Sodium Losing Nephropathy in the Urological Patient: Presentation of a Case Associated With Renal Calculus Disease; Differential Diagnosis and Therapy

1959 ◽  
Vol 81 (5) ◽  
pp. 609-611 ◽  
Author(s):  
James M. Pierce
2004 ◽  
Vol 35 (01) ◽  
Author(s):  
S Springer ◽  
S Bechthold ◽  
A Jansson ◽  
K Kurnik ◽  
T Pfluger ◽  
...  

2014 ◽  
Author(s):  
Nicole Nigro ◽  
Bettina Winzeler ◽  
Isabelle Suter-Widmer ◽  
Philipp Schuetz ◽  
Birsen Arici ◽  
...  

Author(s):  
Petros Bouras-Vallianatos

This chapter examines John’s Medical Epitome. The focus here is on the first four of its six books. In contrast to the established view that this work was intended for physicians, it is argued that it was primarily written for philiatroi, intellectuals who were deeply interested in medicine, but not practising physicians themselves. The Medical Epitome, unlike John’s other two works, mainly consisted of material from earlier sources. The analysis of the text starts with a close reading of John’s proem and a discussion of the background of his dedicatee, the Byzantine statesman Alexios Apokaukos. It then shifts to an examination of the work’s structure with the aim of emphasizing John’s intentions in putting together his material. The analysis proceeds by way of a number of case studies focusing on diagnosis and therapy, and goes on to show that John intentionally condensed his material, removing specialized advice, so as to make it appeal to non-expert readers. Thus it is shown, for example, that the absence of details on invasive operations is consistent with the character of his intended readers, who were only able to use non-invasive techniques, such as phlebotomy and arteriotomy. Finally, the particular attention John paid to differential diagnosis, especially as regards eye affections, which is often supplemented with his own advice, is highlighted.


2019 ◽  
Vol 90 (e7) ◽  
pp. A27.2-A27
Author(s):  
Jasmine F Ashhurst ◽  
Rami Haddad

IntroductionHaNDL is a rare neurological disorder of unknown aetiology that is characterised by headache, neurological deficit and pleocytosis in the cerebrospinal fluid (CSF). It is a benign condition that has spontaneous resolution of symptoms within months.A 50 year old female presented to Emergency with an acute focal neurological deficit of right sided weakness, dysphasia and dysarthria lasting less than one hour. Over the preceding months she had a new onset of headache. She was worked up for a likely diagnosis of TIA.MethodsCase report.ResultsInitial CT Brain(angiography) showed no stroke or other identifiable cause of symptoms.MRI brain showed excessive nonspecific T2 hyperintensities, requiring further investigation for possible vasculitis. MR angiography was normal and there was no evidence of stroke.Viral PCR’s were negative.Lumbar puncture (LP) showed pleocytosis (leucocytes 309×10E6/L), raised intracranial pressure and high protein, raising suspicion for HaNDL. This normalised on subsequent outpatient LP, along with symptoms.ConclusionsA diagnosis of HaNDL is made as a diagnosis of exclusion, though should be considered as a differential diagnosis for various presentations in which transient acute focal neurology is a presenting complaint.Due to relatively few reported cases of HaNDL, it is possible that HaNDL is being underdiagnosed due to variability in patient presentation and lack of understanding of the syndrome.As in this case, when a patient presents with transient acute focal neurology in the absence of headache as a prominent presenting symptom, it is reasonable to consider HaNDL as a differential diagnosis.


2008 ◽  
Vol 65 (2) ◽  
pp. 83-89 ◽  
Author(s):  
Thomas Imfeld

Rund jede vierte Person hat Mundgeruch. Dabei muss zwischen Foetor ex ore (90%) und Halitosis (10%) unterschieden werden. Ersterer ist nur im Mundatem perzeptierbar und hat seine Ursache in der Mundhöhle. Halitosis ist im Mund- und/oder Nasenatem feststellbar und die Ursache liegt entweder nasal/pharyngeal (lokale Halitosis nur im Nasenatem), pulmonal oder selten gastrointestinal (systemische Halitosis im Mund- und Nasenatem). Eine entsprechende Differenzialdiagnose ist Voraussetzung für die Kausaltherapie. Verantwortlich für den Foetor ex ore sind flüchtige Schwefelverbindungen, welche durch proteolytische Mikroorganismen in der Mundhöhle produziert werden. Prophylaxe und Therapie basieren auf der mechanischen und chemischen Reduktion dieser Erreger. Mundgeruch kann ein nachhaltiges soziales Handikap sein, weshalb das Thema nicht tabuisiert werden darf.


2020 ◽  
Vol 6 (3) ◽  
pp. 20190129
Author(s):  
Saurabh Maheshwari ◽  
Venkatraman Bhat ◽  
Karthik Gadabanahalli ◽  
Nalini Raju ◽  
Prashant Kulkarni

A case of endosalpingiosis of the urinary bladder is presented with imaging features on sonography and CT. Patient presented with right flank pain, dysuria and haematuria. She had h/o right renal calculus and abdominal hysterectomy 15 years ago. On sonography a polypoidal filling defect was noted and possibility of a bladder neoplasia was suggested. On cystoscopy and removal of the lesion and subsequent histo-pathological analysis revealed the diagnosis of endosalphingiosis. This report emphasizes the need for evaluation of all clinical inputs while considering the differential diagnosis of an intraluminal bladder lesion. Imaging appearance and aetio-pathology of the rare intra vesical lesion is highlighted.


Sign in / Sign up

Export Citation Format

Share Document