Causes of blood in stool in children. Disease clinical case Marchiafawa-Michele

2014 ◽  
Vol 5 (2) ◽  
pp. 69-75
Author(s):  
Elvira Nikolaevna Fedulova ◽  
Andrey Romanovich Bogomolov
Keyword(s):  
Differential Diagnosis ◽  
Rectal Bleeding ◽  
Clinical Case ◽  
Instrumental Methods ◽  
Diagnosis Of Diseases

In the literature, despite the detailed description of the clinic for various reasons rectal bleeding, there are no data on the comparative characteristics of the various parameters of this feature, do not discuss the direction of the differential diagnosis and the use of laboratory and instrumental methods. The aim of the present work was to improve the differential diagnosis of diseases associated with blood in the stool in children, based on the determination of the structure of reasons for gemokolita uptake in gastroenterology hospital, as well as illustration of diagnostic search the example of disease Marchiafawa-Mikkeli.

scholarly journals RETROPERITONEAL SCHWANNOMA (CLINICAL CASE)

2016 ◽  
Vol 7 (2) ◽  
pp. 58-66 ◽  
Author(s):  
Yu A Stepanova ◽  
S A Grishankov ◽  
N A Karelskaya ◽  
D V Kalinin ◽  
A V Glotov
Keyword(s):  
Differential Diagnosis ◽  
Clinical Case ◽  
Complex Problem ◽  
Rare Tumor ◽  
Significant Progress ◽  
Retroperitoneal Neoplasms ◽  
Nerve Sheath ◽  
Retroperitoneal Tumors ◽  
Retroperitoneal Schwannoma

Schwannoma - a tumor growing from Schwann cells of the peripheral nerve sheath. Retroperitoneal schwannoma is a rare tumor accounting for approximately 1 to 5% of all retroperitoneal neoplasms. Retroperitoneal localization occurs for a total in 0.75-2.6% of cases, often they localize in the extremi- ties, the head and neck. Despite the significant progress made currently in the field of instrumental studies for non-organ retroperitoneal tumors, diagnosis and differential diagnosis remain a complex problem requiring further study. Presented clinical case illustrates difficulties in the diagnosis of retro- peritoneal schwannoma. Precise preoperative determination of the tumor relationship with all the nearby organs and vessels according to the different methods of ray diagnostics gives an opportunity to define the tactics of treatment.

scholarly journals Differential diagnosis of ascites in internal medicine: clinical case

2018 ◽  
Vol 90 (8) ◽  
pp. 74-80 ◽  
Author(s):  
I N Tikhonov ◽  
M S Zharkova ◽  
M V Maevskaya ◽  
V N Zozulya ◽  
V I Leschenko ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Differential Diagnosis ◽  
Clinical Case ◽  
Heart Rhythm ◽  
Young Female ◽  
Decompensated Liver Cirrhosis ◽  
Congestive Liver ◽  
Instrumental Methods

Ascites and hydrothorax may be the symptoms of congestive heart failure and do not always reflects presense of the decompensated liver cirrhosis. Clinical examination of patient with chronic hepatitis C which cyanosis of the lips, cervival veins pulsation, a triple heart rhythm indicated on pathology of the heart (constrictive pericarditis), which was confirmed by instrumental methods. Congestive heart failure has lead to the congestive liver in a young female patient. Regression of all the symptoms of heart failure occurred after surgical treatment (pericardectomy).

Clinical case: Complicated differential diagnosis between postsurgical and functional hypoparathyroidism.

2020 ◽  
Author(s):  
Elena Kovaleva ◽  
Anna Eremkina ◽  
Julia Krupinova ◽  
Natalia Mokrysheva
Keyword(s):  
Differential Diagnosis ◽  
Clinical Case

scholarly journals Acute Disseminated Encephalomyelitis (ADEM): A Demyelinating Disease with Specific Morphological Features

2021 ◽  
pp. 106689692199356
Author(s):  
Fleur Cordier ◽  
Lars Velthof ◽  
David Creytens ◽  
Jo Van Dorpe
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Differential Diagnosis ◽  
Clinical Case ◽  
Demyelinating Disease ◽  
Acute Disseminated Encephalomyelitis ◽  
Demyelinating Diseases ◽  
Demyelinating Disorder ◽  
Immune Mediated ◽  
The Central Nervous System

Acute disseminated encephalomyelitis (ADEM) is a rare immune-mediated inflammatory and demyelinating disorder of the central nervous system. Its characteristic perivenular demyelination and inflammation aid in the differential diagnosis with other inflammatory demyelinating diseases. Here, we present a clinical case of ADEM, summarize its histological hallmarks, and discuss pitfalls concerning the most important neuropathological differential diagnoses.

Congenital optic disc coloboma

2021 ◽  
pp. 33-39
Author(s):  
A.O. Nazarenko ◽  
◽  
E.E. Sidorenko ◽  
D.V. Miguel ◽  
A.S. Smartsev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Optic Nerve ◽  
Clinical Picture ◽  
Clinical Case ◽  
Charge Syndrome ◽  
Diagnostic Methods ◽  
Newly Diagnosed ◽  
Optic Nerve Atrophy ◽  
Optic Disc Coloboma ◽  
Optic Nerve Coloboma

A clinical case of observation of a 3-year-old child with a newly diagnosed optic nerve coloboma and multiple malformations is considered. The clinical picture and diagnostic methods necessary for the diagnosis are reflected. On the example of this child, the differential diagnosis with Charge syndrome is considered. Key words: coloboma, optic nerve coloboma, partial optic nerve atrophy, astigmatism, Charge syndrome.

IMPORTANCE OF ANTIBODIES TO 21-HYDROXYLASE FOR THE DIAGNOSIS, DIFFERENTIAL DIAGNOSIS AND PROGNOSIS OF AUTOIMMUNE CHRONIC PRIMARY ADRENAL INSUFFICIENCY

2021 ◽  
Vol 100 (2) ◽  
pp. 78-86
Author(s):  
L.S. Sozaeva ◽  
◽  
N.V. Makazan ◽  
L.V. Nikankina ◽  
N.M. Malysheva ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Adrenal Insufficiency ◽  
Predictive Value ◽  
Primary Adrenal Insufficiency ◽  
Polyglandular Autoimmune Syndrome ◽  
Diagnosis And Prognosis ◽  
Specificity And Sensitivity ◽  
Enzymelinked Immunosorbent Assay

21-hydroxylase (21-OH) is the main antigen of the adrenal cortex, so the determination of antibodies (Ab) to 21-OH can help in the diagnosis and prognosis of chronic primary adrenal insufficiency (CPAI). Purpose of the study: evaluation of the relevance of Ab to 21-OH for the diagnosis and prediction of autoimmune CPAI. Materials and methods of research: the study consisted of three blocks: 1) assessment of the specificity and sensitivity, as well as the prognostic potential of Ab to 21-OH in patients with polyglandular autoimmune syndrome (APS) – individuals with APS type 1 with and without CPAI (n=106); 2) assessment of the dynamics of the level of Ab to 21-OH – patients with autoimmune CPAI were included (n=41); 3) assessment of the significance of Ab data for the differential diagnosis of various forms of CPAI, including patients with CPAI and APS type 1 exclusion (n=30). The study of Ab to 21-hydroxylase was performed using enzymelinked immunosorbent assay (BioVendor kits, Czech Republic). Results: statistically significant differences were obtained in the frequency of detection of Ab to 21-OH in patients with or without PCNI (p<0,001). The sensitivity of the method was 96%, specificity was 75%, a positive predictive value was 90%, and the negative predictive value was 89%. In 83% of patients, the level of Ab decreased with time (median size decreases – 20,4%/year). An inverse relationship was also found between the level of Ab and the duration of the course of CPAI (R=–0,460, p<0,001). In a group of 30 patients with CPAI and with exclusion of APS type 1, 21 were found to have Ab to 21-OH, only one of them had a monogenic non-autoimmune cause of CPAI (a mutation in the MC2R gene). Monogenic forms of CPAI were found in another 7 patients (mutations were found in the DAX1 and ABCD1 genes), among them an increase in Ab to 21-OH was not detected. Conclusion: determination of Ab to 21-OH is a specific and sensitive method for the diagnosis of autoimmune CPAI. An increase in Ab to 21-OH is a risk marker of autoimmune CPAI development.

Clinical case of recurrent vomiting in a child: diagnostic search from functional gastrointestinal disorders to piloid astrocytoma

2021 ◽  
Vol 19 (1) ◽  
pp. 78-81
Author(s):  
E. N. Voronina ◽  
◽  
D. V. Pechkurov ◽  
A. A. Tyazheva ◽  
E. V. Kozarez ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Nutritional Status ◽  
Clinical Case ◽  
Anxiety Symptom ◽  
Functional Gastrointestinal Disorders ◽  
Integrated Approach ◽  
Gastrointestinal Disorders ◽  
Wide Range ◽  
High Prevalence ◽  
Recurrent Vomiting

The urgency of the problem of recurrent vomiting in children is due not only to the high prevalence of this syndrome, but also to a wide range of reasons for its development. The article presents a clinical case of observation of a child with recurrent vomiting syndrome. It shows the dynamics of the disease, the importance of identifying such «anxiety symptom» as the nutritional status violation. In this case, the cause of vomiting of central genesis was not immediately taken into account, although differential diagnosis presupposes an integrated approach, and doctors' oncological alertness should be constantly preserved even in pediatrics.

Application of expert evaluations in automated diagnostic systems

1986 ◽  
Vol 67 (2) ◽  
pp. 127-131
Author(s):  
R. M. Khvastunov ◽  
Yu. V. Novikov
Keyword(s):  
Differential Diagnosis ◽  
Entire System ◽  
Highly Qualified ◽  
Diagnostic Systems ◽  
Diagnostic Algorithms ◽  
Research Institutes ◽  
Important Link ◽  
Diagnosis Of Diseases

Automated Diagnostic Systems (ADS) and corresponding centers are currently being established by a number of medical universities and research institutes. The task of an ASD center is to provide highly qualified advice on such issues as differential diagnosis of diseases, predicting their occurrence and course, and prescribing treatment. Computational diagnostic algorithms are the most important link in the ASD, since the efficiency of the entire system depends on their quality.

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