scholarly journals Delayed diagnosis of congenital hypothyroidism in an adolescent results in avoidable complications: a case report

2017 ◽  
Vol 57 (2) ◽  
pp. 108 ◽  
Author(s):  
Indra Ihsan ◽  
Eka Agustia Rini
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Retrospective Analysis ◽  
Clinical Diagnosis ◽  
Neonatal Period ◽  
Delayed Diagnosis ◽  
Signs And Symptoms ◽  
The Other ◽  
Feeding Difficulties ◽  
Specific Symptoms

Delayed diagnosis of congenital hyporhyroidism (CH) remains a serious problem. A retrospective analysis of 1,000 CH cases in Turkey found a mean age of 49 months at the time of clinical diagnosis. Only 3.1% of cases were diagnosed during the neonatal period and 55.4% were diagnosed after 2 years of age.1 In Cipto Mangunkusumo Hospital, Jakarta, 53% cases were diagnosed at 1-5 years, 3.3% at 6-12 years, and 6.7% after 12 years of age, while the remainder were diagnosed at < 1 year of age.2 The majority of affected children exhibit signs and symptoms that are highly non-specific, as most infants with CH are asymptomatic at birth, and only 5% of cases can be diagnosed based on clinical examination during the first day of life.3 The other factors that contribute to delayed diagnosis are uneducated parents, who do not notice or dismiss the importance of mild/moderate deviations in physical and mental growth, as well as constipation, feeding difficulties, or other vague, non-specific symptoms in infancy. Parents are often unaware of the importance of early diagnosis and commencement of therapy for CH.4

An Unusual Case of Pelvic Appendicitis

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 292-293
Author(s):  
Michael A. LaCombe
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Unusual Case ◽  
Signs And Symptoms ◽  
Memorial Hospital ◽  
Pubic Bone ◽  
Bowel Habit ◽  
Gross Hematuria ◽  
Misleading Interpretation

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

scholarly journals Cyclical hematuria-ureteral endometriosis: a case report

2018 ◽  
Vol 7 (4) ◽  
pp. 1648
Author(s):  
Sindura Ganga Ravula ◽  
Harish Shetty ◽  
Aparna Rajesh
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Early Diagnosis ◽  
Renal Involvement ◽  
High Index ◽  
True Incidence ◽  
Ureteral Endometriosis ◽  
High Index Of Suspicion ◽  
Specific Symptoms

Little attention has been paid for the renal involvement in endometriosis, a rare and silent disorder which ultimately lead to renal failure. Involvement most commonly may be limited to single ureter (left one) and it is usually involvement extrinsically. Although cases have been reported in the literature, true incidence of ureteral involvement is still not known. The diagnosis is difficult as the disease has non-specific symptoms. Only high index of suspicion with radiological support would be helpful in early diagnosis. Early cases may be benefited with progestin or Anti-aromatase therapy, most cases need surgery, either laparoscopically or laparotomy.

scholarly journals Orthodontic management of a complete and an incomplete maxillary canine-first premolar transposition

2019 ◽  
Vol 90 (3) ◽  
pp. 457-466 ◽  
Author(s):  
Carmen Lorente ◽  
Pedro Lorente ◽  
Maria Perez-Vela ◽  
Cristina Esquinas ◽  
Teresa Lorente
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Early Diagnosis ◽  
Orthodontic Treatment ◽  
The Other ◽  
Cone Beam ◽  
Normal Position ◽  
Maxillary Canine ◽  
Apical Position ◽  
Complete Transposition

ABSTRACT Maxillary canine and first premolar transposition is a complicated dental anomaly to treat, especially if the clinician's goal is to orthodontically move the canine into its normal position. Early diagnosis with cone-beam computed tomography simplifies the treatment of this pathology. This case report describes a patient with bilateral transposition, one complete and the other incomplete, involving the maxillary canine and the first premolar (Mx.C.1P). The orthodontic treatment involved the correction of both transpositions. In the complete transposition, the traction was mesial and upward to move the canine into a more apical position with a wider dentoalveolar process for easier crown interchange.

scholarly journals Diagnosing isolated hepatosplenic tuberculosis in an immunocompetent patient: a case report

2018 ◽  
Vol 48 (3) ◽  
pp. 232-234
Author(s):  
Om Dawani ◽  
Raja Samir Khan ◽  
Mujtaba Jamal Syed ◽  
Abdul Moid Shehzad ◽  
Ahmed Alratoot ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
World Health Organization ◽  
Immunocompetent Patient ◽  
Clinical Suspicion ◽  
World Health ◽  
Drug Resistant ◽  
Health Organization ◽  
Specific Symptoms ◽  
Strong Suspicion

For many years, tuberculosis (TB) has been endemic in Pakistan; many rare and unusual presentations have been reported. There is a myriad of non-specific symptoms which always requires a high index of clinical suspicion for TB. World Health Organization data suggest that Pakistan ranks as the fifth highest country burdened with TB and has the fourth highest prevalence of multi-drug resistant TB globally. With an annual incidence of 277 cases per 100,000, the importance of early diagnosis and treatment is self-evident. We present a case where a strong suspicion of isolated hepatosplenic TB in an immunocompetent patient justified a directed approach.

scholarly journals Neonatally Diagnosed Imperforate Hymen: Hymen Saving Surgery

2017 ◽  
Vol 24 (3) ◽  
pp. 55-59
Author(s):  
Maram A. Enani ◽  
Wejdan O. Ba-Amer ◽  
Alfaf S. Aljohani ◽  
Shahad A. Aljohani ◽  
Noor A. Aljohani ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Genital Tract ◽  
Neonatal Period ◽  
Female Genital Tract ◽  
Late Diagnosis ◽  
Diagnosis And Treatment ◽  
Early Management ◽  
Imperforate Hymen ◽  
Female Genital

Imperforate hymen is the most common obstructive anomalies of the female genital tract. It is usually an isolated anomaly but can be rarely syndromic. It can be asymptomatic until puberty, but the diagnosis as early as neonatal period has been reported and as with our neonate with hematocolpos. The aim of this case report is to present the early diagnosis and treatment of a female neonate with imperforate hymen taking into consideration the religious and traditional value of preservation of virginity in our community, and to stress the importance of careful post birth examination of the neonate and early management to avoid complications of late diagnosis.

Are we missing dementia with Lewy bodies?: a case report

2018 ◽  
Vol 26 (4) ◽  
pp. 381-383
Author(s):  
Deborah Wearne ◽  
Amanda Genetti ◽  
Sam Restifo ◽  
Alina Harriss
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Dementia With Lewy Bodies ◽  
Treatment Options ◽  
Delayed Diagnosis ◽  
Lewy Bodies ◽  
Atypical Presentation ◽  
Memory Dysfunction ◽  
Limited Availability ◽  
Diagnosis Of Dementia

Objectives: We aim to explore the importance of early diagnosis of dementia with Lewy bodies in order to facilitate effective psychiatric management. We present a case where delayed diagnosis stemming from an atypical presentation illustrates the complex issues involved in identifying and treating this type of dementia. Conclusions: We discuss the difficulty of diagnosis of this disorder in the absence of obvious memory dysfunction or parkinsonian symptoms. We use the case to draw attention to the limited availability of certain investigations and treatment options in Australia.

scholarly journals Management of Cracked tooth syndrome: A case Report

2014 ◽  
Vol 4 (1) ◽  
pp. 53-58
Author(s):  
AHM Zakir Hossain Shikdera ◽  
SM Abdul Quader ◽  
Shirin Sultana Chowdhury ◽  
Ferdousi Begum ◽  
Md Nazmul Hasan
Keyword(s):  
Case Report ◽  
Periodontal Disease ◽  
Clinical Diagnosis ◽  
Root Canal ◽  
Signs And Symptoms ◽  
Distinct Type ◽  
Diagnosis And Management ◽  
Proper Diagnosis ◽  
Type Of Fracture ◽  
Over Time

Cracked tooth is a distinct type of longitudinal tooth fracture which occurs very commonly and its diagnosis can be challenging. This type of fracture tends to grow and change over time. Clinical diagnosis is difficult because the signs and symptoms are variable or nonspecific and may even resemble post-treatment disease following root canal treatment or periodontal disease. This variety and unpredictability make the cracked tooth a challenging diagnostic entity. In this paper we present a case of cracked tooth and emphasise on the timely proper diagnosis and management. DOI: http://dx.doi.org/10.3329/updcj.v4i1.21176 Update Dent. Coll. j: 2014; 4 (1): 53-58

scholarly journals Limb threatening thigh hematoma diagnosis accelerated by emergency physician bedside ultrasound

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984858
Author(s):  
John J Eicken ◽  
Dustin Morrow
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Delayed Diagnosis ◽  
Signs And Symptoms ◽  
Physical Exam ◽  
Bedside Ultrasound ◽  
First Case ◽  
Pathologic Processes ◽  
Definitive Management ◽  
Guide Care

Introduction: Compartment syndrome is a serious condition that requires prompt diagnosis, specialty consultation, and definitive management to prevent significant morbidity. Traditionally, compartment syndrome is identified by physical exam findings including the presence of pain, pallor, paresthesia, pulselessness, and paralysis involving the affected limb. Identifying the presence of compartment syndrome prior to the onset of signs that portend a poor outcome (i.e. pallor, pulselessness, and paralysis) can be challenging since many other less serious traumatic conditions can lead to paresthesia and pain in a limb. Bedside ultrasound is increasingly being utilized by emergency providers to expedite identification of various emergent diagnoses and guide care for patients who present to emergency departments. Bedside ultrasound allows emergency providers to visualize pathologic processes occurring that may be difficult to identify through traditional physical exam findings. This case report highlights the use of bedside ultrasound to promptly identify the presence of a traumatic thigh hematoma, which led to expedited advanced imaging and specialty consultation for compartment syndrome prior to the onset of physical exam findings consistent with compartment syndrome. Conclusion: The identification of compartment syndrome in the early stages is challenging given the overlap of signs and symptoms with other less emergent conditions. Early diagnosis of compartment syndrome is important to decrease morbidity, which can result from a delayed diagnosis of compartment syndrome. To our knowledge, this is the first case report to describe the use of bedside ultrasound to aid in the diagnosis of compartment syndrome and accelerate the care for a patient who presented with a traumatic thigh hematoma, which rapidly progressed to compartment syndrome and required emergent operative intervention.

scholarly journals Differential diagnosis between occupational chronic intoxication with organic solvents and ethanol abuse by biological markers. Case report and literature review

2016 ◽  
Vol 22 (4) ◽  
pp. 217-221
Author(s):  
Agripina Rascu ◽  
Eugenia Naghi ◽  
Oana Cristina Arghir ◽  
Laura Moise ◽  
Marina Otelea
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Occupational Exposure ◽  
Delayed Diagnosis ◽  
Signs And Symptoms ◽  
Cholestatic Liver Disease ◽  
Tobacco Exposure ◽  
Natural Gases ◽  
Ethanol Abuse ◽  
Propane Butane

AbstractGiven the occupational exposure to substances contained in petroleum heated to high temperature, cholestatic liver disease, neurological signs and symptoms can occur. We present a case report of a male patient with no tobacco exposure or alcohol use, but with prolonged occupational exposure to petroleum vapours and natural gases like methane, propane butane who developed liver and neurologic disease, in the absence of protective equipment. Delayed diagnosis was established after 9 years of the first symptoms occurrence. Differential diagnosis with alcoholic etiology was considered and biological biomarkers were useful.

scholarly journals Case Report: Resection of Giant Endotracheal Hamartoma by Electrosurgical Snaring via Fiberoptic Bronchoscopy in a 9-Year-Old Boy

2021 ◽  
Vol 9 ◽  
Author(s):  
Lei Wu ◽  
Wei Chen ◽  
PengCheng Li ◽  
Shuxian Li ◽  
Zhimin Chen
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Rare Disease ◽  
Surgical Resection ◽  
Endoscopic Treatment ◽  
Alternative Therapy ◽  
Delayed Diagnosis ◽  
Fiberoptic Bronchoscopy ◽  
Specific Symptoms

Endotracheal hamartomas are rarely encountered in children. The symptoms of endotracheal hamartoma may include cough, dyspnea, hemoptysis, chest pain, purulent sputum, and fever. The non-specific symptoms often result in a delayed diagnosis. Among the various treatments of this rare disease, surgical resection seems to be the most widely used, while endoscopic treatment is rarely described. Herein, we describe the case of a 9-year-old boy with an endotracheal hamartoma that was successfully excised by electrosurgical snaring via fiberoptic bronchoscopy (FB). The resection of select benign endotracheal tumors in children can be conducted using electrocautery, which can be regarded as an alternative therapy to bronchotomy.

Sign in / Sign up

Export Citation Format

Share Document