The use of lateral X-ray view for the diagnosis and management plan of fractured neck of femurs

2006 ◽  
Vol 17 (2) ◽  
pp. 165-168 ◽  
Author(s):  
C. Mauffrey ◽  
M. Morgan ◽  
S. Bryan
2019 ◽  
Vol 2 (7) ◽  
pp. 12-16
Author(s):  
Gihad I Alsaeed ◽  
Ibrahim G Alsaeed ◽  
Mohamed G Alsaeed

2018 ◽  
pp. 229-236
Author(s):  
Abdullah Jibawi ◽  
Mohamed Baguneid ◽  
Arnab Bhowmick

Achalasia is an unusual motility disorder and is poorly understood. Accurate diagnosis is essential with a management plan tailored to severity of disease. The chapter describes diagnosis and management pathways including the place of dilatation, management of difficult cases with surgical myotomy, as well as a summary of newer treatments.


2005 ◽  
Vol 33 (4) ◽  
pp. 492-496 ◽  
Author(s):  
L. K. Stanko ◽  
E. Jacobsohn ◽  
J. W. Tam ◽  
C. J. De Wet ◽  
M. Avidan

The purpose of this study was to evaluate the utility of transthoracic echocardiography (TTE) in an intensive care unit by determining its impact on diagnosis and management. Over a six-month time period, we performed a prospective observational study on all patients admitted to either the medical or the surgical intensive care unit. Structured interviews were conducted with referring physicians before and after the TTE to determine the referring physicians’ pre-TTE diagnosis, reasons for requesting the TTE, and whether the TTE resulted in a change in diagnosis and/or management. A total of 135 TTE examinations were done in 126 patients. The referring physicians deemed that clinical information was inadequate to make a definitive diagnosis and management plan in 36/135 (27%) of the requests. In 99/135 (73%) studies, physicians indicated that there was probably sufficient clinical information to formulate a diagnosis and management plan, but ordered a TTE to corroborate their clinical findings. Overall, a change in diagnosis occurred in 39/135 (29%) of studies, and a change in management in 55/135 (41%) of studies. Diagnosis was changed in 19/99 (19%) studies with adequate clinical data, and in 20/36 (56%) studies with inadequate clinical data (P<0.001). Management was changed in 34/99 (34%) of studies with adequate clinical data and in 21/36 (58%) of studies with inadequate clinical data (P=0.017). Of the 62 management changes, 57/62 (92%) changes were minor, and 5/62 (8%) were major. In conclusion we have found that TTE frequently resulted in a change in the diagnosis and management.


Author(s):  
Mohamed Elgendi ◽  
Rich Fletcher ◽  
Newton Howard ◽  
Carlo Menon ◽  
Rabab Ward

High-resolution computed tomography radiology is a critical tool in the diagnosis and management of COVID-19 infection; however, in smaller clinics around the world, there is a shortage of radiologists available to analyze these images. In this paper, we compare the performance of 16 available deep learning algorithms to help identify COVID19. We utilize an already existing diagnostic technology (X-ray) and an already existing neural network (ResNet-50) to diagnose COVID-19. Our approach eliminates the extra time and resources needed to develop new technology and associated algorithm, thus aiding the front-line in the race against the COVID-19 pandemic. Results show that ResNet-50 is the optimal pretrained neural network for the detection of COVID-19, using three different cross-validation ratios, based on training time, accuracy, and network size. We also present a custom visualization of the results that can be used to highlight important visual biomarkers of the disease and disease progression.


2001 ◽  
Vol 25 (11) ◽  
pp. 418-420 ◽  
Author(s):  
Declan Lyons ◽  
Mark Amos ◽  
V. M. Mathew

Aims and MethodWe surveyed the usefulness of a structured method of recording history and mental state examinations with a treatment plan in terms of conveying information about diagnosis and management, compared with informal methods of recording data. A survey of admission records by nursing and medical raters was followed by introduction of a standardised assessment format for use by trainees and a re-audit. Initial psychotropic medication was also scrutinised.ResultsThe assessment schedule improved clarity of diagnosis for the medical and nursing raters alike, but improvement in management plan quality was mainly apparent for the medical rater. The audit also exposed widespread use of hypnotic agents.Clinical ImplicationsIt is suggested that structured assessment schedules facilitate adherence to good standards of clinical practice and may benefit trainees undertaking professional exams as well as having a multi-disciplinary and medico-legal relevance.


2020 ◽  
Vol 01 ◽  
Author(s):  
Sallam Taha Mohammed ◽  
Abdelgalil Ali Ragab ◽  
Syed Muhammad Tayyab

Background: Headache is one of the most common presenting symptom for patients attending the outpatient clinics. The key stone in primary management of cases presented with headache, and then subsequent proper referral to specialty clinics, depends on careful history taking and clinical examination. Objective: The aim of this audit is to get a comprehensive idea about patients presented with headache in the Outpatient Department (OPD) clinics including patients age, gender, primary management and subsequent referral to specialty clinics in Hatta hospital. So we can reevaluate and improve our clinical approach in dealing with patients having headache. Method: This study is a retrospective study based on hospital settings and was conducted in 2015 over one year in Hatta hospital, Dubai. We collected information about patients who attended the OPD with headache as the primary complaint. Results: One hundred eighty patients above the age of 4 years were selected. Females patients were 125(69.4%) while males were 55(30.6%).The age of most patients suffering from headache range from 15 – 40 years. Hypertension was found in 20 cases, while diabetes mellitus was diagnosed in 6 cases. Radiological studies (Plain X‐ray and/or Computerized Tomography) were done in 114 patients (63.3%). Most common causes of headache encountered in this study were tension headache, migraine and sinusitis. Conclusion: The history and clinical examinations usually permit a definitive diagnosis for patients with headache. Radiological and blood investigations were overused in assessment of patients. Change of life style is important as part of management plan.


2019 ◽  
Vol 9 (6) ◽  
Author(s):  
Jiwon Oh ◽  
Katayoun Alikhani ◽  
Tania Bruno ◽  
Virginia Devonshire ◽  
Paul S Giacomini ◽  
...  

Identifying the transition of relapsing-remitting multiple sclerosis (MS) to the secondary-progressive MS form remains a clinical challenge due to the gradual nature of the transition, superimposed relapses, the heterogeneous course of disease among patients and the absence of validated biomarkers and diagnostic tools. The uncertainty associated with the transition makes clinical care challenging for both patients and physicians. The emergence of new disease-modifying treatments for progressive MS and the increasing emphasis of nonpharmacological strategies mark a new era in the treatment of progressive MS. This article summarizes challenges in diagnosis and management, discusses novel treatment strategies and highlights the importance of establishing a clear diagnosis and instituting an interdisciplinary management plan in the care of patients with progressive MS.


2020 ◽  
pp. 084653712091962
Author(s):  
Patrick Martineau ◽  
Sarah L. Morgan ◽  
William D. Leslie

Dual-energy X-ray absorptiometry (DXA) is the method of choice for assessing bone mineral density (BMD). Unfortunately, the performance and interpretation of DXA can be challenging and errors are common. In fact, it has been reported that up to 90% of BMD reports contain at least 1 error. Errors can be the result of technique or interpretative in nature or both and can result in inappropriate diagnosis and management. In this article, we review the various types of pitfalls frequently encountered by physicians interpreting DXA studies. Being aware of these pitfalls will help readers recognize and avoid them when encountered in clinical practice.


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