Clinical presentation and diagnostic approach in cases of genitourinary tuberculosis

AbstractPituitary hyperplasia secondary to primary longstanding hypothyroidism has been reported in the literature in adults and rarely in children.Here we present the clinical presentation and diagnostic procedures in eight children with pituitary hyperplasia due to autoimmune thyroiditis, highlighting common findings, such as growth delay, fatigue or gaining weight, but also exceptional findings such as pericardial effusion, rhabdomyolysis, isolated hypertrichosis, and Van Wyk-Grumbach syndrome, which have rarely or never been described.Surprisingly no thyroid enlargement was detected. We discuss the unusual presenting signs of autoimmune thyroiditis that should raise the suspicion of pituitary hyperplasia. We suggest that a more elaborate clinical assessment and even modification of the diagnostic approach to autoimmune thyroiditis is needed in order to avoid its serious complications.

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Genitourinary Tuberculosis: An Atypical Clinical Presentation

Case Reports in Obstetrics and Gynecology ◽

10.1155/2012/727146 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Pei Shan Lim ◽

Ixora Kamisan Atan ◽

Aruku Naidu

Keyword(s):

Clinical Presentation ◽

Surgical Intervention ◽

Early Recognition ◽

Extrapulmonary Tuberculosis ◽

Uterovaginal Prolapse ◽

Genitourinary Tuberculosis ◽

Immunocompromised Individual ◽

Atypical Clinical Presentation ◽

The Common ◽

Complicated Situation

Genitourinary tuberculosis is one of the common forms of extrapulmonary tuberculosis. We report a case of atypical genitourinary tuberculosis: massive uterovaginal prolapse with cervical lesion mimicking cervical carcinoma. This particular case highlights the problem of healthcare in most of the developing countries. Lack of patient education, awareness, and access to a healthcare system resulted in a complicated situation. In an endemic area or in an immunocompromised individual, a higher index of suspicion would allow early recognition and treatment institution to minimise its late consequences as well as spreading of the disease. Though anti-TB is the mainstay of treatment, surgical intervention might be needed in selected cases.

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Cardiac paraganglioma: Clinical presentation, diagnostic approach and factors affecting short and long-term outcomes

International Journal of Cardiology ◽

10.1016/j.ijcard.2012.04.158 ◽

2013 ◽

Vol 166 (2) ◽

pp. 315-320 ◽

Cited By ~ 20

Author(s):

Muhammad Fahad Khan ◽

Subhajit Datta ◽

Mohammad Muhsin Chisti ◽

Mohammad Reza Movahed

Keyword(s):

Clinical Presentation ◽

Diagnostic Approach ◽

Long Term Outcomes ◽

Factors Affecting ◽

Short And Long Term

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Type 4 Cardiorenal Syndrome: Diagnosis and Treatment

Nephrology Point of Care ◽

10.5301/napoc.2015.14678 ◽

2015 ◽

Vol 1 (1) ◽

pp. napoc.2015.1467

Author(s):

Luca Di Lullo ◽

Alberto Santoboni ◽

Claudio Ronco

Keyword(s):

Lower Limb ◽

Clinical Presentation ◽

Point Of Care ◽

Cardiorenal Syndrome ◽

Diagnosis And Treatment ◽

Diagnostic Approach ◽

Syndrome Diagnosis ◽

Limb Edema

The clinical presentation of, and diagnostic approach taken for, a 63-year-old man with worsening dyspnea, chest heaviness and widespread lower limb edema, leading to a diagnosis of type 4 cardiorenal syndrome, is presented. The most appropriate approach at point of care is thoroughly discussed.

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Current Status of Genitourinary Tuberculosis: Presentation, Diagnostic Approach and Management-Single Centre Experience at IGIMS (Ptana, Bihar, India)

Indian Journal of Surgery ◽

10.1007/s12262-020-02115-z ◽

2020 ◽

Vol 82 (5) ◽

pp. 817-823

Author(s):

Kumar Gaurav Mishra ◽

Ahsan Ahmad ◽

Gaurav Singh ◽

Rajesh Tiwari

Keyword(s):

Diagnostic Approach ◽

Current Status ◽

Single Centre ◽

Genitourinary Tuberculosis ◽

Single Centre Experience

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CLINICAL PRESENTATION, ANATOMICAL CONCEPTS AND DIAGNOSTIC APPROACH

Neurology and Neurosurgery Illustrated ◽

10.1016/b978-0-443-06957-4.50007-0 ◽

2010 ◽

pp. 67-216

Author(s):

Kenneth W. Lindsay ◽

Ian Bone ◽

Geraint Fuller

Keyword(s):

Clinical Presentation ◽

Diagnostic Approach

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Equine Laminitis: A retrospective study of 55 cases (2000-2004)

Journal of the Hellenic Veterinary Medical Society ◽

10.12681/jhvms.14978 ◽

2017 ◽

Vol 58 (2) ◽

pp. 107 ◽

Cited By ~ 3

Author(s):

I. PAPAKONSTANTIS (Ι. ΠΑΠΑΚΩΝΣΤΑΝΤΗΣ) ◽

N. DIAKAKIS (Ν. ΔΙΑΚΑΚΗΣ) ◽

M. PATSIKAS (Μ. ΠΑΤΣΙΚΑΣ) ◽

A. DESIRIS (Α. ΔΕΣΙΡΗΣ)

Keyword(s):

Veterinary Medicine ◽

Retrospective Study ◽

Clinical Presentation ◽

Clinical Signs ◽

Good Prognosis ◽

Diagnostic Approach ◽

Inflammatory Drug ◽

Therapeutic Protocol ◽

Key Points ◽

Therapeutic Protocols

Laminitis is a common equine disease. In order to have a good prognosis, prompt therapy is essential. Fifty-five cases of equine laminitis, that were treated in the Clinic of Surgery, School of Veterinary Medicine, were included in this study. More specifically, the clinical presentation and the diagnostic approach are described and the therapeutic protocol is evaluated. At the same time, the literature is reviewed as far as the epidemiology, the pathogenesis, the clinical signs, the diagnosis and the treatment is concerned. It is worth mentioning that several therapeutic protocols have been put forward for the treatment of laminitis, perhaps due to the fact that its pathogenesis is still under dispute. Prolonged rest, frog support, cols hosing of the feet, severe diet, administration of antibiotics and non-steroidal anti-inflammatory drug were the key points of the protocol of this study that led to extremely good results for the majority of the cases.

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