies

scholarly journals Chromosome 15 Duplication and Attention-Deficit Hyperactivity Disorder

2017 ◽  
Vol 08 (04) ◽  
pp. 660-661
Author(s):  
Sundar Gnanavel
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Case Report ◽  
Attention Deficit ◽  
Management Strategies ◽  
Behavioral Phenotype ◽  
Chromosome 15 ◽  
Diagnosis And Management ◽  
Psychiatric Illnesses ◽  
Hyperactivity Disorder

ABSTRACTChromosome 15 duplication has been associated with a number of psychiatric illnesses including psychosis and autism. However, literature on association with attention-deficit hyperactivity disorder (ADHD) is scant. This case report describes a patient with chromosome 15 duplication diagnosed with ADHD in our neurodevelopmental clinic. The possible biological underpinnings are discussed along with possible challenges in diagnosis and management. The need for better understanding ADHD as a behavioral phenotype in such cases along with need for tailored management strategies is emphasized.

Candida and Breastfeeding: A Critical Commentary on the Dilemmas Around Diagnosis, Treatment, and Management

2020 ◽  
pp. CLINLACT-D-20-00007
Author(s):  
Denise McGuinness ◽  
Marcelina Szafranska
Keyword(s):  
Healthcare Professionals ◽  
Clinical Skills ◽  
Management Strategies ◽  
Accurate Diagnosis ◽  
Breast Pain ◽  
Correct Treatment ◽  
Diagnosis And Management ◽  
Critical Commentary ◽  
The Usa ◽  
Robust Evidence

ObjectiveThe etiology of nipple pain in breastfeeding women can be challenging for healthcare professionals. The most common cause of nipple pain or damage in breastfeeding women is poor latch and positioning of the baby at the breast (Duncan, 2015). However, when position and attachment is not identified as the cause, controversy exists as to the etiology of the pain with nipple or breast thrush identified as a probable suspect.MethodThe literature was reviewed to explore the diagnosis and management of thrush in breastfeeding women.ResultsThere is a lack of robust evidence in the literature to support an accurate diagnosis of candida as the cause of nipple and/or deep breast pain in breastfeeding women. Diagnosis and management strategies vary between the USA and Europe.ConclusionIt is important that clinicians supporting and working with breastfeeding women are aware of the differential diagnosis for both breast and nipple pain, as well as utilize their clinical skills effectively to offer the correct treatment and management to women presenting with candida like symptoms (Amir et al., 2013, Wilson-Clay and Hoover, 2017). Culture and sensitivity of mothers expressed milk may be supportive of a diagnosis; however, analysis of mothers’ milk is not without its challenges. Breastfeeding women should not be treated for potential candida infection with a traditional clinical examination alone.

scholarly journals Case report of a novel mutation of the EYA1 gene in a patient with branchio-oto-renal syndrome

2016 ◽  
Vol 19 (2) ◽  
pp. 91-94
Author(s):  
L Spahiu ◽  
B Merovci ◽  
V Ismaili Jaha ◽  
A Batalli Këpuska ◽  
H Jashari
Keyword(s):  
Novel Mutation ◽  
Abdominal Ultrasound ◽  
External Ear ◽  
Autosomal Dominant Disorder ◽  
Daily Hemodialysis ◽  
Bor Syndrome ◽  
Severe Renal Insufficiency ◽  
Renal Malformations ◽  
Ear Anomalies ◽  
End Stage

AbstractBranchio-oto-renal (BOR) syndrome is an autosomal dominant disorder characterized by the coexistence of branchial cysts or fistulae, external ear malformation with pre-auricular pits or tags, hearing impairment and renal malformations. However, the presence of the main features varies in affected families. Here, we present a 16-year-old boy admitted to the Department of Nephrology at the Pediatric Clinic, University Clinical Center of Kosovo, Pristina, Republic of Kosovo because of severe renal insufficiency diagnosed 6 years ago, which progressed to end-stage renal failure. Clinical examination on readmission showed a pale, lethargic and edematous child, with auricular deformity, pre-auricular tags and pits as well as bilateral branchial fistulae. Laboratory tests revealed high blood urea nitrogen (BUN) 15.96 mmol/L and serum creatinine 633.0 µmol/L; low glomerular filtration rate (GFR) 12 mL/min./ 1.73 m2 and massive proteinuria 4+. Abdominal ultrasound showed bilateral kidney hypoplasia. A novel mutation of the EYA1 gene was confirmed. Daily hemodialysis is continuing until renal transplantation is done. This case is presented to increase awareness among general practitioners to consider BOR syndrome or other renal abnormalities in patients with branchial fistula and/ or external ear anomalies or similar findings in other family members.

Dens invaginatus: diagnosis and management strategies

BDJ ◽  
2016 ◽  
Vol 221 (7) ◽  
pp. 383-387 ◽  
Author(s):  
A. Gallacher ◽  
R. Ali ◽  
S. Bhakta
Keyword(s):  
Management Strategies ◽  
Diagnosis And Management ◽  
Dens Invaginatus

scholarly journals Current diagnosis and management strategies in pachychoroid spectrum of diseases (Review)

2020 ◽  
Author(s):  
Andreea Moraru ◽  
Dănuț Costin ◽  
Radu Moraru ◽  
Marcel Costuleanu ◽  
Daniel Brănișteanu
Keyword(s):  
Management Strategies ◽  
Diagnosis And Management

scholarly journals Diagnosis and management of benign prostatic hyperplasia in primary care

2013 ◽  
Vol 3 (3-S2) ◽  
pp. 92 ◽  
Author(s):  
Simon Tanguay ◽  
Murray Awde ◽  
Gerald Brock ◽  
Richard Casey ◽  
Joseph Kozak ◽  
...  
Keyword(s):  
Primary Care ◽  
Benign Prostatic Hyperplasia ◽  
Primary Care Physicians ◽  
Management Strategies ◽  
Prostatic Hyperplasia ◽  
Health Concern ◽  
Treatment Needs ◽  
Diagnosis And Management ◽  
Aging Men ◽  
American Urological Association

Benign prostatic hyperplasia (BPH), and its clinical manifestation as lower urinarytract symptoms (LUTS), is a major health concern for aging men. There havebeen significant advances in the diagnosis and treatment of BPH in recentyears. There has been a renewed interest in medical therapies and less invasivesurgical techniques. As a consequence, the treatment needs of men withmild to moderate LUTS without evidence of prostate cancer can now be accomplishedin a primary care setting. There are differences in the way urologistsand primary care physicians approach the evaluation and management of LUTSdue to BPH, which is not reflected in Canadian Urological Association (CUA)and American Urological Association (AUA) guidelines. A “shared care” approachinvolving urologists and primary care physicians represents a reasonable andviable model for the care of men suffering from LUTS. The essence of the modelcentres around educating and communicating effectively with the patient onBPH. This article provides primary care physicians with an overview of the diagnosticand management strategies outlined in recent CUA and AUA guidelinesso that they may be better positioned to effectively deal with this patient population.It is now apparent that we must move away from the urologist as thefirst-line physician, and allow primary care physicians to accept a new role inthe diagnosis and management of BPH.

scholarly journals The DIAMORFOSIS (DIAgnosis and Management Of lung canceR and FibrOSIS) survey. International survey and call for consensus

2020 ◽  
pp. 00529-2020
Author(s):  
Argyris Tzouvelekis ◽  
Katerina Antoniou ◽  
Michael Kreuter ◽  
Matthew Evison ◽  
Torsten G Blum ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Low Dose ◽  
Consensus Statement ◽  
Management Strategies ◽  
Mediastinal Lymphadenopathy ◽  
Surgical Interventions ◽  
Diagnosis And Management ◽  
Low Tidal Volume ◽  
Nodular Lesions ◽  
Almost All

BackgroundCurrently there is major lack of agreement on the diagnostic and therapeutic management of patients with Idiopathic Pulmonary Fibrosis (IPF) and lung cancer (LC). Our aim was to identify variations in diagnostic and management strategies across different institutions and provide rationale for a consensus statement on this issue.MethodsThis was a joint-survey by ERS Assemblies 8, 11 and 12. The survey consisted of 25 questions.ResultsFour hundred ninety four (n=494) physicians from 68 different countries and 5 continents responded to the survey. 94% of participants were pulmonologists and 1.8% thoracic surgeons and 1.9% oncologists. 97.7% involved MDT approaches on diagnosis and management. Regular low-dose HRCT scan was used by 49.5% of the respondents to screen for LC in IPF. PET scan and EBUS bronchoscopy is performed by 60% and 88%, to diagnose nodular lesions with mediastinal lymphadenopathy in patients with advanced and mild IPF, respectively. 83% of respondents continue anti-fibrotics following LC diagnosis; safety precautions during surgical interventions including low-tidal volume are applied by 67%. Stereotactic radiotherapy is used to treat patients with advanced IPF (DLCO<35%) and otherwise operable NSCLC by 54% of respondents and doublet platinum regimens and immunotherapy for metastatic disease by 25% and 31.9%, respectively. Almost all participants (93%) replied that a consensus statement for the management of these patients is highly warranted.ConclusionThe diagnosis and management of IPF-LC is heterogeneous with most respondents calling for a consensus statement.

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