scholarly journals Mis- or Missed Diagnosis: A Series of Four Cases

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Sheela Sreedharan ◽  
Bhat Sangeetha Govinda ◽  
Iyer Satishkumar Krishnan ◽  
Kumar Kavita Krishna
Keyword(s):  
Treatment Planning ◽  
Clinical Experience ◽  
Signs And Symptoms ◽  
Accurate Diagnosis ◽  
Appropriate Treatment ◽  
Missed Diagnosis ◽  
Time Diagnosis

Diagnosis forms the backbone of treatment planning. Accurate diagnosis is essential to initiate the appropriate treatment at the apt time. Diagnosis involves eliciting the signs and symptoms of the patient and their accurate interpretations. The subtle signs that can go unnoticed lead to misdiagnosis and subsequent agony to the patient. Alertness on part of the clinician is important to avoid this error. Reported in this paper are four cases that were wrongly diagnosed either due to lack of clinical experience or due to omission of careful clinical, radiographic, and histopathological examinations.

A clinical guide to assessing level of ego development using psychological testing

2019 ◽  
Vol 83 (1) ◽  
pp. 25-52 ◽  
Author(s):  
Frank Trimboli ◽  
Charles W. Keenan ◽  
Rycke L. Marshall
Keyword(s):  
Effective Treatment ◽  
Treatment Planning ◽  
Clinical Experience ◽  
Ego Development ◽  
Minnesota Multiphasic Personality Inventory ◽  
Research Literature ◽  
Accurate Diagnosis ◽  
Neurotic Symptom ◽  
Clinical Scales ◽  
Personality Functioning

This article presents a clinical guide for relating psychological test findings from the Minnesota Multiphasic Personality Inventory-2 and Rorschach Technique to various levels of ego development. The original three validity and 10 clinical scales from the MMPI and a selected group of traditional determinants from the Rorschach are employed. Expected testing results from these instruments are derived from both the authors' clinical experience and the research literature. These results are presented along a continuum of nine levels of ego development and their associated disorders. The nine levels of ego development are “normal” neurotic, neurotic trait, and neurotic symptom organization; high-, mid-, and low-level borderline organization; and affective, cognitive-affective, and cognitive psychotic organization. The relationships between typical testing responses and indices of personality functioning at each level of ego development would hopefully facilitate accurate diagnosis, which in turn would result in more effective treatment planning.

scholarly journals Beware Weakening the Ivory Tower of MDT Diagnosis in Interstitial Lung Disease

2019 ◽  
Vol 8 (11) ◽  
pp. 1964
Author(s):  
Nazia Chaudhuri ◽  
Colm Leonard
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Treatment Planning ◽  
Accurate Diagnosis ◽  
Ivory Tower ◽  
Appropriate Treatment

Accurate diagnosis of interstitial lung disease (ILD) has always been the cornerstone of ensuring appropriate treatment planning and prognostic discussions with patients [...]

scholarly journals Breast involvement of hematological malignancies: imaging and clinical findings

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Gamze Durhan ◽  
Figen Demirkazık
Keyword(s):  
Hematological Malignancies ◽  
Clinical Findings ◽  
Accurate Diagnosis ◽  
Radiological Findings ◽  
Breast Masses ◽  
Appropriate Treatment ◽  
Magnetic Resonance Imaging Mri ◽  
Type 3 ◽  
And Diffusion

Abstract Background Breast involvement of hematological malignancies is a very rare entity. Accurate diagnosis is essential for appropriate treatment. The aim of this study was to clarify the clinical and radiological findings of hematological malignancy breast involvement and to describe possible pitfalls in diagnosis. Results The images of 20 patients with breast involvement of hematological malignancies were retrospectively evaluated on ultrasonography, mammography, and magnetic resonance imaging (MRI) and the findings were reported. Bilaterality was seen only in cases with secondary involvement, and there was no marked difference between primary and secondary breast involvement of hematological malignancies. All patients underwent ultrasonography examination. According to ultrasonography, breast masses were most frequently irregular in shape (11/20, 55%) with non-circumscribed margins (11/20, 55%). Posterior acoustic enhancement was noted in 14 cases (70%). Posterior shadowing was not observed in any of the patients. Mammography was available in 10 patients. Microcalcification was not observed in any patient on mammography. MRI was available in four patients. Hyperintensity in T2-weighted images, type 2 or type 3 dynamic curve, and diffusion restriction were observed in all cases. Conclusions Hematological malignancies may mimic both benign breast lesions and breast carcinoma. Familiarity with the radiological features of hematological malignancies can help accurate diagnosis.

scholarly journals Targeted Next Generation Sequencing (NGS) to Diagnose Hereditary Hemolytic Anemias

2020 ◽  
Author(s):  
Rishab Bharadwaj ◽  
Thulasi Raman ◽  
Ravikumar Thangadorai ◽  
Deenadayalan Munirathnam
Keyword(s):  
Next Generation Sequencing ◽  
Gene Sequencing ◽  
Accurate Diagnosis ◽  
Next Generation ◽  
Diagnostic Challenge ◽  
Targeted Next Generation Sequencing ◽  
Appropriate Treatment ◽  
Next Generation Sequencing Ngs ◽  
Generation Sequencing

Hereditary hemolytic anemias present a unique diagnostic challenge due to their wide phenotypic and genotypic spectrum. Accurate diagnosis is essential to ensure appropriate treatment. We report two cases, which presented as hemolytic anemias, but initial workup was inconclusive and they were finally diagnosed with the help of Next Generation Sequencing (Dehydrated Hereditary Stomatocytosis and Kӧln Hemoglobinopathy). The introduction of gene sequencing to aid diagnosis of these disorders is a revolutionary step forward and should be incorporated earlier in the workup of such patients.

Approach to Radiculopathy

2021 ◽  
Vol 41 (06) ◽  
pp. 760-770
Author(s):  
Rafid Mustafa ◽  
Narayan R. Kissoon
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Treatment Approach ◽  
Treatment Plan ◽  
Treatment Options ◽  
Accurate Diagnosis ◽  
Clinical Approach ◽  
Low Back ◽  
Appropriate Treatment ◽  
Neurology Clinic

AbstractLow back pain and neck pain, often with associated radiculopathy, are two of the most common reasons for referral to the outpatient neurology clinic. A thorough clinical evaluation remains paramount in establishing an accurate diagnosis and subsequently an appropriate treatment plan. In this article, we review anatomic considerations for spondylotic radiculopathy; outline the clinical approach for the evaluation of these patients, including discussion of electrodiagnostic and imaging modalities; and address treatment options based on a stratified treatment approach.

scholarly journals Acute locking of the cervical spine - An analysis of fourteen incidents treated in a Johannesburg practice

2019 ◽  
Vol 50 (1) ◽  
pp. 9-10
Author(s):  
Helen David
Keyword(s):  
Young Adults ◽  
Cervical Spine ◽  
Clinical Syndrome ◽  
Accurate Diagnosis ◽  
Adolescents And Young Adults ◽  
Upper Cervical Spine ◽  
Physiotherapy Practice ◽  
Appropriate Treatment ◽  
Upper Cervical

Thirteen patients with acute locking of the cervical spine were treated in a physiotherapy practice and their data were analysed. The patients were mostly adolescents and young adults of both sexes. The upper cervical spine was involved in most cases. The accurate diagnosis and appropriate treatment of this clinical syndrome is described. This condition responds readily to specific mobilisation or manipulation techniques.

scholarly journals Recurrent Bacterial Meningitis in a Child with Mondini Dysplasia

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Eda Kepenekli-Kadayifci ◽  
Ayşe Karaaslan ◽  
Serkan Atıcı ◽  
Adem Binnetoğlu ◽  
Murat Sarı ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Hearing Loss ◽  
Bacterial Meningitis ◽  
Complete Resolution ◽  
Signs And Symptoms ◽  
Accurate Diagnosis ◽  
Developmental Abnormality ◽  
Mondini Dysplasia ◽  
Csf Leakage ◽  
Underlying Pathology

Mondini dysplasia, also known as Mondini malformation, is a developmental abnormality of the inner and middle ears that can cause hearing loss, cerebrospinal fluid (CSF) leakage, and recurrent bacterial meningitis (RBM), which is defined as two or more episodes of meningitis separated by a period of convalescence and the complete resolution of all signs and symptoms. An accurate diagnosis of the underlying pathology is crucial to prevent further episodes from occurring. Herein, we present a three-year-old boy with RBM and unilateral sensorineural hearing loss. During the evaluation to determine the etiology of the RBM, cystic malformation in the cochlea and vestibular dilatation consistent with Mondini dysplasia were detected via computerized tomography (CT) of the temporal bone.

Neurological infection

2018 ◽  
Author(s):  
Tom Solomon ◽  
Benedict Michael
Keyword(s):  
Jc Virus ◽  
Signs And Symptoms ◽  
Brain Parenchyma ◽  
Progressive Multifocal Leucoencephalopathy ◽  
Appropriate Treatment ◽  
General Physicians ◽  
Neurological Infections ◽  
The Brain ◽  
Neurological Infection ◽  
Csf Findings

Neurological infections can be broadly subdivided into chronic/subacute and acute. Chronic/subacute infection usually presents with global cognitive decline, with the prototypical disease being progressive multifocal leucoencephalopathy due to infection with the JC virus in immunocompromised patients. Acute neurological infections can be defined microbiologically, by the nature of the pathogen; clinically, by the presenting signs and symptoms and initial CSF findings; or anatomically. The anatomical definitions are those occurring intracranially (‘meningitis’, where infection involves the meninges overlying the brain; ‘encephalitis’, where the brain parenchyma is involved; or ‘cerebral abscesses’) and those affecting the spinal cord (‘myelitis’). However, there is often both clinical and histological overlap between these syndromes; consequently, the terms ‘meningoencephalitis’ and ‘encephalomyelitis’ are often used. Patients with acute intracranial CNS infections provide the greatest challenge to general physicians, because urgent investigation and appropriate treatment can save lives; they therefore form the focus of this chapter.

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