scholarly journals Coprostasia and pregnancy (clinical observation)

2015 ◽  
Vol 64 (4) ◽  
pp. 57-61
Author(s):  
Evgeniy Sergeevich Mikhaylin ◽  
Lada Anatol’evna Ivanova ◽  
Aleksey Gennad’evich Savitskiy ◽  
Anna Gennad’evna Minina ◽  
Larisa Pavlovna Zhibura ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Observation ◽  
Discharge Home

The article presents the case of the formation of a giant fecal stone in 34 weeks of pregnancy, which demanded the differential diagnosis of tumors originating from the pelvis. The patient was conducted multistage finger fragmentation of the fecal stone, alternating with the enema. The patient was discharge home with progressing pregnancy.

Difficulties of differential diagnosis of primary hyperaldostronism and arterial hypertension by the example of a clinical observation

2019 ◽  
Vol 17 (4) ◽  
pp. 179-181
Author(s):  
Z. A. Afanasieva ◽  
◽  
D.P. Nikulina ◽  
T. L. Sharapov ◽  
N. I. Bariev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Arterial Hypertension ◽  
Clinical Observation

ELECTROENCEPHALOGRAPHIC FINDINGS IN BREATH HOLDING SPELLS

PEDIATRICS ◽  
1955 ◽  
Vol 15 (5) ◽  
pp. 595-599
Author(s):  
Niels L. Low ◽  
Erna L. Gibbs ◽  
Frederic A. Gibbs
Keyword(s):  
Differential Diagnosis ◽  
Clinical Diagnosis ◽  
Slow Wave ◽  
Clinical Observation ◽  
Seizure Activity ◽  
Breath Holding ◽  
Convulsive Disorders

After reviewing the literature on breath holding spells, it seemed desirable to determine whether any electroencephalographic abnormality is revealed by recordings during sleep in such cases. One hundred twenty-nine children between the ages of 7 months and 11½ years with breath holding spells were examined electroencephalographically while awake and during sleep. Seventy-seven of these children were boys and 52 were girls. All these children but one had normal electroencephalograms. One tracing taken during a breath holding spell is reproduced which shows slow wave but no seizure activity. The clinical diagnosis is discussed and it is concluded that the electroencephalogram in combination with the history and clinical observation is of value in the differential diagnosis between breath holding spells and convulsive disorders.

scholarly journals Change of differential diagnosis tactics in the process of clinical observation ofa patient

2008 ◽  
Vol 7 (2) ◽  
pp. 79-83
Author(s):  
O. V. Kalinina
Keyword(s):  
Lung Cancer ◽  
Differential Diagnosis ◽  
Clinical Observation ◽  
Clinical Symptoms

The complicated ratios of clinical symptoms of internal lesions during central lung cancer are demonstrated in the article when changes of differential diagnosis tactics were required for diagnosing that necessary keeping is priority of the clinical appraisal of the results inspection patient.

scholarly journals A Patient with Uncontrollable Belching: What to Do?

2019 ◽  
Vol 28 (6) ◽  
pp. 68-76 ◽  
Author(s):  
I. V. Maev ◽  
Yu. A. Kucheryaviy ◽  
E. V. Barkalova ◽  
M. A. Ovsepyan
Keyword(s):  
Differential Diagnosis ◽  
High Resolution ◽  
Esophageal Manometry ◽  
Speech Therapy ◽  
Clinical Observation ◽  
Behavioural Disorders ◽  
Speech Therapist ◽  
Esophageal Sphincter ◽  
The Moment ◽  
Transient Relaxation

Aim.In this paper, we discuss the clinical significance of belching and present a clinical case with the description of the belching differential diagnosis.Main findings.Belching may be either a physiological or a pathological phenomenon. Pathological belching requires an adequate diagnostic approach in order to clarify the nature of its occurrence. Gastric belching occurs reflexively at the moment of stomach stretching by excess air trapped during swallowing, which initiates the transient relaxation of the lower esophageal sphincter. As a consequence, the swallowed air escapes from the stomach first into the esophagus and then into the throat. Supragastric belching is a phenomenon, in which the air entering the esophagus does not reach the stomach, but rapidly returns to the throat. In this case, unlike aerophagia, the air entering the esophagus is not accompanied by the act of swallowing. Supragastric belching is not a reflex process; rather, it is considered to be a manifestation of behavioural disorders. 24-hour pH-impedancemetry and high-resolution esophageal manometry are highly informative methods for detecting various types of belching (gastric and supragastric), as well as their mechanisms. We present a clinical observation of a 47-year-old patient suffering from supragastric belching and treated by speech therapy under the supervision of a speech therapist.Conclusion.24-hour pH-impedancemetry and high-resolution esophageal manometry (also in combination with impedancemetry) provide a complete differential diagnosis of belching and allow the most effective patient management strategy to be selected.

scholarly journals Central Giant Cell Granuloma of the Mandible: Clinical Observation

2021 ◽  
Vol 8 ◽  
Author(s):  
Asma Azzouzi ◽  
Karima El Harti
Keyword(s):  
Differential Diagnosis ◽  
Giant Cell ◽  
Histological Examination ◽  
Clinical Observation ◽  
Central Cell ◽  
Giant Cell Granuloma ◽  
Central Giant Cell Granuloma ◽  
Plastic Type ◽  
Wide Range ◽  
Small Bones

The Giant central cell granuloma (GCCG) is a benign intra-osseous lesion of the neo-plastic type. It appears mainly in the mandible, but can be observed in the maxilla and small bones of the hand and foot, with a predilection for the female sex and prevalence at a young age. Its diagnosis is clinical and radiological, confirmed by histological examination. The differential diagnosis is biological because it has a wide range of morphologies and a misinterpretation with other giant cell lesions can often occur. The authors present a case of the Giant central cell granuloma in a 62-year-old woman developing for 3 years after dental extractions. The most favorable treatment for giant cell granulomas is surgical whose main objective is to prevent recurrences.

scholarly journals DIFFERENTIAL DIAGNOSIS OF ROSACEA AND SKIN TUBERCULOSIS AS AN EXAMPLE OF A CLINICAL CASE

2014 ◽  
Vol 13 (5) ◽  
pp. 203-208
Author(s):  
M. L. Aripova ◽  
S. A. Khardikova
Keyword(s):  
Differential Diagnosis ◽  
Clinical Diagnosis ◽  
Clinical Case ◽  
Clinical Observation ◽  
Skin Tuberculosis

In this paper for a clinical observation of a patient with rosacea, and patients with a flat form of lupus tuberculosis presented a differential clinical diagnosis of tuberculosis of the skin.

scholarly journals The importance of functional diagnostics in determining the cause of antisecretary therapy inefficiency in a patient with heartburn: clinical observation

2021 ◽  
pp. 46-53
Author(s):  
E. V. Barkalova ◽  
D. N. Andreev ◽  
M. A. Ovsepian
Keyword(s):  
Differential Diagnosis ◽  
High Resolution ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Research Methods ◽  
Proton Pump Inhibitors ◽  
Proton Pump ◽  
Reflux Disease ◽  
Esophageal Manometry ◽  
Clinical Observation

One of the main symptoms of gastroesophageal reflux disease is heartburn, for the relief of which proton pump inhibitors are traditionally prescribed. However, there are frequent cases of heartburn, refractory to antisecretory therapy, when there is no complete relief of the symptom or only a partial clinical effect. The reason for an unsatisfactory response may be the functional genesis of heartburn. The purpose of the presented clinical observation is to demonstrate the heterogeneity of patients with heartburn, the role of functional research methods in the differential diagnosis of various conditions that accompany this symptom. A 42-year-old patient was admitted for an additional clinical examination with complaints of heartburn refractory to antisecretory therapy, which included high-resolution esophageal manometry, 24-hours pH-impedance. The manometric assessment of the structure and function of the lower esophageal sphincter, as well as the contractility of the thoracic esophagus, revealed no violations. The data of 24-hours pH-impedance demonstrated the absence of pathological reflux and the association of active symptoms with refluxes, which determined the functional nature of heartburn and explained the ineffectiveness of treatment with proton pump inhibitors. Heartburn can be functional in  nature and significantly reduce the  quality of  life of  patients. Functional heartburn requires different management tactics from gastroesophageal reflux disease, which is based on an adequate differential diagnosis, including functional research methods such as high-resolution esophageal manometry and 24-hours pH-impedance measurement, which allow to exclude other conditions accompanied by similar symptoms. 

ADDISON-BIERMER DISEASE IN THE STRUCTURE OF DIFFERENTIAL DIAGNOSISCROHN DISEASE (clinical observation)

2018 ◽  
pp. 57-61
Author(s):  
S. I. Achkasov ◽  
O. I. Sushkov ◽  
K. A. Khudyakova ◽  
A. A. Likutov ◽  
A. V. Vardanyan
Keyword(s):  
Differential Diagnosis ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Clinical Case ◽  
Clinical Observation

The paper describes a clinical case in which the diagnosis of colon Crohn’s disease has been changed to Addison - Biermer’s Disease. Detailed differential diagnosis of these diseases is presented.

CHRONIC PLEURA EMPYEMA — CONSEQUENCE OF INTERNAL DIROFILIARIOSIS

2020 ◽  
pp. 67-71
Author(s):  
I. D. Duzhyi ◽  
S. O. Holubnichyi ◽  
I. A. Myslovskyi
Keyword(s):  
Differential Diagnosis ◽  
Chronic Disease ◽  
Rare Diseases ◽  
Clinical Observation ◽  
Pleural Cavity ◽  
Family Doctor ◽  
Pleural Empyema ◽  
Radiological Examination ◽  
Pleural Diseases ◽  
Human Bites

Summary. Introduction. Warming in Ukraine leads to the displacement of warm zones to colder ones, and at the same time, to the removal of colonization zones of many insectivores, which are carriers of rare diseases in Ukraine. Materials and methods. Clinical observation of Dirophilaria immitis of the pleural cavity is given. The patient was treated for «pneumonia» by a family doctor and a district therapist for two months. Only after consultation with a thoracic phthisiosurgeon was diagnosed with chronic pleural empyema and performed pleurectomy. A living string-like body was found in the pleural sac, which turned out to be D. immitis. Results and discussion of observations. The diagnosis of «pneumonia» was established on the basis of the clinical picture without a detailed physical and radiological examination, which is methodologically erroneous. If the patient was observed or consulted by a specialist, surgery could be performed earlier, in the first stage of chronic disease. Conclusions. In the differential diagnosis of pleural diseases, a detailed physical and radiological examination in two projections and anamnesis leads: human bites by mosquitoes in wet places, as they are the final hosts of D. Immitis and D. repens.

scholarly journals The case of takotsubo syndrome

2021 ◽  
Vol 37 (6) ◽  
pp. 123-130
Author(s):  
Ya. B. Khovaeva ◽  
N. V. Kiryanova ◽  
T. M. Zinkovskaya ◽  
N. V. Ivanova ◽  
D. Yu. Sosnin ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Differential Diagnosis ◽  
Cardiac Dysfunction ◽  
Clinical Observation ◽  
Current Understanding ◽  
Takotsubo Syndrome ◽  
Atypical Form ◽  
Coronary Syndrome

The article describes the current understanding of the takotsubo syndrome concerning the issues of pathogenesis, differential diagnosis with acute coronary syndrome and strategy of management. There is presented our own clinical observation of a patient with an atypical form of cardiac dysfunction and myocardial geometry.

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