Conservative management of gigantic splenic cyst during pregnancy; a differential diagnosis for chest pain caused by the forgotten organ

The study reports on 100 children and adolescents evaluated in a pediatric cardiology department. The results state that 13% of the population met the criteria for Major Depressive Disorder based on DSM III. There were four patients who were referred because of chest pain. All of them were found to be free from cardiovascular disorders, but all were found to be in the depressed group. The authors emphasize the importance of chest pain in differential diagnosis of childhood depression.

Download Full-text

Pyogenic Granuloma of the Foot with Satellitosis: A Role for Conservative Management

Journal of Cutaneous Medicine and Surgery ◽

10.2310/7750.2010.09068 ◽

2011 ◽

Vol 15 (1) ◽

pp. 58-60

Author(s):

Janice Bacher ◽

Dalal Assaad ◽

David N. Adam

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Conservative Management ◽

Treatment Options ◽

Pyogenic Granuloma ◽

Conservative Approach ◽

Review Of The Literature ◽

Atypical Case ◽

Over Time ◽

Rule Out

Background: Pyogenic granuloma (PG) with satellitosis is a rare phenomenon that typically occurs in children and teenagers. It can be seen after excision or trauma to the original lesion. Objective: The aim is to review an atypical case of PG with satellitosis and to highlight a conservative approach to management. Methods: This article includes a case report of a 48-year-old woman developing PG with satellitosis in her right foot and includes a review of the literature. Results: There are few cases of PG with satellitosis in the literature. Our patient differs from most given her age and the location of the lesions. She was managed differently with a conservative observational approach, and, over time, her symptoms abated. Conclusion: PG with satellitosis can occur in varying patient populations with varying presentations. Although several treatment options exist, managing patients conservatively should be considered an approach to management. Early investigations should be conducted to rule out more sinister items in the differential diagnosis.

Download Full-text

Differential diagnosis of common presentations

Oxford Handbook of Acute Medicine ◽

10.1093/med/9780198797425.003.0016 ◽

2019 ◽

pp. 863-890

Author(s):

Punit S. Ramrakha ◽

Kevin P. Moore ◽

Amir H. Sam

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Back Pain ◽

Chest Pain ◽

Muscle Weakness ◽

Joint Pain ◽

Nausea And Vomiting ◽

Cutaneous Manifestations ◽

Internal Malignancy

This chapter explores the differential diagnosis of common presentations, including abdominal pain and distension, back pain, blackouts and collapse, breathlessness and dyspnoea, chest pain, confusion, constipation, cough, cutaneous manifestations of internal malignancy, diarrhoea, dysphagia, falls, fever, fits and seizures, haematemesis and melaena, haematuria, haemoptysis, headache, hemiparesis, hoarseness, itching and pruritus, joint pain and swelling, leg swelling, muscle weakness, nausea and vomiting, palpitations, tremor, unconsciousness and reduced consciousness, weak legs, and wheeze.

Download Full-text

Pain Emergencies and Complications of Pain Treatments

Pain Care Essentials ◽

10.1093/med/9780199768912.003.0014 ◽

2019 ◽

pp. 221-240

Author(s):

Isaac Tong ◽

R. Jason Yong ◽

Beth B. Hogans

Keyword(s):

Decision Making ◽

Differential Diagnosis ◽

Chest Pain ◽

Clinical Assessment ◽

Associated Factors ◽

Clinical Decision Making ◽

Acute Chest Pain ◽

Clinical Decision ◽

Common Occurrence ◽

Pain Characteristics

Chapter 13 reviews some common pain-associated emergencies and also discusses some complications of pain treatments that require immediate attention. Pain is a common occurrence in emergent illness, and some complications of pain treatments require emergent management. Chest pain is an excellent example of clinical decision-making following a process of organized, rapid pain assessment and then diagnostic and treatment reasoning based on the findings and observations of the clinical assessment. Providers assessing patients for acute chest pain elicit basic pain characteristics of region, quality, severity, and timing as well as usually associated factors and then pursue testing and treatment for elements in the differential diagnosis accordingly. The chapter illustrates this same process applied to conditions of acute abdominal, limb, headache, and spine emergencies. In the second part of the chapter, emergencies arising in the context of pain treatments are discussed, including overdose and withdrawal from opioids, benzodiazepines, and other pain-active medications as well as pump and device complications.

Download Full-text

Gallbladder torsion presenting as chest pain

Annals of The Royal College of Surgeons of England ◽

10.1308/147870810x12659688851357 ◽

2010 ◽

Vol 92 (3) ◽

pp. e25-e26 ◽

Cited By ~ 1

Author(s):

Henry John Murray Ferguson ◽

Satish Bhalerao

Keyword(s):

Differential Diagnosis ◽

Chest Pain ◽

Early Recognition ◽

Sudden Onset ◽

Patient Demographic ◽

Gallbladder Torsion ◽

Torsion Of The Gallbladder ◽

Definitive Management

While acute torsion of the gallbladder is an uncommon pathology, as this case demonstrates, it can present with sudden onset of chest pain, and must be borne in mind as a differential diagnosis in this patient demographic if early recognition and definitive management are to be made possible.

Download Full-text

Electrocardiographic T-wave inversion: Differential diagnosis in the chest pain patient

The American Journal of Emergency Medicine ◽

10.1053/ajem.2002.32629 ◽

2002 ◽

Vol 20 (3) ◽

pp. 252-262 ◽

Cited By ~ 32

Author(s):

Geoffrey E. Hayden ◽

William J. Brady ◽

Andrew D. Perron ◽

Michael P. Somers ◽

Amal Mattu

Keyword(s):

Differential Diagnosis ◽

Chest Pain ◽

Pain Patient ◽

T Wave ◽

Chest Pain Patient ◽

Wave Inversion

Download Full-text

Diagnosis and Management of Ovarian Tumor in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome

BioMed Research International ◽

10.1155/2018/2369430 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6

Author(s):

Yali Miao ◽

Jirui Wen ◽

Liwei Huang ◽

Jiang Wu ◽

Zhiwei Zhao

Keyword(s):

Differential Diagnosis ◽

Laparoscopic Surgery ◽

Conservative Management ◽

Ovarian Tumor ◽

Imaging Techniques ◽

Clinical Findings ◽

Ovarian Tumors ◽

Mrkh Syndrome ◽

Diagnosis And Management ◽

Relevant Case

In the most recent publications on Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, the uterine remnants and ovaries in patients may develop uterine remnant leiomyoma, adenomyosis, or ovarian tumor, and this can lead to problems in differential diagnosis. Here we summarize the diagnosis methods and available interventions for ovarian tumor in MRKH syndrome, with emphasis on the relevant clinical findings and illustrative relevant case. According to the clinical findings and illustrative relevant case, with the help of imaging techniques, ovarian tumors can be detected in the pelvis in patients with MRKH syndrome and evaluated in terms of size. Laparoscopy could further differentiate ovarian tumors into different pathological types. In addition, laparoscopic surgery not only is helpful for the diagnosis of MRKH combined ovarian tumor, but also has a good treatment role for excising ovarian tumor at the same time. Moreover, laparoscopic removals of ovarian tumor can be considered as a safe and reliable treatment for conservative management.

Download Full-text