Diagnostic value of milk injections

1927 ◽  
Vol 23 (6-7) ◽  
pp. 742-742
Author(s):  
E. Board

According to Bleikman, provocative injections of milk (3-5 cSt) are a valuable diagnostic method for recognizing gastric and duodenal ulcers and chronic appendicitis.

2022 ◽  
Vol 2022 ◽  
pp. 1-7
Author(s):  
Chuanying Li ◽  
Rong Cheng ◽  
Lin Li ◽  
Miaomiao Chen ◽  
Cheng Wu

Duodenal ulcer seriously affects the quality of life and life safety of children, but the pathogenesis of children with duodenal ulcer is still unclear. As an important second messenger in the body, Ca2+ participates in the physiological and pathological processes of various diseases. Therefore, transient receptor potential vanilloid type 4 (TRPV4) as one of the channels that mediate Ca2+ has attracted widespread attention in recent years. Here, we found that TRPV4 is highly expressed in children with duodenal ulcer and has good diagnostic value through specimens of children with duodenal ulcer, and animal experiments have proved that TRPV4 is also highly expressed in duodenal ulcer mice. In addition, TRPV4 can enhance intestinal permeability, thereby promoting further infiltration of inflammatory factors. In summary, these results indicate that TRPV4 is involved in the occurrence and development of duodenal ulcer. Therefore, this study provides the diagnostic and therapeutic value of TRPV4 in children with duodenal ulcer.


1991 ◽  
Vol 105 (6) ◽  
pp. 493-495 ◽  
Author(s):  
A. Guneri ◽  
K. Ceryan ◽  
E. Igci ◽  
A. Kovanlikaya

AbstractLingual thyroid is an uncommon developmental aberrationof embryogenesis. It may present as a mid-line, non-tender, painless, reddish appearing swelling in the throat. Magnetic resonance imaging (MRI) is a relatively new diagnostic method for this condition. Two cases of lingual thyroid are reviewed with their MRI's and surgical results.


2021 ◽  
Vol 8 ◽  
Author(s):  
Shengcai Wang ◽  
Lin Mei ◽  
Yanzhen Li ◽  
Xuexi Zhang ◽  
Jie Zhang ◽  
...  

Objective: The aim of this study was to explore the diagnostic value of gastroscopy under local anesthesia for congenital pyriform sinus fistula (CPSF).Methods: This research was a diagnostic study. Patients received gastroscopy under local anesthesia to diagnose CPSF, and suspension laryngoscopy under general anesthesia was performed 2 days after gastroscopy. Various conditions of the internal opening of CPSF were then recorded. Patients were grouped according to lesion sides, age, time after the inflammation subsided, and history of previous surgery. The sensitivity, specificity, area under the receiver operating characteristic curve (AUC), accuracy, and positive and negative predictive values of gastroscopy were compared between the groups.Results: A total of 48 patients were recruited in this study, and no patients had severe gastroscopy-related complications. The diagnostic values of gastroscopy in 41 cases (85.4%) were consistent with suspension laryngoscopy. The sensitivity of gastroscopy was 86.4%, the specificity was 75%, the AUC was 0.807, the positive prediction rate was 97.4%, the negative prediction rate was 33.3%, the accuracy rate was 85.4%, and the diagnostic odds ratio (DOR) was 2.1. The kappa consistency test results had statistical significance (P = 0.0026, kappa = 0.3913). The diagnostic value of gastroscopy was better for the patients with inflammation subsiding for more than 4 weeks (P < 0.0001).Conclusion: Gastroscopy under local anesthesia is a safe, effective, reliable and novel diagnostic method for CPSF, and it is especially recommended as a diagnostic method for the patients with inflammation subsiding for more than 4 weeks.


Author(s):  
Zahra Mirzaasgari ◽  
Bahram Haghi-Ashtiani ◽  
Farshid Refaiean ◽  
Farzan Vahedifard ◽  
Amir Sina Homayooni ◽  
...  

Background: Carpal tunnel syndrome (CTS) is the most prevalent entrapment syndrome in the upper limbs, for which pregnancy is a known risk factor. CTS diagnosis is confirmed via nerve conduction studies (NCSs), which sometimes is expensive, and the electrical stimulation makes it an unpleasant diagnostic modality, especially for pregnant subjects. Recently, high-frequency ultrasonography (HF-USG) is known as a diagnostic method. This study is concerned with determining the diagnostic value of this modality for CTS among pregnant women. Methods: This cross-sectional case-control study was conducted with 40 CTS cases and 40 matched controls. The HF-USG of wrists was performed bilaterally on all participants with a focus on the median nerve cross-sectional area (MNCSA) at the carpal tunnel (CT) inlet. Results: Mean MNCSA was statistically different between the CTS group (11.71 ± 1.86 mm2, range: 8 to 18 mm2) and the control group (6.75 ± 1.38 mm2, range: 4 to 11 mm2) (P < 0.001). The receiver operating characteristic (ROC) curve was drawn, and the cross-sectional area (CSA) cut-off point of 8.5 mm2 showed sensitivity and specificity of 98% and 93%, respectively. The positive predictive value (PPV) and the negative predictive value (NPV) were 95% and 98%, respectively, with the mentioned point as the diagnostic threshold. Conclusion: HF-USG of the median nerve can be utilized as a preferable alternative to NCS (the current gold standard diagnostic method) in pregnant women, due to its convenience and lower cost, or at least, it can be used as a screening tool among pregnant women with suspicious symptoms.


2021 ◽  
Vol 25 (11) ◽  
pp. 1226-1227
Author(s):  
I. Tsimkhes

The translation from French of this small book is to be welcomed, as it is devoted to the sore point of the present moment the diagnosis of chronic appendicitis and the analysis of the reasons why some patients continue to complain of pain in the right iliac cavity. Various para-appendicular diseases and their differential diagnosis are analyzed in detail. The position (inclined, head down), in which palpation and fluoroscopy are performed, are the basic methods of researching patients. Only that pain that reaches its maximum in the region of the appendix and does not spread high along the ascending intestine is of diagnostic value, and especially the presence of a painful cord rolling under the fingers.


2021 ◽  
Vol 32 (7) ◽  
pp. 574-578
Author(s):  
A. F. Chudinova

Duodenal intubation, as a diagnostic method of biliary tract disease, has become more and more widespread in recent years, and now there is hardly at least one inpatient therapeutic or surgical department where duodenal probing is not used, although its historical past is still very not long ago.


2020 ◽  
Author(s):  
Bing-Rong Liu ◽  
Ma Xiao ◽  
Saif Ullah ◽  
Ji-Tao Song ◽  
Ling-Jian Kong ◽  
...  

Abstract Background and Aim: Appendicography had been used in the diagnosis of chronic appendicitis. To our knowledge, the role of endoscopic retrograde appendicography for the diagnosis of acute appendicitis remains unknown. The aim of this study was to evaluate the role of endoscopic retrograde appendicography for the diagnosis of acute appendicitis.Patients and Method: Patients with suspected acute appendicitis between December 2013 and November 2015 at Second Affiliated Hospital of Harbin Medical University underwent endoscopic retrograde appendicography. The findings and complication were analyzed retrospectively.Results: Thirty-three patients (20 men and 13 women, average age 44 ± 18 years) with suspected acute appendicitis were studied. Acute appendicitis was ruled out by normal endoscopic retrograde appendicography in 24% and confirmed in 69.6% (23). In 2 patients (8%) appendiceal orifice cannulation failed. Colonoscopic findings in acute appendicitis were mucosal hyperemia and edema of appendiceal orifice (83%), outpouring of pus from the appendiceal orifice (74%), and swollen cecal mucosa (61%). Appendicograpic findings were either normal or in acute disease showed diffuse lumenal dilation (diameter: 0.8 ± 0.4 mm), partial stenosis (43%), stiffness or inflexibility (87%) and filling defects (22%). There were no complications during or after follow-up for a median of 13 months (IQR: 9-24 months).Conclusions: Endoscopic retrograde appendicography appears to be a reliable and safe method to confirm or exclude the diagnosis of acute appendicitis and prevent unnecessary appendectomy.


1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 190-195 ◽  
Author(s):  
Erdem I. Cantekin ◽  
Sylvan E. Stool ◽  
Charles D. Bluestone ◽  
Quinter C. Beery ◽  
Thomas J. Fria ◽  
...  

In an effort to establish the diagnostic value of otoscopy, tympanometry, and the middle ear (ME) muscle reflex in the identification of otitis media with effusion (OME), the diagnostic findings by these three methods were compared with the findings at myringotomy in 333 children (599 ears). The study showed that even experienced clinicians had some difficulty in identifying those ears with effusion (sensitivity) and had even greater difficulty in making a diagnosis of those ears without an effusion (specificity). However, tympanometry, employing patterns that have been validated with myringotomy findings, was found to be more accurate. On the other hand, assessment of the ME muscle reflex as a diagnostic method was unacceptable due to an extremely low specificity (52%). An algorithm derived from the combination of the three methods had highest sensitivity (97%) and specificity (90%).


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