scholarly journals Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course ofCapnocytophaga canimorsusSepsis

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Patrick Langguth ◽  
Lothar Leissner ◽  
Günther Zick ◽  
Arno Fischer ◽  
Christiane Stuhlmann-Laiesz ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Medical History ◽  
Disease Onset ◽  
Systemic Infection ◽  
Third Party ◽  
Blood Smears ◽  
Natural Flora ◽  
Fatal Course ◽  
History Of ◽  
Simple Exposure

Capnocytophaga canimorsus(CC) belongs to the family Flavobacteriaceae which physiologically occurs in the natural flora of the oral mucosa of dogs and cats. In patients with a compromised immune system, CC can induce a systemic infection with a fulminant course of disease. Infections with CC are rare, and the diagnosis is often complicated and prolonged. We describe a patient with a medical history of prior splenectomy who presented with an acute sepsis and disseminated intravascular coagulation (DIC) and was initially treated on Waterhouse–Friderichsen syndrome (WFS). After the patient had died despite forced treatment in the intermediate care unit, the differential diagnosis of CC was confirmed by culture of blood smears. Later on, a retrospective third-party anamnesis revealed that the patient had contact to his neighbour’s dog a few days before disease onset. In conclusion, patients with CC infection can mimic WFS and therefore must be included in the differential diagnosis, especially in patients with a corresponding medical history of dog or cat bites, scratches, licks, or simple exposure.

scholarly journals Bright's Disease, Malaria, and Machine Politics: The Story of the Illness of President Chester A. Arthur

2017 ◽  
Vol 03 (04) ◽  
pp. e181-e187
Author(s):  
Theodore Pappas
Keyword(s):  
Renal Failure ◽  
Differential Diagnosis ◽  
Medical History ◽  
Kidney Failure ◽  
Train Station ◽  
History Of ◽  
Machine Politics

AbstractIn July of 1881, President James A. Garfield was shot in the back at the Sixth Street Train Station in Washington, D.C. Garfield died after an extended illness and Chester A. Arthur assumed the presidency on September 20, 1881. He served the remaining three and a half years but was ill for most of his term. Arthur died of the complications of Bright's disease less than two years after leaving office. In the 1880s, Bright's disease was the syndrome that described renal failure associated with proteinuria, but the etiology of Arthur's kidney failure has never been determined. Arthur is one of our least understood Presidents, owing to his brief tenure in office, his death shortly after leaving office, and the fact that he burned all his personal papers just prior to his death. This manuscript will explore the medical history of Chester A. Arthur, including his presumed diagnosis of malaria, his symptoms during his declining health, and will define the differential diagnosis of the causes of his renal failure that culminated in his death in November of 1886.

scholarly journals Incidental detection of retained oil-based hysterosalpingography contrast medium with postoperative postpartum radiography: A case report

2021 ◽  
Author(s):  
Harue Hayashida ◽  
Kiichiro Furuya ◽  
Hiroki Kurahashi ◽  
Saya Yamashita ◽  
Yangshil Chang ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Caesarean Section ◽  
Contrast Medium ◽  
Medical History ◽  
Assisted Reproductive Technology ◽  
Reproductive Technology ◽  
Pelvic Cavity ◽  
History Of

Hysterosalpingography (HSG) is widely performed in combination with assisted reproductive technology, and the contrast medium used in this procedure may be retained in the pelvic cavity. In patients showing suspected operative-residue lesions after caesarean section, a medical history of HSG and details regarding abnormal findings can facilitate differential diagnosis.

scholarly journals Suicidal self-stabbing: A report of 12 cases from Crete, Greece

2017 ◽  
Vol 57 (3) ◽  
pp. 124-129 ◽  
Author(s):  
Elena F. Kranioti ◽  
Anastasia E. Kastanaki ◽  
Despoina Nathena ◽  
Antonis Papadomanolakis
Keyword(s):  
Differential Diagnosis ◽  
Medical History ◽  
Demographic Characteristics ◽  
Death Scene ◽  
Death Scene Investigation ◽  
Sharp Force ◽  
History Of ◽  
Scene Investigation ◽  
Trauma Deaths ◽  
Sharp Force Trauma

Sharp-force trauma is a popular cause of homicide and suicide in many countries. Characterisation of the injuries between the two is crucial for a differential diagnosis. The current paper reviews 12 self-inflicted sharp-force trauma deaths from the island of Crete in Greece. Forensic reports between 1999 and 2015 were collated, and we studied the number and location of injuries, the demographic characteristics of the deceased, the sharp object and the medical history of the deceased. One third of the cases where the forensic reports were available (3/10) involved multiple injuries, and one case involved a combination of stabbing and hanging. Most injuries involved a kitchen knife. Ninety-two per cent (11/12) of the victims involved male Greek nationals aged >50 years. The type and location of injuries were not found to be specific to suicide alone. Thus, death-scene investigation remains crucial to the differential diagnosis between suicide and homicide. This is the first report on self-inflicted sharp-force fatalities in Greece.

Dermatology and Venereology

2019 ◽  
Author(s):  
Ольга Притуло ◽  
Ol'ga Pritulo ◽  
Галина Винцерская ◽  
Galina Vincerskaya ◽  
Дмитрий Прохоров ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Sexually Transmitted Diseases ◽  
Medical History ◽  
Skin Diseases ◽  
Clinical Manifestations ◽  
General Medicine ◽  
Practical Skills ◽  
Sexually Transmitted ◽  
Prevention And Treatment ◽  
History Of

The tutorial presents data on the history of dermatovenerology, modern concepts of anatomy, physiology, pathology of the skin and its appendages. Considerable attention is paid to practical skills that a student must master in studying the course of dermatology and venereology. The main clinical manifestations, diagnosis, differential diagnosis, prevention and treatment of the most important skin diseases and sexually transmitted diseases are described. Separate sections are devoted to the writing of the medical history and questions for independent extracurricular work of students. The manual is intended for 4th year students enrolled in the specialties "General Medicine", "Pediatrics" and "Dentistry" of higher medical schools of III – IV accreditation levels. The content corresponds to the program discipline "Dermatovenereology."

scholarly journals Atypical presentations of orbital cellulitis in an 11-year-old boy

2020 ◽  
Vol 4 ◽  
pp. 40-43
Author(s):  
Nnenna Henrietta Oraegbunam ◽  
Ernest Ikechukwu Ezeh ◽  
Nkama Etiowo ◽  
Roseline Nkeiruka Ezeh
Keyword(s):  
Differential Diagnosis ◽  
Systemic Infection ◽  
Final Diagnosis ◽  
Acute Onset ◽  
Orbital Cellulitis ◽  
Easy Access ◽  
Purulent Matter ◽  
Upper Respiratory Tract ◽  
Conjunctival Hyperemia ◽  
History Of

Spontaneous acute-onset proptosis accompanied with inflammatory signs in children is commonly caused by orbital cellulitis/abscess; however, the clinician should always be alert to the possibility of other causes such as neoplastic: Orbital rhabdomyosarcoma (RMS), traumatic, and iatrogenic factors. This is a case report of an 11-year-old boy presenting with an acute-onset non-axial proptosis of the left eye without a history of trauma, sinus disease, or systemic infection. Our clinical differential diagnosis included orbital cellulitis and orbital RMS. However, the final diagnosis was orbital cellulitis with abscess. The purpose of the study was to report a case of “cold” orbital abscess that clinically mimics orbital RMS. An 11-year-old boy presented with a 2 weeks history of painless, rapid-onset non-axial proptosis in the left eye. It was associated with periorbital edema, and mild conjunctival hyperemia. There was no preceding or associated history of fever, trauma, upper respiratory tract infection, sinusitis, or immunosuppression. An initial clinical diagnosis of RMS, with orbital cellulitis as a differential diagnosis, was made delaying commencement of antibiotic therapy. Following the drainage of greenish tinged purulent matter growing Staphylococcus aureus on culture, the diagnosis of orbital cellulitis with abscess was made. A broad-spectrum antibiotics and subsequent adjunct anti-inflammatory therapy yielded excellent clinical resolution. The case demonstrates the pitfalls/challenges in differentiating orbital space occupying lesions manifesting with inflammatory features on the basis of clinical findings alone. This is particularly relevant in a busy triage ophthalmic clinic in a low resource environment without easy access to any form of orbital imaging. In addition, the case highlights that green tinged purulent matter can be found in infections from a myriad of organisms aside from the popularly known Pseudomonas aeruginosa.

How Valid are Patient Reports of Family History of Illness?

1980 ◽  
Vol 19 (03) ◽  
pp. 162-164 ◽  
Author(s):  
Rachel Harris ◽  
W. Margaret ◽  
Kathleen Hunter
Keyword(s):  
Family History ◽  
Medical History ◽  
Cancer Patients ◽  
Cause Of Death ◽  
Death Certificate ◽  
Recall Rate ◽  
Patient Reports ◽  
Small Subgroup ◽  
History Of ◽  
Medical Histories

The recall rate of patients’ family medical histories was studied in 200 cancer and non-cancer patients. Data on age and cause of death for parents and grandparents were collected. Although most patients knew the age and cause of death of parents, less than half knew for grandparents. Cancer patients had significantly greater recall for maternally related relatives. A subsample of patients’ family medical histories was compared to death certificate data. Patients’ reports were found to be highly inaccurate. Since only a small subgroup could provide medical history data for grandparents, the generaliz-ability for history of family illness is questioned.

The Role of HbA1c on Mortality in Patients with Medical History of Ischemic Stroke and Paroxysmal Atrial Fibrillation

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2406-PUB
Author(s):  
KONSTANTINA KANELLOPOULOU ◽  
IOANNIS L. MATSOUKIS ◽  
ASIMINA GANOTOPOULOU ◽  
THEODORA ATHANASOPOULOU ◽  
CHRYSOULA TRIANTAFILLOPOULOU ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Medical History ◽  
Paroxysmal Atrial Fibrillation ◽  
History Of

The use of a Domain Ontology for the Management of Essential Hypertension (Preprint)

2020 ◽  
Author(s):  
Emma Chavez ◽  
Vanessa Perez ◽  
Angélica Urrutia
Keyword(s):  
Decision Making ◽  
Essential Hypertension ◽  
Medical History ◽  
Medical Records ◽  
Medical Training ◽  
Relevant Information ◽  
Domain Ontology ◽  
Free Text ◽  
Snomed Ct ◽  
History Of

BACKGROUND : Currently, hypertension is one of the diseases with greater risk of mortality in the world. Particularly in Chile, 90% of the population with this disease has idiopathic or essential hypertension. Essential hypertension is characterized by high blood pressure rates and it´s cause is unknown, which means that every patient might requires a different treatment, depending on their history and symptoms. Different data, such as history, symptoms, exams, etc., are generated for each patient suffering from the disease. This data is presented in the patient’s medical record, in no order, making it difficult to search for relevant information. Therefore, there is a need for a common, unified vocabulary of the terms that adequately represent the diseased, making searching within the domain more effective. OBJECTIVE The objective of this study is to develop a domain ontology for essential hypertension , therefore arranging the more significant data within the domain as tool for medical training or to support physicians’ decision making will be provided. METHODS The terms used for the ontology were extracted from the medical history of de-identified medical records, of patients with essential hypertension. The Snomed-CT’ collection of medical terms, and clinical guidelines to control the disease were also used. Methontology was used for the design, classes definition and their hierarchy, as well as relationships between concepts and instances. Three criteria were used to validate the ontology, which also helped to measure its quality. Tests were run with a dataset to verify that the tool was created according to the requirements. RESULTS An ontology of 310 instances classified into 37 classes was developed. From these, 4 super classes and 30 relationships were obtained. In the dataset tests, 100% correct and coherent answers were obtained for quality tests (3). CONCLUSIONS The development of this ontology provides a tool for physicians, specialists, and students, among others, that can be incorporated into clinical systems to support decision making regarding essential hypertension. Nevertheless, more instances should be incorporated into the ontology by carrying out further searched in the medical history or free text sections of the medical records of patients with this disease.

Sign in / Sign up

Export Citation Format

Share Document