scholarly journals Differential diagnosis of ascites in internal medicine: clinical case

2018 ◽  
Vol 90 (8) ◽  
pp. 74-80 ◽  
Author(s):  
I N Tikhonov ◽  
M S Zharkova ◽  
M V Maevskaya ◽  
V N Zozulya ◽  
V I Leschenko ◽  
...  

Ascites and hydrothorax may be the symptoms of congestive heart failure and do not always reflects presense of the decompensated liver cirrhosis. Clinical examination of patient with chronic hepatitis C which cyanosis of the lips, cervival veins pulsation, a triple heart rhythm indicated on pathology of the heart (constrictive pericarditis), which was confirmed by instrumental methods. Congestive heart failure has lead to the congestive liver in a young female patient. Regression of all the symptoms of heart failure occurred after surgical treatment (pericardectomy).

Author(s):  
L. I. Dvoretsky ◽  
O. Yu. Karpova ◽  
E. N. Alexandrova ◽  
S. Yu. Petrova

The data on the incidence, clinical presentation, diagnostic methods amyloidosis of the heart in different types of amyloidosis. The features of the current heart amyloidosis, highlights the difficulty of diagnosis and differential diagnosis in the elderly. As an illustration, describes a clinical case of amyloidosis of the heart in 83-year-old patient, the main manifestation of which was congestive heart failure.


Author(s):  
NA Belykh ◽  
MA Akhkyamova ◽  
VV Gusev ◽  
OA Lvova

Dopa-responsive dystonia (DRD) is a rare progressive genetically heterogenous disorder with pediatric onset. DRD is 3 times as prevalent in women than in men. This article reports a clinical case of DRD in a young female presenting with paraparesis, foot dystonia (more pronounced in the right foot) and pronounced walking impairment, who was admitted for emergency treatment to a Neurology Unit. Based on the additional tests, which included a levodopa trial and Sanger sequencing, the patient was diagnosed with DRD. Levodopa caused a considerable improvement of the symptoms. The article describes the clinical features of the disease, talks about its differential diagnosis, genetic predisposition and treatment strategy.


2020 ◽  
Author(s):  
Javier Maldonado ◽  
German Molina ◽  
Francisco M- Rincón T ◽  
Lina M. Acosta Buitrago ◽  
Carlos J- Perez Rivera

Abstract Background: Large intracardiac bronchogenic cysts are rare mediastinal masses, however they must always be considered in the differential diagnosis of heart failure. Case Presentation: We present a 60-year-old female patient with de novo atrial fibrillation and heart failure, resulting from an incidental large intrapericardial mass. The patient underwent successful surgical resection, with pathological findings confirming a bronchogenic cyst.Conclusions: Large bronchogenic cysts located intrapericardially are very rare, however they should be included in the differential diagnosis of patients presenting with atrial fibrillation and heart failure.


2014 ◽  
Vol 5 (2) ◽  
pp. 69-75
Author(s):  
Elvira Nikolaevna Fedulova ◽  
Andrey Romanovich Bogomolov

In the literature, despite the detailed description of the clinic for various reasons rectal bleeding, there are no data on the comparative characteristics of the various parameters of this feature, do not discuss the direction of the differential diagnosis and the use of laboratory and instrumental methods. The aim of the present work was to improve the differential diagnosis of diseases associated with blood in the stool in children, based on the determination of the structure of reasons for gemokolita uptake in gastroenterology hospital, as well as illustration of diagnostic search the example of disease Marchiafawa-Mikkeli.


2015 ◽  
Vol 3 (3) ◽  
Author(s):  
I Made S. K. Raka ◽  
Vennetia R. Danes ◽  
Wenny Supit

Abstract: Congestive Heart Failure (CHF) occurs when the heart is unable to pump the blood to fulfill body's need of blood related to tissue metabolism. Electrical activity of the heart is the state in which the heart has to pump the blood and to contract, triggered by an action potential that spreads through the membrane of muscle cells. Electrocardiogram (ECG) is generated by the electrical activity of the heart muscle. It is a recording of a heart condition obtained by placing electrodes on the body. This study aimed to describe the heart electrical activity of patients with congestive heart failure. This was a retrospective descriptive study. The population was all patients hospitalized in Irina F Cardiac Department of Prof. Dr. R. D. Kandou Hospital Manado. Samples were ECG recordings of all patients with CHF hospitalized at Irina F Cardiac Department of Prof. Dr. R. D. Kandou Hospital Manado during Desember 2012-January 2013. The results showed that hypertensive heart disease (HHD) was the most frequent cause of CHF (45.5%). Meanwhile, CHF due to old myocardial infarction (OMI) was rare (18.2%). Conclusion: The most common cause of CHF among hospitalized patients at Irina F Cardiac Department of Prof. Dr. R. D. Kandou Manado was HHD. ECG of patients with CHF et causa HHD showed an overview of normal heart rhythm and tachycardia, PR interval and a normal QRS complex, left axis deviation, ST segment elevation, depression on different leads, and pathological Q.Keywords: congestive heart failure, electrical activity, electroCardiogramAbstrak: Gagal jantung kongestif atau congestive heart failure (CHF) terjadi bila jantung tidak dapat memompakan darah untuk memenuhi kebutuhan darah dalam tubuh untuk metabolisme jaringan. Aktivitas listrik jantung yaitu keadaan dimana jantung dapat memompa darah, jantung harus berkontraksi yang dicetuskan oleh potensial aksi yang menyebar melalui membran sel-sel otot. Elektrokardiogram (EKG) adalah suatu sinyal yang dihasilkan oleh aktifitas listrik otot jantung. EKG ini merupakan rekaman informasi kondisi jantung yang diambil dengan memasang elektroda pada badan seseorang. Penelitian ini bertujuan untuk mengetahui gambaran aktivitas listrik jantung pada pasien gagal jantung kongestif. Penelitian ini menggunakan metode deskriptif retrospektif. Populasi ialah semua pasien rawat inap di Irina F Jantung RSUP Prof. Dr. R. D. Kandou Manado. Sampel ialah rekaman EKG semua pasien dengan diagnosis gagal jantung kongestif di Irina F Jantung RSUP Prof. Dr. R. D. Kandou Manado selama bulan Desember 2012- Januari 2013. Hasil penelitian memperlihatkan bahwa penyebab gagal jantung kongestif yang terbanyak ialah hypertensive heart disease (HHD) (45,5%), dan yang paling sedikit ialah old myocardial infarction (OMI) (18,2%). Simpulan: Penyebab terbanyak gagal jantung kongestif pada pasien rawat inap di Irina F-Jantung RSUP Prof. Kandou Manadoialah HHD. EKG pada pasien CHF et causa HHD memberikan gambaran irama jantung yang normal dan juga takikardi, interval PR dan kompleks QRS normal, aksis deviasi kekiri, elevasi dan depresi segmen ST pada sadapan yang berbeda, dan Q patologik.Kata kunci:gagal jantung kongestif, aktivitas listrik jantung, elektrokradiogram


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