Comprehensive Clinical Assessment, Radiological and Ultrasound Evaluation of Recumbent Cows with Abdominal Dysfunction

2021 ◽  
Author(s):  
S. Sivaraman ◽  
G. Vijayakumar ◽  
G.A. Balasubramaniam ◽  
S. Dharmaceelan ◽  
P. Selvaraj
Keyword(s):  
Ultrasound Imaging ◽  
Clinical Examination ◽  
Clinical Evaluation ◽  
Clinical Assessment ◽  
Tamil Nadu ◽  
Ultrasound Evaluation ◽  
Research Institute

Background: Our study aimed clinical evaluation of recumbent cows with abdominal dysfunction in and around Namakkal district of Tamil Nadu, India. Methods: A total of 132 recumbent cattle brought to Veterinary Clinical Complex, Veterinary College and Research Institute, Namakkal were subjected to detailed clinical examination, radiography and ultrasonography. Result: The various abdominal dysfunctions noticed in recumbent cows in the present study were peritonitis, reticular disorders, ileus, rumen impaction and rumen lactacidosis. Ultrasound imaging is complementary to clinical evaluation to identify the etiology of recumbent cows with abdominal dysfunctions.

scholarly journals Ultrasonographic and Clinical Assessment of Peripheral Enthesitis in Patients with Psoriatic Arthritis, Psoriasis, and Fibromyalgia Syndrome: The ULISSE Study

2019 ◽  
Vol 46 (8) ◽  
pp. 904-911 ◽  
Author(s):  
Pierluigi Macchioni ◽  
Carlo Salvarani ◽  
Niccolò Possemato ◽  
Marwin Gutierrez ◽  
Walter Grassi ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Clinical Examination ◽  
Clinical Evaluation ◽  
Multicenter Study ◽  
Clinical Assessment ◽  
Systemic Therapy ◽  
Fibromyalgia Syndrome ◽  
Power Doppler ◽  
Cross Sectional ◽  
Doppler Examination

Objective.The purpose of the ULISSE study was to evaluate the prevalence of clinical and ultrasonographic (US) entheseal involvement in patients with psoriatic arthritis (PsA), psoriasis, and fibromyalgia syndrome (FMS).Methods.In this cross-sectional multicenter study, patients with PsA and psoriasis (not taking systemic therapy) and FMS underwent a clinical evaluation of the entheses, and a B-mode and power Doppler examination of 6 pairs of entheses.Results.The study analyzed 140 patients with PsA, 51 with psoriasis, and 51 with FMS. Clinical and US examinations were performed in 1960 and 1680 entheses in the PsA group, and 714 and 612 entheses both in the psoriasis group and in the FMS group. In both per-patient and per-enthesis evaluation, the frequency of entheseal tenderness was higher in patients with FMS (92% of the patients and 46% of the entheses, compared with 66%/23% in the PsA group and 59%/18% in the psoriasis group). With US examination, signs of entheseal involvement were more frequent in both the per-patient and per-enthesis evaluation in PsA and psoriasis (about 90% of patients in both the PsA and psoriasis groups and 75% of patients in the FMS group had at least 1 site affected, and 54%, 41%, and 27% of the pairs of entheses in, respectively, PsA, psoriasis, and FMS patients showed at least 1 enthesis involved).Conclusion.The ULISSE study indicated that enthesitis is a common feature in patients with PsA, those with psoriasis, and in those with FMS if only clinical examination is used. US entheseal assessment showed findings more consistent with the 3 disorders.

Classifications and Clinical Assessment of Haemorrhoids:The Proctologist’s Corner

2020 ◽  
Vol 15 ◽  
Author(s):  
Arcangelo Picciariello ◽  
Petr Tsarkov ◽  
Vincenzo Papagni ◽  
Sergey Efetov ◽  
Daniel Markaryan ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Evaluation ◽  
Clinical Assessment ◽  
Adult Population ◽  
Preoperative Assessment ◽  
Classification Systems ◽  
Patient Treatment ◽  
Benign Condition ◽  
Haemorrhoidal Disease ◽  
Therapeutic Choice

BACKGROUND: Haemorrhoidal disease (HD) is a benign condition affecting a considerable part of adult population. HD can be considered a social and economic burden with high impact on patient lifestyle. Several new techniques and devices have been proposed for HD treatment; however, preoperative assessment is essential and the use of classification system is recommended. METHODS: In the last two decades many studies described the preoperative assessment and several attempts of classification for HD. This review focuses on the most relevant studies found in literature where classification systems and clinical evaluation with differential diagnosis have been evaluated. RESULTS: The knowledge of classification systems and differential diagnosis for HD has been shown to play a central role in the clinical assessment and in the best treatment choice. Although there are new challenging techniques and devices for HD treatment, a preoperative assessment is always mandatory. CONCLUSION: Preoperative clinical evaluation is essential for HD patient treatment and outcome. Classification systems are useful for the therapeutic choice and for researches on new medical or surgical treatments. In fact, the international guidelines advise several therapeutic options depending on the severity of the HD.

Prevalence and diagnostic accuracy of heart disease in children with asymptomatic murmurs

2015 ◽  
Vol 26 (3) ◽  
pp. 446-450 ◽  
Author(s):  
Adziri H. Sackey
Keyword(s):  
Heart Disease ◽  
Diagnostic Accuracy ◽  
Clinical Examination ◽  
Clinical Assessment ◽  
Congenital Heart ◽  
Heart Murmur ◽  
Paediatric Cardiologist ◽  
Heart Murmurs ◽  
Cardiology Clinic ◽  
Heart Lesions

AbstractThis study was performed to determine the prevalence of CHD among children referred with asymptomatic murmurs and to determine the diagnostic accuracy of the assessment of asymptomatic heart murmurs by general paediatricians. We reviewed the records of children who had been referred by general paediatricians to a cardiology clinic for further evaluation of a heart murmur. The referring paediatricians’ clinical assessment of the murmur was compared with the cardiologist’s echocardiographic diagnosis. A total of 150 children were referred by paediatricians to a paediatric cardiologist for further assessment of a heart murmur. Out of 150 children, 72 had a paediatrician’s diagnosis of innocent murmur; of these 72 patients, two (3%) had heart disease on echocardiography. In all, after echocardiography, a range of congenital heart lesions was found in 28 (19%) of the 150 children. CHD is not rare among children with asymptomatic heart murmurs. In this series of children with asymptomatic murmurs, 19% had heart lesions on echocardiography. Most, but not all, of the children with heart lesions were identified on clinical examination by general paediatricians.

scholarly journals Goodbye OSCE, hello CASC: a mock CASC course and examination

2009 ◽  
Vol 33 (4) ◽  
pp. 149-153 ◽  
Author(s):  
Paul Whelan ◽  
Geoffrey Lawrence-Smith ◽  
Laurence Church ◽  
Claire Woolcock ◽  
Maja Meerten ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Clinical Assessment

SummaryThe Clinical Assessment of Skills and Competencies (CASC) is the latest change to the MRCPsych examination. the CASC is a complex version of an Observed Structured Clinical Examination (OSCE) format, with paired stations, and is now the only clinical component in the MRCPsych examination. We describe how to organise a relatively inexpensive and workforce-light 1-day course and mock CASC examination by adapting a previously described method for running an OSCE workshop. We also evaluate the acceptability to trainees of a mock CASC examination and course, and describe their views on this new clinical examination format.

The Impact of Lexical and Articulatory Factors in the Automatic Selection of Test Materials for a Web-Based Assessment of Intelligibility in Dysarthria

2021 ◽  
pp. 1-17
Author(s):  
Katharina Lehner ◽  
Wolfram Ziegler
Keyword(s):  
Clinical Examination ◽  
Clinical Assessment ◽  
Large Scale ◽  
Assessment Tool ◽  
Word Class ◽  
Neighborhood Structure ◽  
Test Materials ◽  
Stimulus Length ◽  
The Impact ◽  
Target Words

Purpose The clinical assessment of intelligibility must be based on a large repository and extensive variation of test materials, to render test stimuli unpredictable and thereby avoid expectancies and familiarity effects in the listeners. At the same time, it is essential that test materials are systematically controlled for factors influencing intelligibility. This study investigated the impact of lexical and articulatory characteristics of quasirandomly selected target words on intelligibility in a large sample of dysarthric speakers under clinical examination conditions. Method Using the clinical assessment tool KommPaS , a total of 2,700 sentence-embedded target words, quasirandomly drawn from a large corpus, were spoken by a group of 100 dysarthric patients and later transcribed by listeners recruited via online crowdsourcing. Transcription accuracy was analyzed for influences of lexical frequency, phonological neighborhood structure, articulatory complexity, lexical familiarity, word class, stimulus length, and embedding position. Classification and regression analyses were performed using random forests and generalized linear mixed models. Results Across all degrees of severity, target words with higher frequency, fewer and less frequent phonological neighbors, higher articulatory complexity, and higher lexical familiarity received significantly higher intelligibility scores. In addition, target words were more challenging sentence-initially than in medial or final position. Stimulus length had mixed effects; word length and word class had no effect. Conclusions In a large-scale clinical examination of intelligibility in speakers with dysarthria, several well-established influences of lexical and articulatory parameters could be replicated, and the roles of new factors were discussed. This study provides clues about how experimental rigor can be combined with clinical requirements in the diagnostics of communication impairment in patients with dysarthria.

Usage of E-Resources among Library Users of Agricultural College and Research Institute, Coimbatore, Tamil Nadu: A Study

2019 ◽  
Vol 9 (1) ◽  
pp. 136-138
Author(s):  
T. Sundararajan ◽  
P. Balasubramanian
Keyword(s):  
Detailed Analysis ◽  
Tamil Nadu ◽  
Information Resources ◽  
Electronic Information ◽  
Digital Resources ◽  
Electronic Information Resources ◽  
Agricultural College ◽  
Library Users ◽  
Structured Questionnaire ◽  
Research Institute

This paper attempts to explore the access and usage of electronic resources among the users of Agricultural College and Research Institute (ACRI), Coimbatore. The present study aims at focusing on the use of various electronic information resources, awareness of users, access and use of digital resources by the Library Users in ACRI, Coimbatore. A well-structured questionnaire was distributed among randomly selected 400 Library Users of ACRI, Coimbatore and the data was obtained from the 350 filled in questionnaires received. The data thus collected have been employed for the present study to provide detailed analysis and interpretation.

Imaging-led symptomatic breast clinics: a case for direct access to radiology

2019 ◽  
Vol 80 (7) ◽  
pp. 377-379
Author(s):  
GJ Bansal
Keyword(s):  
Ultrasound Imaging ◽  
Clinical Examination ◽  
Breast Imaging ◽  
Patient Management ◽  
Hospital Medicine ◽  
Direct Access ◽  
Breast Pathology ◽  
One Stop ◽  
Modern Hospital ◽  
Symptomatic Breast

Radiologists play a pivotal role in patient management in modern hospital medicine and more so with regard to breast imaging. The diagnosis of breast pathology hinges predominantly on mammography and ultrasound imaging. With reduced clinician confidence in clinical examination alone, virtually all patients with breast symptoms are being referred for imaging. The traditional ‘one-stop’ clinics are victims of their own success and demand outstrips availability. This article makes a case for imaging-led breast clinics to increase efficiency, reduce duplication of work and cost, and increase throughput of patients.

scholarly journals Varices of the round ligament mimicking an inguinal hernia – an important differential diagnosis during pregnancy

2010 ◽  
Vol 92 (7) ◽  
pp. e10-e11 ◽  
Author(s):  
BM Dent ◽  
A Al Samaraee ◽  
PE Coyne ◽  
C Nice ◽  
M Katory
Keyword(s):  
Differential Diagnosis ◽  
Risk Factor ◽  
Inguinal Hernia ◽  
Pregnant Women ◽  
Clinical Examination ◽  
Abdominal Pressure ◽  
Emergency Repair ◽  
Important Differential Diagnosis ◽  
Ultrasound Evaluation ◽  
In Pregnancy

Pregnancy is a recognised risk factor for the development of inguinal hernias due to an increase in intra-abdominal pressure. Whilst often managed conservatively until after the pregnancy, if the hernia presents acutely as a painful or tender groin lump, urgent or emergency repair may be required. Many clinicians rely heavily on clinical examination alone in order to diagnose the presence of such a hernia. In pregnancy, however, in order to prevent unnecessary surgery, the use of ultrasound has a more important role to play in reaching this diagnosis. We report a cautionary case that highlights the need for ultrasound evaluation of all painful groin lumps in pregnant women prior to considering surgery.

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