Careful history taking detects initially unknown underlying causes of aspiration pneumonia

2020 ◽  
Vol 20 (8) ◽  
pp. 785-790 ◽  
Author(s):  
Yuki Yoshimatsu ◽  
Kazunori Tobino ◽  
Yuki Ko ◽  
Mina Yasuda ◽  
Hiromi Ide ◽  
...  
Keyword(s):  
Aspiration Pneumonia ◽  
History Taking ◽  
Underlying Causes ◽  
Careful History

scholarly journals Fluctuating Palmar Erythema in a Toddler during COVID-19 Pandemic: Do You Know the Offender?

2021 ◽  
Vol 67 (1) ◽  
Author(s):  
Prateek Kumar Panda ◽  
Indar Kumar Sharawat
Keyword(s):  
Contact Dermatitis ◽  
Atypical Presentation ◽  
Irritant Contact Dermatitis ◽  
History Taking ◽  
Hand Sanitizer ◽  
The Past ◽  
Palmar Erythema ◽  
Complete Reversal ◽  
Bright Color ◽  
Careful History

Abstract Palmar erythema in children can be due to various reasons, such as chronic liver disease, rheumatological disorders, medications, irritant contact dermatitis and atopic dermatitis. Recently, there are few reports about contact dermatitis caused by frequent, daily use of hand sanitizers during this COVID-19 pandemic. A 3-year-old toddler brought with the concern of waxing-waning bilateral palmar erythema for the past 2 weeks. The parents revealed that the child liked the bright color of a recently bought hand sanitizer bottle so much he used to wash his hands every 20–30 min throughout the day. The atypical presentation of contact dermatitis might be because the child was using the sanitizer more frequently during the daytime. The dermatitis resolved with stopping excessive use of the hand sanitizer by the toddler. Clinicians should be aware of contact dermatitis during these pandemic times. Instead of investigating them extensively, careful history taking and merely advising them to judicially utilize the sanitizer can lead to complete reversal of symptoms.

Clinical approach to the diagnosis of skin disease

2010 ◽  
pp. 4586-4592
Author(s):  
Vanessa Venning
Keyword(s):  
Skin Disease ◽  
Diagnostic Process ◽  
Clinical Approach ◽  
History Taking ◽  
Medical Specialities ◽  
The Impact ◽  
Careful History

As in most medical specialities, the diagnosis of skin disease relies on careful history taking, and a thorough examination, supported in some cases by appropriate investigation. Astute physicians will also be aware that management outcomes are improved by taking account of the impact of skin disease on patients’ lives, whether through discomfort, disfigurement, or disability. This section, however, is chiefly concerned with aspects of history taking and examination that inform the diagnostic process....

scholarly journals Carbon Monoxide Poisoning with Classical Neurological Symptoms and CT Findings

2016 ◽  
Vol 14 (2) ◽  
pp. 54-56
Author(s):  
Chiranjibi Pant ◽  
Binod Karki ◽  
Biswo Shrestha ◽  
Parag Karki ◽  
Raju Paudel
Keyword(s):  
Carbon Monoxide ◽  
Carbon Monoxide Poisoning ◽  
Supportive Treatment ◽  
History Taking ◽  
Computer Tomographic ◽  
Significant Toxicity ◽  
The Central Nervous System ◽  
Classical Computer ◽  
High Index Of Suspicion ◽  
Careful History

Carbon monoxide (CO) is one of the leading causes of accidental poisonings. Mild poisoning produce symptoms like headaches, vertigo and flu like effects, whereas larger exposures can lead to significant toxicity of the central nervous system (CNS) including death. High index of suspicion is thus necessary specially while evaluating collection of such cases in winter months with a careful history taking. Here, we are reporting a case of suspected CO poisoning diagnosed on the basis of history, response to supportive treatment, exclusion of other causes, and classical computer tomographic findings. 

scholarly journals Anorectal Physiology Testing for Prolapse—What Tests are Necessary?

2020 ◽  
Author(s):  
Gifty Kwakye ◽  
Lillias Holmes Maguire
Keyword(s):  
Rectal Prolapse ◽  
Pelvic Floor ◽  
History Taking ◽  
Individual Utility ◽  
Surgical Decision ◽  
Pelvic Floor Prolapse ◽  
Functional Context ◽  
Middle Compartment ◽  
Surgical Decision Making ◽  
Careful History

AbstractRectal prolapse frequently occurs in conjunction with functional and anatomic abnormalities of the bowel and pelvic floor. Prolapse surgery should have as its goal not only to correct the prolapse, but also to improve function to the greatest extent possible. Careful history-taking and physical exam continue to be the surgeon's best tools to put rectal prolapse in its functional context. Physiologic testing augments this and informs surgical decision-making. Defecography can identify concomitant middle compartment prolapse and pelvic floor hernias, potentially targeting patients for urogynecologic consultation or combined repair. Other tests, including manometry, ultrasound, and electrophysiologic testing, may be of utility in select cases. Here, we provide an overview of available testing options and their individual utility in rectal prolapse.

Stridor or wheezing? Congenital laryngomalacia misdiagnosed with infantile asthma in young children: a case report

MedPharmRes ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 21-23
Author(s):  
Thuy Van Thao Nguyen ◽  
Binh Bao Tinh Le
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Diagnostic Criteria ◽  
Pediatric Population ◽  
Global Burden ◽  
History Taking ◽  
Uncontrolled Asthma ◽  
Physical Examinations ◽  
Laboratory Investigations ◽  
Careful History

The prevalence of asthma is sharply increasing in pediatric population and has become a global burden of medicine and economics. Nevertheless, evidence for the diagnostic criteria of this condition is still lacking. This condition leads to over-diagnosis of asthma in cases, especially younger children. Stridor and wheezing, pathologic signs of airway obstruction, are sometimes mistakenly identified. As a result, disorders of extra-thoracic airway obstruction may be misdiagnosed with intrathoracic diseases. An example of this confusion is that a 19-month girl admitted to our hospital with a diagnosis of uncontrolled asthma. Careful history taking, physical examinations and laboratory investigations revealed that the patient has laryngomalacia. We report this case in order to share with pediatric colleagues a valuable clinical experience in approaching children with noisy breathing.

Imaging in chronic cough in paediatrics

2011 ◽  
Vol 56 (4) ◽  
pp. 1-2
Author(s):  
S Brown ◽  
P Davies
Keyword(s):  
Clinical Features ◽  
Chronic Cough ◽  
History Taking ◽  
X Ray ◽  
Common Presentation ◽  
Chest X Ray ◽  
Careful History

Chronic cough is a common presentation in paediatrics. We describe a case which highlights the need for careful history taking and summarize the key clinical features which should prompt a clinician to perform a chest X-ray.

scholarly journals SP2.1.10Prescription of regular medications to surgical patients within 24 hours of admission:Is it being done?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Anil Rai ◽  
Rhea Singh ◽  
Katherine Brown
Keyword(s):  
Retrospective Analysis ◽  
General Surgery ◽  
Family Members ◽  
Time Limit ◽  
Surgical Patients ◽  
Age Group ◽  
History Taking ◽  
Medication History ◽  
Time Of Admission ◽  
Careful History

Abstract Aim Prescription of necessary regular medications to patients within 24 hours of admission to the hospital is vital for better healthcare. Our aim was to analyse whether regular medications were prescribed to all general surgical patients within that time limit, to find the rationale behind the shortcomings and to suggest a more efficient way to overcome them. Materials and Methods A retrospective analysis of 186 surgical patients in the month of February 2020 who stayed in the hospital for more than 24 hours in General Surgery (167) and Urology (19) were analysed. Out of these, 100 were females and 86 males with the maximum in age group of 31-60 years (80) and 75 patients were more than 6o years. 11 groups of medications were analysed. Findings Conclusion More attention needs to be paid towards prescribing medications at the earliest. This could be improved by careful history taking and prescribing medications at the time of admission itself; GP to include all the medication history while referring a patient, liaising with pharmacist and family members for confirming the patients’ medications and providing portable bedside computers for doctors while they are seeing patients.

scholarly journals Pathogenetically determined approaches to the diagnosis and treatment of polyneuropathy

2021 ◽  
Vol 16 (8) ◽  
pp. 15-20
Author(s):  
M.A. Trishchynska ◽  
O.E. Kononov
Keyword(s):  
Nervous System ◽  
Clinical Practice ◽  
Free Radical ◽  
Free Radical Oxidation ◽  
Laboratory Research ◽  
Careful Examination ◽  
History Taking ◽  
Radical Oxidation ◽  
Causative Factors ◽  
Careful History

Distal symmetrical sensorimotor syndrome is quite common in clinical practice. It is very important to establish the cause of polyneuropathy in time and most accurately. There are about 100 causes of damage to the peripheral nervous system. Recently, increasing attention is paid to instrumental and laboratory research methods, while clinical diagnosis, careful history taking, careful examination can give more than 70 % of the diagnosis. It is very important not to stop searching for a possible etiological factor, even when at first glance the cause is obvious, but clinically there are discrepancies. In the process of finding the causative factors, it is important not to waste time and start treatment as early as possible. For this purpose, drugs can be used that are aimed at universal factors of pathogenesis — free radical oxidation, inflammation, edema, microcirculation disorders.

Internationally Adopted Children and Cytomegalovirus

PEDIATRICS ◽  
1989 ◽  
Vol 84 (5) ◽  
pp. 937-937
Author(s):  
LESLIE L. BARTON ◽  
ALLAN D. FRIEDMAN
Keyword(s):  
Primary Infection ◽  
Laboratory Tests ◽  
Adopted Children ◽  
Test Results ◽  
History Taking ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Income Groups ◽  
Internationally Adopted Children ◽  
Careful History

We read with interest the article by Hostetter et al in Pediatrics and the companion article in American Journal of Diseases of Children. Although we agree with the need for careful history taking, physical examination, and selected screening laboratory tests for these (and all) children, we cannot agree with the recommendation for routine urine cultures for cytomegalovirus. More than one half of women of childbearing age in upper income groups have seronegative test results and, thus, are at risk for primary infection with cytomegalovirus.

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