scholarly journals USG in evaluation of patients with scrotal pain

2012 ◽  
Vol 8 (1) ◽  
pp. 18-22
Author(s):  
PK Chhetri ◽  
A Tayal ◽  
PK Deka
Keyword(s):  
Physical Examination ◽  
Clinical Diagnosis ◽  
Testicular Torsion ◽  
Flow Imaging ◽  
Cystic Lesions ◽  
Medical Sciences ◽  
Scrotal Pain ◽  
Surgical Department ◽  
Cystic Masses

Based on physical examination alone it is often difficult to accurately make a clinical diagnosis and decide whether a palpable scrotal pathology arises from the testis itself or from extratesticular elements within the scrotum. Clinical examination of the testis is especially difficult due to pain, tenderness or when obscured by a large hydrocele. The aim of the study was thus undertaken to evaluate the role of ultrasonography (USG) in patients presenting with scrotal pain. 50 patients who presented to the surgical department with scrotal pain were subjected to USG. The commonest cause for scrotal pain was epididymitis with or without orchitis (40 %), followed in descending order by cystic lesions of the epididymis (18 %), varicocele (12 %), trauma (8 %), torsion (4 %) and tumour (2 %). No abnormality was seen on USG in 7 patients ( 14 %). This study concludes that USG is a sensitive and specific examination in patients with scrotal pain. Besides differentiating testicular from extratesticular origin it can also differentiate solid from cystic masses. Colour flow imaging is especially helpful in varicocele and testicular torsion. Torsion of the testis remains the most urgent and important entity dependent on USG for diagnosis. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-1, 18-22 DOI: http://dx.doi.org/10.3126/jcmsn.v8i1.6821

History and physical examination findings predictive of testicular torsion: An attempt to promote clinical diagnosis by house staff

2011 ◽  
Vol 7 (4) ◽  
pp. 470-474 ◽  
Author(s):  
Arun Srinivasan ◽  
Nadya Cinman ◽  
Kevin M. Feber ◽  
Jordan Gitlin ◽  
Lane S. Palmer
Keyword(s):  
Physical Examination ◽  
Clinical Diagnosis ◽  
Testicular Torsion ◽  
House Staff

scholarly journals Evaluation of Painful Shoulder with High Frequency Sonography and their Comparison with the Clinical Diagnosis made by Physical Examination

2013 ◽  
Vol 2 (2) ◽  
pp. 43-50
Author(s):  
Mukesh Patidar ◽  
A Patil ◽  
V Verma ◽  
L Kaushal
Keyword(s):  
Cost Effectiveness ◽  
Physical Examination ◽  
Clinical Diagnosis ◽  
High Frequency ◽  
High Frequency Ultrasound ◽  
Painful Shoulder ◽  
Common Structure ◽  
Tendon Lesion ◽  
Frequency Ultrasound

Purpose: The purpose of this study is to compare clinical diagnosis made by physical examination with high frequency ultrasonographic findings and also to correlate ultrasonographic findings of painful shoulders of cases with asymptomatic shoulders of control subjects. The most common clinical diagnosis was supraspinatus lesion (38) followed by bicep tendon lesion (14) .Rotator cuff was the most common structure to show abnormality (critical zone of avascularity) with supraspinatus being the most commonly involved tendon in our study. Non-invasiveness, easy availability along with its cost effectiveness justify role of high frequency ultrasound in the assessment of painful shoulder. Nepalese Journal of Radiology; Vol. 2; Issue 2; July-Dec. 2012; 43-50 DOI: http://dx.doi.org/10.3126/njr.v2i2.7684

Challenges of Fear Conditioning Research in the Age of RDoC

2017 ◽  
Vol 225 (3) ◽  
pp. 189-199 ◽  
Author(s):  
Tina B. Lonsdorf ◽  
Jan Richter
Keyword(s):  
Fear Conditioning ◽  
Clinical Diagnosis ◽  
Research Domain Criteria ◽  
Major Focus ◽  
The Future ◽  
Definition Of ◽  
Methodological Considerations ◽  
Research Domain

Abstract. As the criticism of the definition of the phenotype (i.e., clinical diagnosis) represents the major focus of the Research Domain Criteria (RDoC) initiative, it is somewhat surprising that discussions have not yet focused more on specific conceptual and procedural considerations of the suggested RDoC constructs, sub-constructs, and associated paradigms. We argue that we need more precise thinking as well as a conceptual and methodological discussion of RDoC domains and constructs, their interrelationships as well as their experimental operationalization and nomenclature. The present work is intended to start such a debate using fear conditioning as an example. Thereby, we aim to provide thought-provoking impulses on the role of fear conditioning in the age of RDoC as well as conceptual and methodological considerations and suggestions to guide RDoC-based fear conditioning research in the future.

TO DETERMINE THE ROLE OF CA125 IN THE DIAGNOSIS OF ACUTE APPENDICITIS

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Vinod Kumar ◽  
Bhupen Songra ◽  
Richa Jain ◽  
Deeksha Mehta
Keyword(s):  
Acute Appendicitis ◽  
Clinical Diagnosis ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ca 125 ◽  
Care Hospital ◽  
Serum Samples ◽  
Roc Curve Analysis ◽  
Surgery Department

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.

Natriuretic Peptides – Addressing the Dilemma of Heart Failure Management

2011 ◽  
Vol 7 (2) ◽  
pp. 104
Author(s):  
Kenneth McDonald ◽  
Ulf Dahlström ◽  
◽  
Keyword(s):  
Heart Failure ◽  
Physical Examination ◽  
Natriuretic Peptides ◽  
Normal Values ◽  
Outpatient Setting ◽  
Heart Failure Management ◽  
Effective Screening ◽  
Specific Symptoms ◽  
Objective Marker

Heart failure (HF) is characterised by non-specific symptoms and unremarkable physical examination; therefore, the need exists for an available objective marker of HF status. Natriuretic peptides (NPs) are a marker that can aid the dilemmas in present-day HF management. More effective screening for clinical deterioration would include changes in brain natriuretic peptide (BNP) levels. Normal values for BNP, <50–100 pg/ml, have excellent negative predictive value (NPV) in excluding HF as a diagnosis. BNP values that are significantly elevated, e.g. >500 pg/ml, make the diagnosis of HF more likely. There are now established and emerging uses for NPs in managing HF in the community. These include the role of NPs at the time of possible new presentation of HF, its role in prognostication and, finally, the increasing interest in using NPs to guide therapy in the outpatient setting.

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