A New Kindred with Hereditary Hypophosphatemic Rickets with Hypercalciuria: Implications for Correct Diagnosis and Treatment

AbstractHemato/hydrocolpos due to congenital urogenital anomalies are rare conditions discovered in neonatal, infant, and adolescent girls. Diagnosis is often missed or delayed owing to its rare incidence and nonspecific symptoms. If early correct diagnosis and treatment cannot be performed, late complications such as tubal adhesion, pelvic endometriosis, and infertility may develop. Congenital urogenital anomalies causing hemato/hydrocolpos are mainly of four types: imperforate hymen, distal vaginal agenesis, transverse vaginal septum, and obstructed hemivagina and ipsilateral renal anomaly, and clinicians should have adequate knowledge about these anomalies. This article aimed to review the diagnosis and treatment of these urogenital anomalies by describing embryology, clinical presentation, imaging findings, surgical management, and postoperative outcomes.

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Pseudoaneurysm of the Left Ventricle: Diagnosis and Treatment

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849239400200214 ◽

1994 ◽

Vol 2 (2) ◽

pp. 111-113

Author(s):

Thekkekara Alexander John ◽

Gummiah Muniputtaha Mahesh ◽

Rathna Nanjunda Rao ◽

Saligram Srinivasaiah Ramesh

Keyword(s):

Left Ventricle ◽

Correct Diagnosis ◽

Anterior Wall ◽

Diagnosis And Treatment ◽

Pseudoaneurysm Formation ◽

Patch Closure ◽

Immediate Surgery

A 62-year-old man suffered an anterior wall infarction and subsequent rupture of the myocardium and pseudoaneurysm formation. Correct diagnosis was made followed by immediate surgery using patch closure of the defect. The patient's recovery was uneventful.

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Role of laparoscopic in diagnosis and treatment of undescended testis in children at Viet Duc Hospital

Vietnam Journal of Endolaparoscopic Surgery ◽

10.51199/vjsel.2018.4.1 ◽

2018 ◽

Vol 8 (4) ◽

Author(s):

Viet Hoa Nguyen

Keyword(s):

Laparoscopic Surgery ◽

Undescended Testis ◽

Correct Diagnosis ◽

Diagnosis And Treatment ◽

Highly Sensitive ◽

The Mean ◽

The Right ◽

Time Of Operation

Abstract Introduction: Evaluating the role of laparoscopic for diagnosis and treatment of undescended testis in children. Material and Methods: Restrospective study, between 6/ 2014 and 6/2017. All the patients are aged from 1 to 16 years with undescended testis underwent laparoscopic surgery for diagnosis and treatment in Deparment of pediatric surgery – Viet Duc hospital enrolled. Results: Of 95 patiens in total had 106 undescended testis diagnosed and treated by laparoscopy. The mean age of patients was 7,5 ± 3,8 years. 44,2% undescended were on the left side, 44,2% were on the right and 11,6% were undescended bilateral. The correct diagnosis by ultrasound accounted in 79,4%. The locations of testis diagnosed by laparoscopic are : intra abdomen in 45,3%, deep inguinal orifice in 16,9%, extra inguinal orifice in 26,4%, no testicle found in 11,4%. The mean time of operation were 67,33± 28,01 pht. Scrotal positions were achieved 74,5%, remove atrophic testis accounted in 7,6%. Stephen- Flowler technique including step I were in 4,7%, step II in 1,9%. The outcome evaluated by testicular positions following 3 months after operation are : good in 79,2%, moderate 13,2%, poor in 7,6%; By classification of Aubert are : good in 81,1%, moderate in 11,3% and poor in 7,6 %. Conclusion: Laparoscopic surgery is not only a highly sensitive diagnostic method to find accurately the location and size of the testes, but also the most effective method to treat impalpable undescended testes.

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Perianal Lymphangioma Circumscriptum Mistaken for Genital Warts

PEDIATRICS ◽

10.1542/peds.98.3.461 ◽

1996 ◽

Vol 98 (3) ◽

pp. 461-463

Author(s):

Gary L. Darmstadt

Keyword(s):

Sexual Abuse ◽

Differential Diagnosis ◽

Case Report ◽

Correct Diagnosis ◽

Genital Warts ◽

Diagnosis And Treatment ◽

Perianal Region ◽

Anogenital Region ◽

Left Buttock ◽

Lymphangioma Circumscriptum

Genital warts are common relative to other verrucous lesions of the anogenital region. Consideration of the differential diagnosis of verrucous anogenital lesions is necessary, however, to make a correct diagnosis consistently and to avoid futile, painful, and possibly traumatic attempts at treatment. In this report, I describe a child with a history suspicious for sexual abuse who was treated with inappropriate measures because of misdiagnosis of perianal lymphangioma circumscriptum as genital warts. The pathogenesis, differential diagnosis, and treatment of lymphangioma is presented. CASE REPORT A 5-year-old Hispanic boy was referred by his pediatrician to the Dermatology Service with an eruption of red papules on the left buttock and perianal region.

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Cytomegalovirus Retinitis: Diagnosis and Treatment

International Journal of STD & AIDS ◽

10.1177/095646249300400603 ◽

1993 ◽

Vol 4 (6) ◽

pp. 322-325 ◽

Cited By ~ 2

Author(s):

Hunter Maclean ◽

Baljean Dhillon

Keyword(s):

Quality Of Life ◽

Correct Diagnosis ◽

Cytomegalovirus Retinitis ◽

Morbidity And Mortality ◽

Diagnosis And Treatment ◽

Hiv Positive ◽

Pathogenic Organism

Cytomegalovirus (CMV) is a non-pathogenic organism in the immunocompetent, but is a major cause of morbidity and mortality amongst patients with AIDS, and the retina is the commonest site of infection1. If left untreated, patients with CMVR will develop disease in their second eye and ultimately become blind2. However, with correct diagnosis and treatment useful vision can be maintained in the majority of cases. Fifteen to 20% of patients with AIDS will contract cytomegalovirus retinitis (CMVR)3−7 and this may be the AIDS-defining diagnosis though more commonly it occurs months after the diagnosis of AIDS. Given the increasing number of HIV positive patients and their longer survival, it is likely that CMVR will become an increasingly prevalent condition. In these patients loss of sight from CMVR has devastating consequences in terms of loss of independence and quality of life and therefore ophthalmologists and physicians should be aware of the presenting characteristics of CMVR, be familiar with therapy and its complications, and be able to recognize relapsing infection.

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“I’ve been rashed and confused”: Part 3

HIV ◽

10.1093/med/9780190088316.003.0013 ◽

2020 ◽

pp. 107-110

Author(s):

David E. Barker

Keyword(s):

Medical History ◽

Cerebral Arteries ◽

Correct Diagnosis ◽

Diagnosis And Treatment ◽

Past Medical History ◽

Vascular Tree ◽

Persons Living With Hiv ◽

Living With Hiv

Stroke syndromes are not markedly increased in persons living with HIV. Watershed strokes involving the distribution of one or more cerebral arteries suggest embolization from within the vascular tree (rather than a cardioembolic source). Increasingly some strokes (and arteritis) are being recognized as being related to infection rather than atherosclerosis or thrombosis. Past medical history can be an important source of clues to arrive the correct diagnosis, and treatment.

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The use of rectal ultrasound for the correct diagnosis and treatment of rectal villous tumors

The American Journal of Surgery ◽

10.1016/s0002-9610(00)00328-7 ◽

2000 ◽

Vol 179 (4) ◽

pp. 261-265 ◽

Cited By ~ 25

Author(s):

Alon Pikarsky ◽

Steven Wexner ◽

Pinchas Lebensart ◽

Jonathan Efron ◽

Eric Weiss ◽

...

Keyword(s):

Correct Diagnosis ◽

Diagnosis And Treatment ◽

Rectal Ultrasound ◽

Villous Tumors

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Airway Complications from an Esophageal Foreign Body

Case Reports in Pulmonology ◽

10.1155/2016/3403952 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Ismael Garcia ◽

Joseph Varon ◽

Salim Surani

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Surgical Intervention ◽

Correct Diagnosis ◽

Diagnosis And Treatment ◽

Esophageal Foreign Body ◽

Hypoxemic Respiratory Failure ◽

Endoscopic Intervention ◽

Foreign Body Impaction ◽

Upper Gastrointestinal

Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.

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