PATIENTS WITH SEVERE ASTHMA NEED ACCURATE DIAGNOSIS AND CORRECT TREATMENT: HOW CAN WE ACHIEVE THAT?

Abdominal pain is one of the most common reasons for visit to the emergency room. Acute appendicitis is the commonest cause. An accurate diagnosis is essential for the correct treatment, which in many cases will prevent the death of the patient. Mainstay of diagnosis is history and physical examination. If this information is inadequate to establish a diagnosis and urgent or immediate operation is unnecessary, the periodic re-examination helps document the progression of the disease and often avoids unnecessary surgical intervention. Today the combination of improved diagnostic procedures, antibiotic and better anaesthesia and preoperative and postoperative patient care has led to a decrease in morbidity and mortality of patients with acute abdomen. The objective of this study was to determine the various causes of nontraumatic acute abdominal emergencies, their incidence, management and mortality in both sexes and all age groups >12 years age.

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Unusual cause of gas complicating a biloma, postcholecystectomy

BMJ Case Reports ◽

10.1136/bcr-2020-240437 ◽

2021 ◽

Vol 14 (4) ◽

pp. e240437

Author(s):

Cameron Spence ◽

Fatima Ahmad ◽

Louisa Bolton ◽

Amit Parekh

Keyword(s):

Emergency Department ◽

Accurate Diagnosis ◽

Clinical Team ◽

Common Complication ◽

Endoscopic Retrograde ◽

Correct Treatment ◽

Complicated Case ◽

Unusual Appearance ◽

Gallbladder Fossa ◽

Elective Cholecystectomy

A 50-year-old man presented to the emergency department with abdominal pain, vomiting and fever. He had been admitted 6 months ago with acute cholecystitis when he underwent endoscopic retrograde cholangiopancreatography (ERCP) to remove ductal gallstones. Elective cholecystectomy was performed 3 days prior to the current admission. CT demonstrated a fluid and gas containing collection in the gallbladder fossa, biliary gas and free intra-abdominal gas. ERCP revealed a retained common bile duct gallstone and leakage from the cystic duct remnant. We postulate that the gas within the collection originated from intrahepatic gas post-ERCP or from a gas forming organism. The free intra-abdominal gas originated from the collection rather than an intraoperative bowel injury. This complicated case highlights an unusual appearance of a common complication. It demonstrates the importance of discussion with the clinical team to ensure that an accurate diagnosis is made and the correct treatment is provided.

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Candida and Breastfeeding: A Critical Commentary on the Dilemmas Around Diagnosis, Treatment, and Management

Clinical Lactation ◽

10.1891/clinlact-d-20-00007 ◽

2020 ◽

pp. CLINLACT-D-20-00007

Author(s):

Denise McGuinness ◽

Marcelina Szafranska

Keyword(s):

Healthcare Professionals ◽

Clinical Skills ◽

Management Strategies ◽

Accurate Diagnosis ◽

Breast Pain ◽

Correct Treatment ◽

Diagnosis And Management ◽

Critical Commentary ◽

The Usa ◽

Robust Evidence

ObjectiveThe etiology of nipple pain in breastfeeding women can be challenging for healthcare professionals. The most common cause of nipple pain or damage in breastfeeding women is poor latch and positioning of the baby at the breast (Duncan, 2015). However, when position and attachment is not identified as the cause, controversy exists as to the etiology of the pain with nipple or breast thrush identified as a probable suspect.MethodThe literature was reviewed to explore the diagnosis and management of thrush in breastfeeding women.ResultsThere is a lack of robust evidence in the literature to support an accurate diagnosis of candida as the cause of nipple and/or deep breast pain in breastfeeding women. Diagnosis and management strategies vary between the USA and Europe.ConclusionIt is important that clinicians supporting and working with breastfeeding women are aware of the differential diagnosis for both breast and nipple pain, as well as utilize their clinical skills effectively to offer the correct treatment and management to women presenting with candida like symptoms (Amir et al., 2013, Wilson-Clay and Hoover, 2017). Culture and sensitivity of mothers expressed milk may be supportive of a diagnosis; however, analysis of mothers’ milk is not without its challenges. Breastfeeding women should not be treated for potential candida infection with a traditional clinical examination alone.

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Potential Values and Risks of Biomarker use in Differential Diagnosis of Neurocognitive Disorders

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.2040 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S162-S162

Author(s):

N. De Uribe-viloria ◽

M. De Lera Alfonso ◽

L. Rodriguez Fernandez ◽

G. Zapico Aldea ◽

C. Laserna Del Gallego ◽

...

Keyword(s):

Differential Diagnosis ◽

Clinical Features ◽

Lewy Body Dementia ◽

Neurocognitive Disorders ◽

Accurate Diagnosis ◽

Screening Tests ◽

Correct Treatment ◽

Jakob Disease ◽

Core Symptoms ◽

Do So

IntroductionNeurocognitive disorders are the only psychiatric disorders which underlying pathogeny can potentially be determined. This has important implications, for it makes possible the use of biomarkers in order to gain better diagnosis, and opens a door to more accurate treatments. Nonetheless, as biomarkers are not exclusive of a single disorder, the lengths of its utility are still unknown.Objectives and aimsTo understand the values and limitations of biomarkers in differential diagnosis of dementias.MethodsWe present three cases followed in the Neurology ward of our hospital, in which they were admitted for diagnosis and treatment of a subacute form of dementia. Medical history, core symptoms, screening tests for cognitive impairment, MRI, EEG and biomarkers in cerebrospinal fluid were used for diagnosis.ResultsTwo cases had consistent clinical features and complementary explorations, and they were respectively diagnosed as Creutzfeldt-Jakob Disease and Lewy Body Dementia; however, the last case showed contradictory results between clinic and complementary explorations, particularly 14-3-3 protein, which was positive and led to the initial diagnosis as Creutzfeldt-Jakob Disease, which was proven wrong once necropsy was practiced.ConclusionsAlthough complementary explorations, and biomarkers in particular, are of invaluable utility in the accurate diagnosis of multiple psychiatric diseases, they must always be considered within a context given by biography and clinical features, because, when failing to do so, they can lead to misdiagnosis and delay of correct treatment.

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Botox in periodontics - Exploring new avenues

South African Dental Journal ◽

10.17159/2519-0105/2021/v76no2a3 ◽

2021 ◽

Vol 76 (2) ◽

pp. 78-83

Author(s):

Manchala S Reddy ◽

Shishir R Shetty ◽

Raghavendra M Shetty ◽

Venkataramana Vannala ◽

Shakeel S Khazi ◽

...

Keyword(s):

Treatment Protocol ◽

Accurate Diagnosis ◽

Point Of View ◽

Gingival Hyperplasia ◽

Recent Past ◽

Upper Lip ◽

Facial Aesthetics ◽

Correct Treatment ◽

Surgical Methods ◽

Gummy Smile

From a periodontal point of view, various factors contribute to facial aesthetics. In the recent past, studies have revealed that excessive gingival display is a factor that influences an individual’ smile line. Some literature exists to support that more than excessive gingival display of more than 3mm is considered unaesthetic and termed a ‘gummy smile’ (GS). The prevalence of 'gummy smile’ has been 10% and to be more common in females. Gingival hyperplasia altered passive eruption, vertical maxillary excess, and upper-lip hypermobility can all result in excessive gingival display when a patient smile.To select the correct treatment protocol, accurate diagnosis is essential. Various techniques have been used to treat gummy smile which includes surgical and non-surgical methods. Recently a non-surgical method using Botulinum toxin gained popularity considering that the method is minimally invasive.

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Biomarkers of Healthy and Diseased Pulp and Periapical Tissue: A Review

UNIVERSITY JOURNAL OF DENTAL SCIENCES ◽

10.21276/ujds.2020.6.2.14 ◽

2020 ◽

Vol 6 (2) ◽

pp. 94-100

Author(s):

Atul Jain ◽

Vinod Aurwade ◽

Rachana Bahuguna ◽

Abhinay Agarwal

Keyword(s):

Dental Caries ◽

Key Words ◽

Diagnostic Tests ◽

Dental Pulp ◽

Diagnostic Procedure ◽

Biological Marker ◽

Review Article ◽

Clinical Treatment ◽

Accurate Diagnosis ◽

Correct Treatment

Establishing an accurate diagnosis is the first and prime requisite, in initiating the correct treatment, but unfortunately due to the limitations of the diagnostic procedure, this step can be highly confounding. Biological marker serves as a parameter, that is indicative of underlying physiology and health of the tissue. Healthy and diseased pulp and periapical tissue, tend to reflect physiologic and pathologic agents, which on isolation and estimation, can help diagnose, the condition more conclusively. Use of these agents, along with signs, symptoms, result of various tests, can aid in establishing the condition, more precisely. This review article focuses upon, identification of biomarkers, that play important role in pathogenesis of dental caries, pulpal and periapical pathosis and help to diagnose the pathological and healthy condition accurately, thus guide decisions, regarding clinical treatment. Key words: biological products, biomarkers, dental Caries, dental Pulp, diagnostic Tests

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Laboratory Findings in Patients with Probable Dengue Diagnosis from an Endemic Area in Colombia in 2018

Viruses ◽

10.3390/v13071401 ◽

2021 ◽

Vol 13 (7) ◽

pp. 1401

Author(s):

Jenny C. Cardenas ◽

Sandra Y. Giraldo-Parra ◽

Maria U. Gonzalez ◽

Lady Y. Gutierrez-Silva ◽

Lucy Jaimes-Villamizar ◽

...

Keyword(s):

Dengue Fever ◽

Rural Areas ◽

Vaccine Development ◽

Hematological Parameters ◽

Emerging Diseases ◽

Accurate Diagnosis ◽

Correct Treatment ◽

Laboratory Findings ◽

Ns1 Antigen ◽

Novel Coronavirus

As demonstrated with the novel coronavirus pandemic, rapid and accurate diagnosis is key to determine the clinical characteristic of a disease and to improve vaccine development. Once the infected person is identified, hematological findings may be used to predict disease outcome and offer the correct treatment. Rapid and accurate diagnosis and clinical parameters are pivotal to track infections during clinical trials and set protection status. This is also applicable for re-emerging diseases like dengue fever, which causes outbreaks in Asia and Latin America every 4 to 5 years. Some areas in the US are also endemic for the transmission of dengue virus (DENV), the causal agent of dengue fever. However, significant number of DENV infections in rural areas are diagnosed solely by clinical and hematological findings because of the lack of availability of ELISA or PCR-based tests or the infrastructure to implement them in the near future. Rapid diagnostic tests (RDT) are a less sensitive, yet they represent a timely way of detecting DENV infections. The purpose of this study was to determine whether there is an association between hematological findings and the probability for an NS1-based DENV RDT to detect the DENV NS1 antigen. We also aimed to describe the hematological parameters that are associated with the diagnosis through each test.

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Coding for Evaluation and Treatment

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd18.1.9 ◽

2008 ◽

Vol 18 (1) ◽

pp. 9-20 ◽

Cited By ~ 1

Author(s):

Mark Kander ◽

Steve White

Keyword(s):

Medical Record ◽

Treatment Session ◽

Accurate Diagnosis ◽

Third Party ◽

Speech Language Pathologists ◽

Adequate Information ◽

Diagnosis Codes ◽

Coding Rules ◽

Procedure Codes ◽

The Web

Abstract This article explains the development and use of ICD-9-CM diagnosis codes, CPT procedure codes, and HCPCS supply/device codes. Examples of appropriate coding combinations, and Coding rules adopted by most third party payers are given. Additionally, references for complete code lists on the Web and a list of voice-related CPT code edits are included. The reader is given adequate information to report an evaluation or treatment session with accurate diagnosis, procedure, and supply/device codes. Speech-language pathologists can accurately code services when given adequate resources and rules and are encouraged to insert relevant codes in the medical record rather than depend on billing personnel to accurately provide this information. Consultation is available from the Division 3 Reimbursement Committee members and from [email protected] .

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