Case 4.19

2014 ◽  
pp. 222-223
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Correct Diagnosis ◽  
Pancreatic Cysts ◽  
Pancreatic Involvement ◽  
Systemic Disorder

62-year-old woman with a systemic disorder Axial fat-suppressed FSE T2- weighted (Figure 4.19.1) and coronal SSFSE images (Figure 4.19.2) demonstrate innumerable pancreatic cysts. VHL syndrome with cystic pancreas Pancreatic involvement in VHL syndrome is not exactly an afterthought in many texts, but it does tend to be the last abdominal manifestation mentioned. This case is somewhat unusual in that the kidneys were almost completely spared in spite of extensive pancreatic involvement, but this can occur and should not dissuade anyone from making the correct diagnosis....

CT in Pancreatic Involvement of Non-Hodgkin Lymphoma

1992 ◽  
Vol 33 (2) ◽  
pp. 123-127 ◽  
Author(s):  
L. Prayer ◽  
H. Schurawitzki ◽  
R. Mallek ◽  
G. Mostbeck
Keyword(s):  
Hodgkin Lymphoma ◽  
Needle Biopsy ◽  
Correct Diagnosis ◽  
Surrounding Tissue ◽  
Pancreatic Mass ◽  
Ct Guided ◽  
Non Hodgkin Lymphoma ◽  
Ct Findings ◽  
Pancreatic Involvement ◽  
Ct Features

In an attempt to evaluate characteristic CT features of primary pancreatic involvement in non-Hodgkin lymphoma (NHL), scans of 10 patients were reviewed retrospectively and compared to 50 patients with histologically proved different neoplasms of the pancreas. Setting the correct diagnosis of NHL would be essential for planning of treatment and prognosis. CT findings of NHL were characteristic but not specific. Nevertheless, the presence of a homogeneous pancreatic mass with a diameter of 7 cm or more, infiltrating surrounding tissue accompanied by retroperitoneal and/or mesenteric lymphadenopathy strongly suggests NHL. CT-guided needle biopsy can help to establish the diagnosis of pancreatic NHL.

Laryngeal Manifestations of Autoimmune Diseases

2020 ◽  
Vol 5 (2) ◽  
pp. 439-456
Author(s):  
Jenny L. Pierce
Keyword(s):  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Patient Outcomes ◽  
Correct Diagnosis ◽  
Upper Airway ◽  
Clinical Implications ◽  
Laryngeal Function ◽  
The Past ◽  
Referral Practices ◽  
Timely Referral

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.

Major Surgery in a Subject with Factor V Deficiency

1971 ◽  
Vol 25 (03) ◽  
pp. 438-446 ◽  
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.

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

2019 ◽  
Author(s):  
M Razpotnik ◽  
S Bota ◽  
G Essler ◽  
J Weber-Eibel ◽  
M Peck-Radosavljevic
Keyword(s):  
Endoscopic Ultrasound ◽  
Correct Diagnosis ◽  
Case Series

Pancreatic cysts with borderline CEA: Report from a single center

Endoscopy ◽  
2006 ◽  
Vol 39 (S 1) ◽  
Author(s):  
P Pinto-Marques ◽  
SJ Rulyak ◽  
MD Saunders ◽  
JH Hwang ◽  
MB Kimmey
Keyword(s):  
Pancreatic Cysts ◽  
Single Center

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

2016 ◽  
Vol 12 (1) ◽  
pp. 13-24 ◽  
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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