Achalasia

2018 ◽  
pp. 229-236
Author(s):  
Abdullah Jibawi ◽  
Mohamed Baguneid ◽  
Arnab Bhowmick
Keyword(s):  
Management Plan ◽  
Motility Disorder ◽  
Accurate Diagnosis ◽  
Diagnosis And Management ◽  
Severity Of Disease ◽  
Difficult Cases

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.

scholarly journals Varied Ophthalmic Presentations in Sphenoid Sinus Lesions

2011 ◽  
Vol 4 (1) ◽  
pp. 15-20
Author(s):  
RG Aiyer ◽  
Rahul Gupta ◽  
Prarthna S Dhameja ◽  
Virag Damania ◽  
Abhishek Sharma ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Fungal Infection ◽  
Sphenoid Sinus ◽  
Imaging Techniques ◽  
Accurate Diagnosis ◽  
Team Approach ◽  
Diagnosis And Management ◽  
Ocular Manifestations ◽  
Diagnostic Imaging Techniques

ABSTRACT Sphenoid sinus lesions can present with a multitude of symptoms/signs including ophthalmic disturbances. We describe a total of five patients, of which two had mucoceles and rest three had fungal infection. Ophthalmic symptoms/signs were the ones we were really interested in. We also present one case which had isolated sphenoid fungal sinus. We also give details of their presentation, investigations and treatment. Possible ocular manifestations of mucoceles and the diagnostic imaging techniques used are discussed. The treatment of mucoceles is reviewed. It is stressed that a team approach involving the ophthalmologist, otolaryngologist and radiologist is essential for accurate diagnosis and management.

scholarly journals The Crying Baby: Differential Diagnosis and Management Plan

2019 ◽  
Vol 2 (7) ◽  
pp. 12-16
Author(s):  
Gihad I Alsaeed ◽  
Ibrahim G Alsaeed ◽  
Mohamed G Alsaeed
Keyword(s):  
Differential Diagnosis ◽  
Management Plan ◽  
Diagnosis And Management

scholarly journals Transthoracic Echocardiography: Impact on Diagnosis and Management in Tertiary Care Intensive Care Units

2005 ◽  
Vol 33 (4) ◽  
pp. 492-496 ◽  
Author(s):  
L. K. Stanko ◽  
E. Jacobsohn ◽  
J. W. Tam ◽  
C. J. De Wet ◽  
M. Avidan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Data ◽  
Transthoracic Echocardiography ◽  
Clinical Information ◽  
Management Plan ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Diagnosis And Management ◽  
Referring Physicians

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.

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.

Managing the child with a diagnosis of Moebius syndrome: more than meets the eye

2016 ◽  
Vol 101 (9) ◽  
pp. 843-846 ◽  
Author(s):  
Victoria H McKay ◽  
Leila L Touil ◽  
Dagan Jenkins ◽  
Adel Y Fattah
Keyword(s):  
Multidisciplinary Team ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Accurate Diagnosis ◽  
Abducens Nerve Palsy ◽  
Moebius Syndrome ◽  
Diagnosis And Management ◽  
Vertical Gaze

Moebius syndrome (MBS) is a congenital, non-progressive facial and abducens nerve palsy in the presence of full vertical gaze and may be associated with limb abnormalities and craniofacial dysmorphisms. MBS is now defined as a disorder of rhombencephalic maldevelopment and recent gene discoveries have shown this to be a dominant disorder in a subset of patients. Accurate diagnosis and management by a multidisciplinary team with expertise in congenital facial palsy is paramount.

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