scholarly journals Chronic Synovitis of Wrist: A Diagnostic Dilemma & Role of Arthroscopy

2021 ◽  
Vol 1 (4) ◽  
Author(s):  
Jawed Akram
Keyword(s):  
Diagnostic Dilemma ◽  
Chronic Synovitis

scholarly journals The role of laparoscopy in diagnosis of patients with chronic abdominal pain

2016 ◽  
Vol 4 (1) ◽  
pp. 326 ◽  
Author(s):  
Pradeep Saxena
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Descriptive Analysis ◽  
Abdominal Tuberculosis ◽  
Chronic Abdominal Pain ◽  
Diagnostic Dilemma ◽  
Chronic Appendicitis ◽  
Fluid Analysis ◽  
Conclusive Diagnosis

Background: Chronic abdominal pain still remains one of the leading clinical problems presenting to physicians. Reaching a definitive diagnosis and prompt management is usually delayed because invasive investigations are frequently required to come to a conclusive diagnosis. The aim was to study the varied clinical picture of chronic abdominal pain and evaluate the role of laparoscopy in reaching a conclusive diagnosis in these patients.Methods: A prospective and retrospective study of 142 patients of chronic abdominal pain who underwent diagnostic laparoscopy in our surgery department from June, 2006 to December, 2015 was done. A descriptive analysis of data collected from case records of these patients was done to study the varied clinical picture, laboratory reports, radiological findings, laparoscopic findings and histological reports. The usefulness of laparoscopy to confirm the diagnosis and in clinical management of these patients of chronic abdominal pain was evaluated.Results:Laparoscopy was performed in 142 patients of chronic abdominal pain with unsettled diagnosis. A conclusive diagnosis could be made in 136 of these patients. The common causes of chronic abdominal pain were abdominal tuberculosis, adhesions, bands, small intestinal strictures, chronic appendicitis, abdominal malignancy and various gynecological diseases. Gynecological problems causing chronic abdominal pain were pelvic inflammatory disease, ovarian cyst, tubo-ovarian mass, hydrosalpinx, fibroid uterus, bulky uterus, endometriosis. Thus laparoscopy provided positive diagnosis of in 136 (95.77%) patients based on laparoscopic findings, histological reports, ascitic fluid analysis and cytology.Conclusions:In patients suspected to have abdominal pathology early laparoscopy may be useful to establish a conclusive diagnosis with acceptably low morbidity (<5 %). An early resort to laparoscopy can resolve the diagnostic dilemma and early treatment can be instituted.

scholarly journals Sarcoidosis vs. Colon Cancer Metastasis: Diagnostic Dilemma and the Role of PET Scan in Monitoring Disease Activity

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Raai Mahmood ◽  
Kadhim Al Banaa ◽  
Israa Ibrahim ◽  
Ahmed Hashim ◽  
Luis Torregrosa
Keyword(s):  
Colon Cancer ◽  
Disease Activity ◽  
Cancer Metastasis ◽  
Pet Scan ◽  
Inflammatory Disorder ◽  
Diagnostic Dilemma ◽  
Diagnosis Of Cancer ◽  
Noncaseating Granulomas

Sarcoidosis is a systemic inflammatory disorder characterized by “noncaseating granulomas.” It primarily affects the lungs, but multiple other organs can be involved. Sarcoidosis has been increasingly reported in association with cancer. It can precede, follow or occur at the same time as the diagnosis of cancer. We report a case of sarcoidosis that was diagnosed concomitantly with colon cancer, highlighting the diagnostic dilemma of sarcoidosis vs. cancer metastasis, the relationship between the two, and the value of PET scan in follow-up and monitoring of disease activity.

Coccidioides, Cryptococcus, or Blastomyces? A Diagnostic Dilemma Encountered during Frozen Section Evaluation

2012 ◽  
Vol 15 (1) ◽  
pp. 71-75 ◽  
Author(s):  
Colt M. McClain ◽  
Gerald T. Van Horn ◽  
James D. Chappell ◽  
Charles W. Stratton
Keyword(s):  
Frozen Section ◽  
Surgical Pathology ◽  
Fungal Culture ◽  
Diagnostic Dilemma ◽  
Simple Task ◽  
Proximal Ulna ◽  
Irrigation And Debridement ◽  
Fungal Osteomyelitis ◽  
The Right

Intraoperative consultation via frozen section is an important part of modern day surgical pathology. Recognizing fungi in tissues on frozen and permanent sections is not always a simple task, and correctly identifying the agent can be a significant challenge, even for experienced microscopists. We present a case of a 17-year-old boy with chronic osteomyelitis involving the right proximal ulna. During an irrigation and debridement operation, a frozen section was sent to surgical pathology for evaluation. A limited patient history coupled with sparse organisms present in the frozen section led to the diagnosis of fungal osteomyelitis, favor Coccidioides. Follow-up permanent sections with special staining and successful fungal culture clarified the causal agent to be Blastomyces dermatitidis. The role of frozen sections is not to perfectly speciate the fungal pathogen but to describe the morphology and infectious process and provide a differential diagnosis of the candidate fungi. The importance of intraoperative culture in infectious cases cannot be understated, and it is the responsibility of pathologists to inform surgeons that tissue is needed for culture. A brief overview of Blastomyces, including histopathologic features and key microscopic differences from Coccidioides and Cryptococcus, is discussed.

An emergency diagnostic dilemma: a case of Yersinia enterocolitica colitis mimicking acute appendicitis in a β-thalassemia major patient: the role of CT and literature review

2007 ◽  
Vol 15 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Petros Antonopoulos ◽  
Fotois Constantinidis ◽  
Georgios Charalampopoulos ◽  
Konstantinos Dalamarinis ◽  
Ioannis Karanicas ◽  
...  
Keyword(s):  
Literature Review ◽  
Acute Appendicitis ◽  
Yersinia Enterocolitica ◽  
Thalassemia Major ◽  
Diagnostic Dilemma ◽  
Thalassemia Major Patient

scholarly journals Cystic and florid squamous metaplasia in pleomorphic adenoma of palate – A diagnostic dilemma

2014 ◽  
Vol 5 (4) ◽  
pp. 108-110 ◽  
Author(s):  
H Kaveri ◽  
K Gopalkrishnana ◽  
Anehosur Venkatesh
Keyword(s):  
Pleomorphic Adenoma ◽  
Myoepithelial Cell ◽  
Benign Tumor ◽  
Squamous Metaplasia ◽  
Myoepithelial Cells ◽  
Cystic Degeneration ◽  
Minor Trauma ◽  
Medical Sciences ◽  
Diagnostic Dilemma

Pleomorphic adenoma is a benign tumor of salivary gland. Controversy regarding the origin of various mesenchymal components exists and myoepithelial cell has a key role. Metaplastic process is triggered by minor trauma and probable etiology for this change is ischemia. It is diagnostically challenging, because diagnostic pit falls in the presence of mucinous and squamous metaplasia. Report a case of pleomorphic adenoma in the palate of a 35 years old Indian female. Biopsy revealed epithelial component with extensive squamous metaplasia and cystic degeneration. Here we discuss the role of myoepithelial cells in the pathogenesis of pleomorphic adenoma and diagnostic pit falls. DOI: http://dx.doi.org/10.3126/ajms.v5i4.10434 Asian Journal of Medical Sciences 2014 Vol.5(4); 108-110

scholarly journals Tumefactive demyelination versus tumor; A diagnostic dilemma: Role of electron microscopy

2018 ◽  
Vol 61 (4) ◽  
pp. 638
Author(s):  
Raghvendra Ramdasi ◽  
Paresh Doshi ◽  
Smita Thorve ◽  
Shaila Khubchandani
Keyword(s):  
Electron Microscopy ◽  
Diagnostic Dilemma

scholarly journals Role Of C-Reactive Protein in Diagnosis of Acute Appendicitis

2021 ◽  
Vol 10 (4) ◽  
pp. 210-214
Author(s):  
Mirza Tassawar Hussain ◽  
Muhammad Kashif Khan ◽  
Syed Shamsuddin ◽  
Aabid Ali ◽  
Erum Khan ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Correct Diagnosis ◽  
C Reactive Protein ◽  
Diagnostic Dilemma ◽  
Senior Registrar ◽  
Predictive Values ◽  
Reactive Protein ◽  
Highly Sensitive ◽  
Sensitivity Specificity

Background: Appendicitis is a common surgical emergency and diagnostic dilemma. Making the correct diagnosis is often difficult as the clinical presentation varies according to the age of the patient and the position of appendix. The objective of this study was to identify clinical applicability of C- reactive protein, as a diagnostic test for appendicitis. Methods: This prospective study was carried out in Federal government Polyclinic hospital, Islamabad from January to July 2019, 114 patients underwent appendectomy for clinically diagnosed acute appendicitis. The decision to operate the patient was given by senior registrar. The blood samples for C-reactive protein were drawn before taking the patient to the operating theatre. Removed appendices were sent for histopathological confirmation of diagnosis. The C-reactive protein was then compared with the results of histopathology to determine its validity. The data was entered and analysed in SPSS 23. Results: The sensitivity, specificity, positive and negative predictive values of C-reactive protein in patients with clinical diagnosis of acute appendicitis were found to be 94%, 78%, 93% and 74 % respectively. Conclusion: CRP is helpful in making diagnosis of acute appendicitis. It is highly sensitive but has a relatively low specificity.  

scholarly journals The Role of Cardiac Magnetic Resonance in Myocardial Infarction and Non-obstructive Coronary Arteries

2022 ◽  
Vol 8 ◽  
Author(s):  
Kate Liang ◽  
Eleni Nakou ◽  
Marco Giuseppe Del Buono ◽  
Rocco Antonio Montone ◽  
Domenico D'Amario ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Differential Diagnosis ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Coronary Arteries ◽  
Acute Myocarditis ◽  
Clinical Value ◽  
Diagnostic Dilemma ◽  
Non Invasive

Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) accounts for 5–15% of all presentations of acute myocardial infarction. The absence of obstructive coronary disease may present a diagnostic dilemma and identifying the underlying etiology ensures appropriate management improving clinical outcomes. Cardiac magnetic resonance (CMR) imaging is a valuable, non-invasive diagnostic tool that can aide clinicians to build a differential diagnosis in patients with MINOCA, as well as identifying non-ischemic etiologies of myocardial injury (acute myocarditis, Takotsubo Syndrome, and other conditions). The role of CMR in suspected MINOCA is increasingly recognized as emphasized in both European and American clinical guidelines. In this paper we review the indications for CMR, the clinical value in the differential diagnosis of patients with suspected MINOCA, as well as its current limitations and future perspectives.

scholarly journals The Role of EUS in the Differential Diagnosis of Polypoid Lesions of the Gallbladder: Update

2020 ◽  
Vol 25 (1) ◽  
pp. 34-39
Author(s):  
Young Koog Cheon
Keyword(s):  
Differential Diagnosis ◽  
Color Doppler ◽  
Diagnostic Methods ◽  
Diagnostic Dilemma ◽  
Increased Risk ◽  
Risk Of Malignancy ◽  
Potentially Malignant ◽  
Recording Analysis ◽  
Malignant Lesions

Although most gallbladder (GB) polyps are benign, some early carcinomas of the GB share the same appearance as benign polyps. Currently, GB polyps larger than 1 cm should be surgically removed because of the increased risk of malignancy. Distinguishing between nonneoplastic, neoplastic, and potentially malignant lesions is a major diagnostic dilemma, and the therapeutic options for these lesions remain controversial. Endoscopic ultrasonography (EUS) is considered to be superior to conventional US for imaging GB lesions, because EUS can provide highresolution images of small lesions with higher ultrasound frequencies. However, differential diagnosis remains difficult, especially for small GB polyps. Thus, various diagnostic methods using EUS have been introduced to overcome difficulty for differential diagnosis between neoplastic and non-neoplastic polyps. Contrastenhanced harmonic EUS is useful for observing microvascular patterns and additional enhancement images of GB polyps. This is needed a post-recording analysis due to a short enhancement time. Real-time color Doppler-EUS provides the Doppler flow of vessels without a time limit.

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