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Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1150
Author(s):  
Ren Kawamura ◽  
Yukinori Harada ◽  
Taro Shimizu

This study aimed to investigate consultation outcomes from gastroenterologists to generalist physicians for the diagnostic workup of undiagnosed chronic abdominal pain. This was a single-center, retrospective, descriptive study. Patients were included who were ≥15 years old and consulted from the Department of Gastroenterology to the Department of Diagnostic Medicine, to establish a diagnosis for chronic abdominal pain, at the Dokkyo University Hospital from 1 April 2016 to 31 August 2020. We retrospectively reviewed the patients’ medical charts and extracted data. A total of 12 cases were included. Eight patients (66.7%) were diagnosed with and treated for functional gastrointestinal disorders (FGID) at the Department of Gastroenterology; their lack of improvement under treatment for FGID was the reason for their referral to the Department of Diagnostic Medicine for further examination. After this consultation, new possible diagnoses were generated for eight patients (66.7%). Six of the eight patients (75.0%) were diagnosed with abdominal wall pain (anterior cutaneous nerve entrapment syndrome, n = 3; myofascial pain, n = 1; falciform pain, n = 1; and herpes zoster non-herpeticus; n = 1). Consultation referral from gastroenterologists to generalists could generate new possible diagnoses in approximately 70% of patients with undiagnosed chronic abdominal pain.


2021 ◽  
Author(s):  
KEVIN K. W. WANG ◽  
WILLIAM E. HASKINS ◽  
NITHYA GANDHAM ◽  
CHRISTOPHER P. ROBINSON

2021 ◽  
pp. 46-53
Author(s):  
Elena Valentinovna Popova ◽  
Marina Nikolaevna Shestukhina

Modern departments of radiological diagnostics of large multidisciplinary hospitals are complex organizational structures, including subdivisions of X-ray diagnostics of various directions, ultrasound diagnostics, computed and magnetic resonance imaging. Today, X-ray diagnostics is undergoing a new development. Using the centuries-old experience of traditional X-ray techniques and armed with new digital technologies, radiation diagnostics is still the leader in diagnostic medicine.


Author(s):  
Benedict S. Robinson

“The Accidents of the Soul” asks which disciplines were seen to provide a knowledge of the passions in the early modern period, and how that map of the disciplines changed over time. It opens by noting the relatively minor position the passions held in a received philosophical “science of the soul,” itself divided between physics and metaphysics. As “accidents of the soul”—that is, contingent qualitative alterations in the soul—the passions lay at the margins of philosophical knowledge: they were seen as subject to too much particularity and contingency to belong to what one author called “certaine science.” They belonged instead to the “low” sciences, the practical sciences, fields that study human actions and that therefore were seen to produce a merely probable knowledge of particulars: fields like rhetoric, politics, poetics, ethics. The passions also belonged to medicine insofar as diagnostic medicine was understood as an art: in medicine, “accidents” are symptoms and the phrase “accidents of the soul” belongs to medical discourse insofar as it takes account of the particularities of the passions as part of a regimen of health. The chapter situates the seventeenth-century treatises on the passions in relation to various kinds of discourse on the passions all seen as promoting forms of probable knowledge on the model of medical diagnostics: physiology and “characterology,” most notably. It ends with a reading of Shakespeare’s Othello as a text that probes the limits—and the dangers—of this probable knowledge of the passions.


2021 ◽  
Vol 8 ◽  
pp. 237428952110219
Author(s):  
Gregory Chandler ◽  
Isaac E. McCool ◽  
Alison R. Huppmann

The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three competencies, see http://journals.sagepub.com/doi/10.1177/2374289517715040 . 1


2021 ◽  
Vol 8 ◽  
pp. 237428952110370
Author(s):  
Sarah Bunker ◽  
Jyotsna Pandey

The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three competencies, see http://journals.sagepub.com/doi/10.1177/2374289517715040 .1


2021 ◽  
Vol 8 ◽  
pp. 237428952110432
Author(s):  
Haley L. Taylor ◽  
Laurie L. Wellman ◽  
Richard M. Conran

The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three competencies, see http://journals.sagepub.com/doi/10.1177/2374289517715040 .1


2021 ◽  
Vol 8 ◽  
pp. 237428952110028
Author(s):  
Megan E. Kachur ◽  
Benjamin J. Rosen

The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three competencies, see http://journals.sagepub.com/doi/10.1177/2374289517715040 .1


2021 ◽  
Vol 8 ◽  
pp. 237428952110135
Author(s):  
Julie-Ann Nguyen ◽  
Darren Salmi

The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three competencies, see http://journals.sagepub.com/doi/10.1177/2374289517715040 .1


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