scholarly journals Case report of differential diagnosis of dyspnea in patient with pulmonary embolism

2021 ◽  
Vol 3 (2) ◽  
pp. 31-36
Author(s):  
Vera I. Potievskaya ◽  
Julia M. Alekseeva ◽  
Alexander V. Sitnikov

The analysis of the case report of the patient suffering from bronchial asthma is presented in the article. Pulmonary embolism developed in the patient lead to the changes in the character of dyspnea. The proper analysis of complaints and the dynamics of the clinical condition allowed to establish a correct diagnosis and to perform urgent pathogenic therapy.

PEDIATRICS ◽  
1996 ◽  
Vol 98 (3) ◽  
pp. 461-463
Author(s):  
Gary L. Darmstadt

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.


2021 ◽  
Vol 14 (3) ◽  
pp. e237669
Author(s):  
Susan Addley ◽  
Moiad Alazzam ◽  
Catherine Johnson ◽  
Hooman Soleymani majd

Gastrointestinal stromal tumours (GISTs) are rare - and rectovaginal extragastrointestinal stromal tumours (RV-EGISTs) even rarer. We share a case of RV-EGIST, complemented by high-quality radiological and surgical images. A review of current literature pertaining to RV-EGIST is also included. Our case report highlights the diagnostic challenge presented by extragastrointestinal stromal tumours. Differentiated from overlapping pathologies only by targeted application of immunohistopathology and cytogenetics, the inclusion of RV-EGIST in the differential diagnosis of a rectovaginal tumour is essential to making this correct diagnosis. Primary surgery is the treatment of choice for RV-EGIST if complete cytoreduction can be achieved, combined with adjuvant tyrosine kinase inhibitor (TKI) therapy for those with high-risk features to further reduce rates of future recurrence.


2007 ◽  
Vol 86 (7) ◽  
pp. 406-418 ◽  
Author(s):  
Bariş Karakullukçu ◽  
M. Güven Güvenç ◽  
Harun Cansiz ◽  
Fatih Öktem ◽  
Büge Öz

Intratracheal ectopic thyroid tissue is a rare abnormality that can cause airway obstruction. The symptoms can easily be confused with those of bronchial asthma. We describe the case of a 40-year-old man with subglottic thyroid tissue and multinodular goiter who had been misdiagnosed earlier with bronchial asthma. After the correct diagnosis was established, the lesion was excised via an external approach. We also discuss the clinical features and management of intratracheal thyroid tissue.


2021 ◽  
Vol 34 (1) ◽  
pp. e100340
Author(s):  
Mingming Zheng ◽  
Ran Bi ◽  
Yezhe Lin ◽  
Cuizhen Zhu ◽  
Daomin Zhu

Viral encephalitis is a common clinical condition. Its clinical manifestations are variable and include neurological symptoms and psychiatric abnormalities, which makes clinical diagnosis and treatment difficult. To date, there are only a few reported cases on mental symptoms of chronic viral encephalitis. We present a case of a 16-year-old male patient who was previously hospitalised and diagnosed with schizophrenia and treated with aripiprazole 15 mg/day but failed to respond. The patient was then given antiviral therapy and recovered after 2 weeks. Clinicians should be aware of the possbility that chronic mental disorders could be caused by viral encephalitis. In the future, diagnosis of chronic functional mental disorders should include viral encephalitis in the differential diagnosis.


2019 ◽  
Vol 12 ◽  
pp. 117954761982868 ◽  
Author(s):  
Muhammad Ishaq Ghauri ◽  
Syeda Beenish Bareeqa ◽  
Amir Riaz ◽  
Ajeet Kumar

Introduction: Iatrogenic or physician-induced hypervitaminosis D is a rare cause of persistent vomiting. To the best of our knowledge, this is the first case report on iatrogenic hypervitaminosis D presenting with persistent vomiting in Pakistan. Case Report: We report a rare case of continual vomiting for 15 days in a 48-year-old woman of Pakistani descent. She was a known case of diabetes mellitus for 8 years, which was well controlled at the time of presentation. Conclusions: The correct diagnosis of our patient was based on clinical suspicion, appropriate lab tests, and deliberation of the differential diagnosis. It is important to consider hypervitaminosis D as a cause of persistent vomiting if no other obvious is apparent.


2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Anshita Agarwal ◽  
Gaurav P. Agrawal ◽  
Sarwar Alam ◽  
Benazeer Husain

Eosinophilic granuloma of bone is a disease with an incidence of one new case per 350,000 to 2 million per year, which is an uncommon disease of maxillofacial region, and presents in more than 90% in children under the age of ten with predominance for males. As a result, eosinophilic granuloma of the jaw is always unconsidered in the differential diagnosis of similar lesions by many clinicians. It is difficult to make a correct diagnosis on it without proof of a pathological diagnosis, which correlates with the diverse clinical and radiographic presentations of eosinophilic granuloma in the jaws. In the present paper we report a rare case of unifocal eosinophilic granuloma of mandible occurring in an adult female.


2021 ◽  
Author(s):  
Ammar Hasnie ◽  
Mauricio Kahn ◽  
Gustavo Heudebert

Abstract Introduction: The S1Q3T3 pattern is neither sensitive nor specific for pulmonary embolisms; however, it can help guide clinical management in a patient with a vague presentation including syncope. Case Presentation: An elderly male presented to the hospital after an unwitnessed syncopal event. His initial EKG on admission revealed an S1Q3T3 pattern which prompted concern for a possible pulmonary embolism as the cause of his syncopal event. Further imaging confirmed the diagnosis.Conclusion: Syncope offers a long list of possible causes, but pulmonary embolism is commonly missed on the differential diagnosis. Our patients’ acute EKG findings ultimately helped guide our management to correctly diagnose our patient with a newfound pulmonary embolism as the cause of his syncopal event.


Author(s):  
Gabriel Ignacio Aranalde

Clinical practice related to electrolytes and acid-base disorders is commonly approached as a single entity. Overlap syndromes are an uncommon clinical condition that must be considered as part of differential diagnosis when a patient is assessed. The coexistence of electrolytic disorders could make it difficult to interpret certain variables due to the influence of such disorders on the same variable, even in the opposite way. In this context, there are some tools that are very useful in order to establish the correct diagnosis. Thus, osmole excretion rate, tonicity balance, and estimation of electrolyte-free water balance should be considered along with other biochemical variables in order to increase the possibility to make a correct interpretation.


2017 ◽  
Vol 12 (1) ◽  
pp. 40-44
Author(s):  
Samsun Nahar ◽  
Momenuzzaman ◽  
Fatema Begum ◽  
KN Khan ◽  
Quazi Anisuzzaman ◽  
...  

PE remains a clinically challenging diagnosis, more often missed than found, with no decline in its incidental discovery at autopsy over the past 30 years. Pulmonary embolism should be considered in the differential diagnosis of every dyspnoea event that presents at an emergency department. We describe a case of 68 years old man with symptoms of dyspnoea who later diagnosed as pulmonary embolism. This case report emphasizes early diagnosis and treatment to avoid fatal outcome.University Heart Journal Vol. 12, No. 1, January 2016; 40-44


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
N. W. Savage ◽  
V. Vucicevic Boras

An interesting case of Kimura's disease was described in the 42-year-old patient manifesting itself as a unilateral parotid swelling, albeit the disease usually affects both parotid glands. Furthermore, first pathohistological finding was not suggestive of the disease, revealing only fatty tissue, but on the repeated biopsy together with CT the correct diagnosis was established. It should be emphasized that Kimura's disease has to be taken into account while making differential diagnosis in parotid gland swellings, especially in people of Oriental origin.


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