INDEX OF SUSPICION

1996 ◽  
Vol 17 (3) ◽  
pp. 99-101
Author(s):  
Whitney C. Edwards ◽  
Rubia Khalak ◽  
Robert Gadawski ◽  
Franz E. Babl ◽  
Jeffrey S. Hyams ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Blood Cell ◽  
Community Hospital ◽  
Liver Enzymes ◽  
Blood Cell Count ◽  
Abdominal Ultrasonography ◽  
Pediatric Clinic ◽  
Case Presentations ◽  
Hands And Feet

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation A 7-year-old boy is seen in the pediatric clinic. He has been ill for 3 weeks with fever, pharyngitis, and rash. Diagnosed as having streptococal pharyngitis and scarlet fever, he was treated with antibiotics without relief. Ten days ago, he developed vomiting, diarrhea, and right-sided abdominal pain. When given paregoric, his vomiting worsened. Six days ago he was admitted to a community hospital for treatment of dehydration. During his 3-day admission, his white blood cell count and his liver enzymes were elevated. At the time of discharge, he was no longer vomiting, but he had blisters on his hands and feet. Two days ago, the vomiting, diarrhea, and abdominal pain recurred. Findings on abdominal ultrasonography were normal.

INDEX OF SUSPICION

1996 ◽  
Vol 17 (1) ◽  
pp. 32-35
Author(s):  
Arthur S. Dover ◽  
Barry A. Love ◽  
Nasha't M. Khanfar
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Gastrointestinal Illness ◽  
General Pediatrician ◽  
Case Presentations

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation A 7-year-old girl is admitted to the hospital because of 9 days of gastrointestinal illness with fever. Her illness began with watery green diarrhea that has persisted. She has had several stools each day: no pus, blood, or mucus has appeared in the stool. She has been vomiting up to six times a day, with bile noted in the vomitus at times. Abdominal pain has been present almost constantly from the onset. The pain has been generalized except for intermittent periods of right-sided lower abdominal, groin, and leg discomfort. Fever in a daily spiking pattern and chills have occurred since shortly after her illness began. She has complained of a frontal headache and has had a mild cough.

scholarly journals Total white blood cell count, liver enzymes, and metabolic syndrome in schizophrenia

2016 ◽  
Vol 46 ◽  
pp. 259-264 ◽  
Author(s):  
Görkem KARAKAŞ UĞURLU ◽  
Semra ULUSOY KAYMAK ◽  
Mustafa UĞURLU ◽  
Sibel ÖRSEL ◽  
Ali ÇAYKÖYLÜ
Keyword(s):  
Metabolic Syndrome ◽  
Blood Cell ◽  
Cell Count ◽  
White Blood Cell Count ◽  
White Blood Cell ◽  
Liver Enzymes ◽  
Total White Blood Cell ◽  
Blood Cell Count

INDEX OF SUSPICION

1995 ◽  
Vol 16 (11) ◽  
pp. 433-436
Author(s):  
John Kidd ◽  
Donald L. Batisky ◽  
Constantine A. Stratakis ◽  
Adolpho Garnica ◽  
Benjamin R. Waller ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Sickle Cell ◽  
Hospital Admissions ◽  
Complete Blood Count ◽  
Folic Acid Supplementation ◽  
Blood Cell Count ◽  
Practice Group ◽  
Hemoglobin C ◽  
Case Presentations ◽  
Penicillin Prophylaxis

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation A 4-year-old boy who has SC (sickle cell-hemoglobin C) hemoglobinopathy comes to the Resident Practice Group Clinic for a preschool evaluation. At present he has no complaints, although he has had several hospital admissions related to febrile illnesses and painful crises from his sickle cell disease. He has been receiving penicillin prophylaxis and folic acid supplementation. A complete blood count yields the following findings: white blood cell count, 27 900/mm3, with 1% band forms, 19% segmented neutrophils, 26% lymphocytes, 9% monocytes, and 45% eosinophils; hemoglobin, 10.9 g/dL; hematocrit, 31.8%; and platelet count, 464 000/mm3. Further evaluation is undertaken because of his abnormal hematologic picture, revealing two unsuspected conditions. Case 2 Presentation Twins are born after a 29-week first pregnancy to healthy parents.

INDEX OF SUSPICION

1992 ◽  
Vol 13 (1) ◽  
pp. 33-34
Author(s):  
Catherine DeAngelis ◽  
William O. Robertson ◽  
Daniel D. Chapman
Keyword(s):  
Abdominal Pain ◽  
Sickle Cell Disease ◽  
Early Diagnosis ◽  
Sickle Cell ◽  
Cell Disease ◽  
The Past ◽  
Initial Impression ◽  
General Pediatrician ◽  
Prolonged Delay ◽  
Case Presentations

Clinicians often form a diagnostic impression at the time of a patient's first presentation. Usually the initial impression is correct because commonly encountered illnesses come to mind and are, of course, most likely to be responsible. Sometimes, however, a less familiar disorder is responsible and will not be detected or will be diagnosed after a prolonged delay unless the physician maintains a suspicion of the unusual. This section reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to put in writing possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations with discussions. Case 1 Presentation A 4-year-old black boy known to have sickle cell disease is brought to your office by his mother, who is concerned because he has become listless and weak during the past 12 hours. He has been complaining of abdominal pain and is breathing "harder and faster" than usual. On examination, a greatly enlarged, tender spleen is palpated.

INDEX OF SUSPICION

1993 ◽  
Vol 14 (4) ◽  
pp. 155-157
Author(s):  
Juan A. Rivera ◽  
Bruce Taubman ◽  
Christine M. Walsh-Kelly
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Cholesterol Level ◽  
Urine Culture ◽  
Blood Chemistry ◽  
Recent History ◽  
History Of ◽  
Normal Urine ◽  
Case Presentations ◽  
Soft Stool

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation A 12-year-old girl is brought to you by her grandmother with a variety of complaints. The child has been overweight all of her life, and she tends to be constipated. She describes recurrent, colicky mid-abdominal pain after eating fatty meals and has had recurrent bouts of vomiting associated with cough and hiccups dating back to her infancy. There is no recent history of fever, asthma, or jaundice. On examination, the girl is obese, weighing 105 kg (231 lb). Chest and abdominal examinations are normal, with no masses or organomegaly. No focal tenderness is demonstrated. Formed soft stool is noted on rectal examination; the stool is hemocultnegative. Urinalysis is normal; urine culture is negative. The results of screening blood chemistry tests are normal except for a cholesterol level of 267 mg/dL and triglycerides of 280 mg/dL.

It is not Appendicitis! It is Appendicitis Epiploica, the Great Pretender

2020 ◽  
Vol 23 (2) ◽  
pp. 95-97
Author(s):  
Farah Nobi ◽  
Shayda Ali ◽  
Md Mostafizur Rahman ◽  
Russel Ahmed Khan Lodi ◽  
Mohammad Arman Zahed Basunia ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Elevated Temperature ◽  
Blood Cell ◽  
Cell Count ◽  
Blood Cell Count ◽  
Spontaneous Thrombosis ◽  
Rebound Tenderness ◽  
Meckel’S Diverticulitis ◽  
Appendices Epiploicae ◽  
Specific Symptoms

Appendicitis epiploica or epiploicae appendagitis, an uncommon cause of abdominal pain, is usually per-operatively diagnosed. The pedunculated fat-filled small pouches or appendices epiploicae on the serosal surface of the colon often become twisted and sometimes spontaneous thrombosis occurs. Such events lead to ischemia and inflammation at the base of the fatty lobes i.e., Appendicitis epiploicae. Symptoms include sharp localized pain in either iliac fossae and in some cases there is elevated temperature and white blood cell count. In a quarter of the patients there is rebound tenderness and very rarely nausea and vomiting, diarrhoea or constipation. This condition is more common among middle aged males and given its non-specific symptoms. It is usually confused with other more common conditions such as Meckel’s diverticulitis and appendicitis. Less than 8% of patients suspected of having appendicitis or diverticulitis are found to actually have appendicitis epiploicae. Here we report two extremely rare cases of appendicitis epiploica in Bangladesh. Journal of Surgical Sciences (2019) Vol. 23(2): 95-97

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