scholarly journals Diagnostic Evidence Depicting Palmaris Longus Origin Reversal: Ultrasound and MRI Evaluation

2020 ◽  
Vol 1 (1) ◽  
pp. 01-03
Author(s):  
Jesse Raszewski
Keyword(s):  
Differential Diagnosis ◽  
Correct Diagnosis ◽  
Diagnostic Techniques ◽  
The Body ◽  
Ultrasound Finding ◽  
Muscle Belly ◽  
Left Wrist ◽  
Palmaris Longus ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Evaluation

Introduction: The palmaris longus (PL) is very prone to anatomical variance. It may exhibit agenesis, reversal, and duplication. The reversal variant presents with the PL tendinous aspect proximally and the muscle belly distally. It is an important finding, and it is important to consider when making a differential diagnosis. This is the only reported case of a left distal forearm PL muscle variant with ultrasound and magnetic resonance imaging (MRI) in a Caucasian adult male. Case Report: A 28-year-old Caucasian male presented to the clinic with an abnormal ultrasound finding of a left wrist mass. The patient was instructed to get an MRI, which demonstrated and further confirmed the reversed PL muscle. Conclusion: Although rare, anatomic muscle variance may occur in many places of the body leading to symptoms that need attention. These variants should be considered in orthopedic differential diagnosis and ruled out appropriately with proper diagnostic techniques. By making the correct diagnosis, it leads to improved patient outcomes and satisfaction both conservatively and surgically.

scholarly journals COMPARISON BETWEEN BUFFY COAT SMEAR AND DAT FOR THE DIAGNOSIS OF VL IN SUDAN

2019 ◽  
Vol 4 (3) ◽  
pp. 21
Author(s):  
Rihab Mohamed Abdelrahman ◽  
Sayda Hassan El Safi
Keyword(s):  
New World ◽  
Correct Diagnosis ◽  
Diagnostic Technique ◽  
Diagnostic Techniques ◽  
Buffy Coat ◽  
The Body ◽  
Internal Organs ◽  
The World ◽  
Peripheral Areas ◽  
Better Than

Visceral Leishmaniasis is considered by WHO as one of the leading diseases in the world and is present in 88 countries worldwide.It affects poor communities in peripheral areas. It infects the internal organs of the body. It is fatal if not treated.It is caused by the parasite L.donovani in the old world and L.infantum in the new world. Correct diagnosis is necessary if the disease is to be treated.Many diagnostic techniques are known but none is agreed upon worldwide.This study aims to compare two techniques for the diagnosis of VL in Sudan.37 patients was included in this study.Buffy coat smears were prepared from peripheral blood of these patients and were searched for the presence of the parasite.Serum from these blood samples was used to preform DAT technique.The sensitivity of buffy coat smear was 37.8% and that of DAT was 100%.When MacNemar test was conducted, it was found that DAT is better than buffy coat smear for the diagnosis of VL.We concluded that DAT is a better diagnostic technique and could be adapted for diagnosis of VL in Sudan.   

scholarly journals Tremor in Parkinson’s disease and essential tremor: practical aspects of differential diagnosis

2019 ◽  
pp. 46-54 ◽  
Author(s):  
N. V. Titova ◽  
Yu. N. Bezdolny ◽  
I. V. Shtuchny ◽  
D. A. Sibetsky
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Differential Diagnosis ◽  
Essential Tremor ◽  
Single Photon ◽  
Correct Diagnosis ◽  
Photon Emission ◽  
The Body ◽  
Emission Computed Tomography ◽  
Initial Contact

Despite the developed criteria of essential tremor (ET) and Parkinson’s disease (PD), clinical practice shows a high percentage of misdiagnoses, especially in the early stages of the disease and during the patient’s initial contact with a neurologist. In addition, the same patient may have signs of ET and PD at the same time. For a correct diagnosis, a detailed clinical examination is necessary. The specific characteristics of tremor (frequency, amplitude, type, involvement of specific parts of the body), history, associated neurological signs, and concomitant non-motor symptoms help to recognize and distinguish these two diseases. In order to exclude the possible negative effect of concomitant medications on tremor, it is necessary to find out about the medication history. The article offers an algorithm of survey and inspection, as well as the interpretation of the data obtained. In diagnostically complicated cases, «trial» therapy is carried out. Additional information for differential diagnosis can be provided by the results of instrumental methods of investigation of transcranial sonography of black substance and single-photon emission computed tomography (DaTSCAN).

scholarly journals Magnetic resonance imaging in the diagnosis of multiple sclerosis

2021 ◽  
Vol 2 (3) ◽  
pp. 17-24
Author(s):  
I. A. Krotenkova ◽  
S. N. Morozova ◽  
V. V. Bryukhov ◽  
M. V. Krotenkova
Keyword(s):  
Magnetic Resonance Imaging ◽  
Multiple Sclerosis ◽  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Clinical Data ◽  
Clinical Performance ◽  
Correct Diagnosis ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Mri

Multiple sclerosis (MS) diagnosisis is rather difficult due to specifics of clinical performance and the lack of specific tests. Magnetic resonance imaging (MRI) is one of the ways to confirm MS, and also allows differential diagnosis with other diseases and rulling out other pathologies that can mimic MS. This article provides detailed information on visualization of demyelinating processes, as well as pathogenetic and clinical data, without knowledge of which correct diagnosis is impossible.

scholarly journals Magnetic Resonance Imaging in the Differential Diagnosis of Multiple Sclerosis and Other Demyelinating Diseases

2019 ◽  
Vol 100 (4) ◽  
pp. 229-236
Author(s):  
I. A. Krotenkova ◽  
V. V. Bryukhov ◽  
R. N. Konovalov ◽  
M. N. Zakharova ◽  
M. V. Krotenkova
Keyword(s):  
Magnetic Resonance Imaging ◽  
Multiple Sclerosis ◽  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Correct Diagnosis ◽  
Laboratory Data ◽  
Demyelinating Diseases ◽  
Resonance Imaging ◽  
Confirmatory Tests ◽  
Magnetic Resonance Imaging Mri

The diagnosis of multiple sclerosis (MS) is quite complicated, which is associated with its clinical features and the lack of unique confirmatory tests. Magnetic resonance imaging (MRI) is one of the ways to confirm the diagnosis and also makes it possible to establish a differential diagnosis with other demyelinating diseases and to exclude diseases that mimic MS. This review presents not only MRI criteria for MS and other diseases similar to the MRI pattern, but also additional clinical and laboratory data, without which it is impossible to make a correct diagnosis.

scholarly journals Evaluation of Diagnosis Techniques Used for Spinal Injury Related Back Pain

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Meaghan Janssen ◽  
Aliaa Nabih ◽  
Walied Moussa ◽  
Gregory N. Kawchuk ◽  
Jason P. Carey
Keyword(s):  
Back Pain ◽  
Computer Tomography ◽  
Single Photon ◽  
Spinal Injury ◽  
Correct Diagnosis ◽  
Photon Emission ◽  
Diagnostic Techniques ◽  
Costly Treatment ◽  
Magnetic Resonance Imaging Mri ◽  
Diagnostic Technologies

Back pain is a prevalent condition affecting much of the population at one time or the other. Complications, including neurological ones, can result from missed or mismanaged spinal abnormalities. These complications often result in serious patient injury and require more medical treatment. Correct diagnosis enables more effective, often less costly treatment methods. Current diagnosis technologies focus on spinal alterations. Only approximately 10% of back pain is diagnosable, with current diagnostic technologies. The objective of this paper is to investigate and evaluate based on specific criteria current diagnosis technique. Nine diagnostic techniques were found in the literature, namely, discography, myelography, single photon emission computer tomography (SPECT), computer tomography (CT), combined CT & SPECT, magnetic resonance imaging (MRI), upright and kinematic MRI, plain radiography and cineradiography. Upon review of the techniques, it is suggested that improvements can be made to all the existing techniques for diagnosing back pain. This review will aid health service developers to focus on insufficient areas, which will help to improve existing technologies or even develop alternative ones.

Can conversation analytic findings help with differential diagnosis in routine seizure clinic interactions?

2016 ◽  
Vol 12 (1) ◽  
pp. 13-24 ◽  
Author(s):  
Katie Ekberg ◽  
Markus Reuber
Keyword(s):  
Differential Diagnosis ◽  
Correct Diagnosis ◽  
Diagnostic Errors ◽  
Epileptic Seizures ◽  
Routine Clinical Setting ◽  
Choice Of Treatment ◽  
Transient Loss ◽  
Factual Content ◽  
Patient’S History ◽  
Linguistic Methods

There are many areas in medicine in which the diagnosis poses significant difficulties and depends essentially on the clinician’s ability to take and interpret the patient’s history. The differential diagnosis of transient loss of consciousness (TLOC) is one such example, in particular the distinction between epilepsy and ‘psychogenic’ non-epileptic seizures (NES) is often difficult. A correct diagnosis is crucial because it determines the choice of treatment. Diagnosis is typically reliant on patients’ (and witnesses’) descriptions; however, conventional methods of history-taking focusing on the factual content of these descriptions are associated with relatively high rates of diagnostic errors. The use of linguistic methods (particularly conversation analysis) in research settings has demonstrated that these approaches can provide hints likely to be useful in the differentiation of epileptic and non-epileptic seizures. This paper explores to what extent (and under which conditions) the findings of these previous studies could be transposed from a research into a routine clinical setting.

EXPRESSION OF SOME IMMUNOLOGIC MARKERS FOR THE DIAGNOSIS OF SUSPECTED LYMPHOID LESIONS OF LYMPHOMA

2018 ◽  
Vol 8 (4) ◽  
pp. 28-33
Author(s):  
Mao Nguyen Van ◽  
Thao Le Thi Thu
Keyword(s):  
Correct Diagnosis ◽  
Tumour Cells ◽  
The Body ◽  
The Other ◽  
Cervical Region ◽  
Cross Sectional ◽  
Immunologic Markers ◽  
Microscopic Features ◽  
Poor Differentiation ◽  
Benign Tumours

Background: In practice it was difficult or impossible to have a correct diagnosis for the lymphoid proliferation lesions based on only H.E standard histopathology. In addition to histopathology, the application of immunohistochemistry was indispensable for the definitive diagnosis of the malignant or benign tumours and the origin of the tumour cells as well. Objectives: 1. To describe the gross and microscopic features of the suspected lesions of lymphoma; 2. To asses the expression of some immunologic markers for the diagnosis and classification of the suspected lesions of lymphoma. Materials and Method: Cross-sectional research on 81 patients diagnosed by histopathology as lymphomas or suspected lesions of lymphoma, following with immunohistopathology staining of 6 main markers including LCA, CD3, CD20, Bcl2, CD30 and AE1/3. Results: The most site was lymph node 58.1% which appeared at cervical region 72.3%, then the stomach 14.9% and small intestine 12.4%. The other sites in the body were met with lower frequency. Histopathologically, the most type of the lesions was atypical hyperplasia of the lymphoid tissue suspecting the lymphomas 49.4%, lymphomas 34.5%, the other diagnoses were lower including inflammation, poor differentiation carcinoam not excluding the lymphomas, lymphomas differentiating with poor differentiation carcinomas. Immunohistochemistry showed that, LCA, CD3, CD20, Bcl2, CD30 and AE1/3 were all positive depending on such type of tumours. The real lymphomas were 48/81 cases (59.3%), benign ones 35.8% and poor differentiated carcinomas 4.9%. Conclusion: Immunohistochemistry with 6 markers could help to diagnose correctly as benign or malignant lesions, classify and determine the origin of the tumour cells as lymphocytes or epithelial cells diagnosed by histopathology as lymphomas or suspected lesions of lymphomas. Key words: histopathology, immunohistochemistry, lymphomas, poor differentiated carcinomas, hyperplasia, atypicality

DIAGNOSTICS AND TREATMENT OF POISONING WITH THALLIUM

2018 ◽  
pp. 9-15 ◽  
Author(s):  
L. B. Zavaliy ◽  
A. Yu. Simonova ◽  
M. M. Potskhveriya ◽  
Yu. N. Ostapenko ◽  
M. G. Gadzhieva ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Picture ◽  
Clinical Guidelines ◽  
The Body ◽  
Biological Media ◽  
Pathophysiological Mechanisms ◽  
Thallium Poisoning ◽  
The World

Cases of thallium poisonings are regularly reported in media. In the present work, the world experience in diagnostics and treatment of victims with thallium poisoning has been compiled and summarized, search for clinical guidelines for the diagnostics, treatment and rehabilitation of patients has been carried out. The toxicokinetics and toxicodynamics, as well as pathophysiological mechanisms of thallium influence on the body are described in detail. Toxic and lethal concentrations of poison in biological media, as well as its tropicity to various tissues and body systems were determined. The clinical picture depending on the timing of poisoning and the dose of poison is described in detail. Difficulties of the differential diagnosis are defined. The most interesting cases of criminal and household poisonings with various terms of establishment of the diagnosis, doses of poisoning and outcomes are presented.

State-of-the-art MR Imaging of Fat-containing Focal Lesions of the Liver

2019 ◽  
Vol 15 (5) ◽  
pp. 435-442
Author(s):  
Joanna Podgorska ◽  
Agnieszka Anysz-Grodzicka ◽  
Andrzej Cieszanowski
Keyword(s):  
Differential Diagnosis ◽  
Imaging Techniques ◽  
Hepatobiliary Phase ◽  
Focal Lesions ◽  
Dysplastic Nodules ◽  
Nodular Hyperplasia ◽  
Specific Finding ◽  
Magnetic Resonance Imaging Mri ◽  
Adrenal Rest ◽  
Mri Characteristics

Background: Fat can be identified in numerous liver lesions, and usually is not a specific finding. Distinguishing between different kinds of fatty deposits is an important part of differential diagnosis. Magnetic Resonance Imaging (MRI) is superior to other imaging techniques because it allows distinguishing intracellular from macroscopic fat. Discussion: Intracellular lipid may be found in focal hepatic steatosis, hepatic adenoma, hepatocellular carcinoma and, less commonly, in focal nodular hyperplasia as well as regenerative and dysplastic nodules. Macroscopic fat is seen in angiomyolipoma, lipoma, metastases from fatcontaining neoplasms, primary or metastatic liposarcoma, hydatid cyst, pseudolipoma of the Glisson capsule, pericaval fat collection, lipopeliosis, hepatic teratoma, focal hepatic extramedullary haematopoiesis and adrenal rest tumour. Conclusion: Liver nodules should be characterised with regard to underlying liver condition, MRI characteristics and contrast enhancement pattern, including hepatobiliary phase. In many cases, identification of fatty content may help narrowing the differential diagnosis.

Desmoid tumour of the distal forearm involving the distal radioulnar joint

2020 ◽  
Vol 13 (11) ◽  
pp. e237097
Author(s):  
Apoorv Sehgal ◽  
Pratyush Shahi ◽  
Avijeet Prasad ◽  
Manoj Bhagirathi Mallikarjunaswamy
Keyword(s):  
Distal Radioulnar Joint ◽  
Treatment Modalities ◽  
Desmoid Tumour ◽  
X Rays ◽  
Distal Forearm ◽  
Left Wrist ◽  
Radioulnar Joint ◽  
Magnetic Resonance Imaging Mri ◽  
Epidemiology Investigation

A 32-year-old woman presented with progressive pain and swelling of the left wrist for 6 months. Physical examination revealed a firm, tender, oval swelling over the left wrist. X-rays showed a pressure effect on the distal radius and ulna. Magnetic Resonance Imaging (MRI) revealed a well-defined, asymmetrical, dumbbell-shaped soft-tissue lesion involving the interosseous region of the distal forearm and extending until the distal radioulnar joint (DRUJ). Core needle biopsy confirmed the diagnosis of desmoid tumour. Marginal excision of the tumour was done. At the 2-year follow-up, the patient was doing well and had painless and improved left wrist motion. Desmoid tumour involving the DRUJ has not been previously reported. We, through this case, report new observation and discuss the epidemiology, investigation of choice, treatment modalities, and the need for a regular follow-up for appendicular desmoid tumours.

Sign in / Sign up

Export Citation Format

Share Document