The correct diagnosis and therapeutic management of tear dysfunction: recommendations of the P.I.C.A.S.S.O. board

Purpose This review article provides an overview of autoimmune diseases and their effects on voice and laryngeal function. Method A literature review was conducted in PubMed. Combinations of the following keywords were used: “autoimmune disease and upper airway,” “larynx,” “cough,” “voice,” “dysphonia,” and “dyspnea.” Precedence was given to articles published in the past 10 years due to recent advances in this area and to review articles. Ultimately, 115 articles were included for review. Results Approximately 81 autoimmune diseases exist, with 18 of those highlighted in the literature as having laryngeal involvement. The general and laryngeal manifestations of these 18 are discussed in detail, in addition to the clinical implications for a laryngeal expert. Conclusions Voice, breathing, and cough symptoms may be an indication of underlying autoimmune disease. However, these symptoms are often similar to those in the general population. Appropriate differential diagnosis and timely referral practices maximize patient outcomes. Guidelines are provided to facilitate correct diagnosis when an autoimmune disease is suspected.

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The Collaborative Medical and Behavioral Management of Chronic Cough

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd19.2.49 ◽

2009 ◽

Vol 19 (2) ◽

pp. 49-57

Author(s):

Brian E. Petty ◽

Seth H. Dailey

Keyword(s):

Medical Care ◽

Chronic Cough ◽

Therapeutic Management ◽

Ambulatory Setting ◽

Behavioral Management ◽

Speech Language Pathologists ◽

Speech Language Pathologist ◽

The Many ◽

Frequent Reason

Abstract Chronic cough is the most frequent reason cited by patients for seeking medical care in an ambulatory setting and may account for 10% to 38% of a pulmonologist's practice. Because chronic cough can be caused by or correlated with a wide array of disorders and behaviors, the diagnosis of etiologic factors and determination of appropriate therapeutic management in these cases can prove to be daunting for the physician and speech-language pathologist alike. This article will describe the phenomenon of chronic cough, discuss the many etiologic factors to consider, and review some of the more common ways in which speech-language pathologists and physicians collaborate to treat this challenging condition.

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Major Surgery in a Subject with Factor V Deficiency

Thrombosis and Haemostasis ◽

10.1055/s-0038-1654318 ◽

1971 ◽

Vol 25 (03) ◽

pp. 438-446 ◽

Cited By ~ 10

Author(s):

E. J Melliger ◽

F Duckert

Keyword(s):

Intercellular Space ◽

Correct Diagnosis ◽

Postoperative Bleeding ◽

Major Surgery ◽

Factor V ◽

Factor V Deficiency ◽

Disappearance Time ◽

Fresh Plasma ◽

One Year

SummaryA further case of parahaemophilia is reported. One year after the correct diagnosis had been made the patient had to undergo cholecystectomy which was performed under prophylactic substitutive treatment with fresh plasma at a factor V level of 31 %. A minimal factor V level of 11 to 12% was maintained throughout the first week after operation. There was no abnormal postoperative bleeding. The half disappearance time of factor V was found to be about 12 h. Infusion of equivalent amounts of fresh plasma supplied a higher yield of factor V in the patient’s plasma before operation than postoperatively what may be explained by an increased diffusion of factor V into the intercellular space resulting from a postoperatively increased capillar permeability. The results are compared with those of other authors.

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How endoscopic ultrasound (eus) was decisive to establish the correct diagnosis of patients – a case series

10.1055/s-0039-1691885 ◽

2019 ◽

Author(s):

M Razpotnik ◽

S Bota ◽

G Essler ◽

J Weber-Eibel ◽

M Peck-Radosavljevic

Keyword(s):

Endoscopic Ultrasound ◽

Correct Diagnosis ◽

Case Series

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A Dilemma in Therapeutic Management in Ear Cancer

Skull Base ◽

10.1055/s-2007-981838 ◽

2007 ◽

Vol 17 (S 2) ◽

Author(s):

Sung Kim ◽

Jong Lee ◽

Ho-Ki Lee ◽

In-Seok Moon

Keyword(s):

Therapeutic Management

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Can conversation analytic findings help with differential diagnosis in routine seizure clinic interactions?

Communication & Medicine ◽

10.1558/cam.v12i1.26851 ◽

2016 ◽

Vol 12 (1) ◽

pp. 13-24 ◽

Cited By ~ 7

Author(s):

Katie Ekberg ◽

Markus Reuber

Keyword(s):

Differential Diagnosis ◽

Correct Diagnosis ◽

Diagnostic Errors ◽

Epileptic Seizures ◽

Routine Clinical Setting ◽

Choice Of Treatment ◽

Transient Loss ◽

Factual Content ◽

Patient’S History ◽

Linguistic Methods

There are many areas in medicine in which the diagnosis poses significant difficulties and depends essentially on the clinician’s ability to take and interpret the patient’s history. The differential diagnosis of transient loss of consciousness (TLOC) is one such example, in particular the distinction between epilepsy and ‘psychogenic’ non-epileptic seizures (NES) is often difficult. A correct diagnosis is crucial because it determines the choice of treatment. Diagnosis is typically reliant on patients’ (and witnesses’) descriptions; however, conventional methods of history-taking focusing on the factual content of these descriptions are associated with relatively high rates of diagnostic errors. The use of linguistic methods (particularly conversation analysis) in research settings has demonstrated that these approaches can provide hints likely to be useful in the differentiation of epileptic and non-epileptic seizures. This paper explores to what extent (and under which conditions) the findings of these previous studies could be transposed from a research into a routine clinical setting.

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Aumento de coroa estética sem elevação de retalho – abordagem minimamente invasiva

Full Dentistry in Science ◽

10.24077/2020;1245-cj3439 ◽

2020 ◽

Vol 12 (45) ◽

pp. 34-39

Author(s):

Flavia Sukekava ◽

Julia Helena Luiz ◽

Paloma Palma ◽

Jaques Luiz

Keyword(s):

Minimally Invasive ◽

Correct Diagnosis ◽

Case Series ◽

Minimally Invasive Techniques ◽

Bone Removal ◽

Use Of Technology ◽

Treatment Plans ◽

Invasive Techniques ◽

Crown Lengthening ◽

Gummy Smile

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

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A Rare Case of Tuberculous Prostatitis

Journal of Clinical and Health Sciences ◽

10.24191/jchs.v2i1.5863 ◽

2016 ◽

Vol 1 (2) ◽

pp. 33

Author(s):

Nurul Yaqeen Mohd Esa ◽

Mohammad Hanafiah ◽

Marymol Koshy ◽

Hilmi Abdullah ◽

Ahmad Izuanuddin Ismail ◽

...

Keyword(s):

Rare Case ◽

Correct Diagnosis ◽

Immunocompetent Patient ◽

Clinical Suspicion ◽

Tuberculosis Infection ◽

Advanced Age ◽

Immunocompromised Patients ◽

Prostatic Biopsy ◽

High Clinical Suspicion

Tuberculous prostatitis is an uncommon form of tuberculosis infection. It is commonly seen in immunocompromised patients and in those of middle or advanced age. The diagnosis is often not straight forward due to the nature of its presentation. We report a case of tuberculous prostatitis in a young, healthy and immunocompetent patient, who initially presented with respiratory features, followed by episodes of seizures and testicular swelling. He was finally diagnosed with tuberculous prostatitis after prostatic biopsy. This case illustrates that in a high TB prevalence environment, when symptoms warrant, there should be a high clinical suspicion coupled with a thorough approach in order to arrive at a correct diagnosis of TB prostatitis.

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