scholarly journals Dedo Azul Não-Isquémico Espontâneo: Um Fenómeno Raro e Benigno

2015 ◽  
Vol 28 (4) ◽  
pp. 528
Author(s):  
Daniela Franco ◽  
Daniela Alves ◽  
Ana Cristina Almeida ◽  
Carlos Costa Almeida ◽  
Cecília Moreno ◽  
...  
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Complete Resolution ◽  
Signs And Symptoms ◽  
Early Assessment ◽  
Temperature Changes ◽  
Palpable Pulse ◽  
Fast Resolution ◽  
The Right ◽  
Finger Tip

The spontaneous non-ischaemic blue finger is a rare and benign disorder, characterized by purple discoloration of a finger, with complete resolution. This article reports the case of a woman of 88 years, which after a few hours of stay in the emergency department developed without associated trauma, a purplish color of the 3rd finger of the right hand, with a palpable pulse and without temperature changes or pain. The etiological investigation was negative. The patient was assessed one week after the event and showed complete<br />resolution. There are several diseases that share the same signs and symptoms, as such the diagnosis is based on the spontaneous violaceous color sparing the finger tip, and fast resolution without treatment. Though being a harmless phenomenon, it requires early assessment for timely differential diagnosis with severe pathologies.

An Atypical Case of Mucocutaneous Blastomycosis in the Greater Toronto Area

2017 ◽  
Vol 21 (3) ◽  
pp. 263-266
Author(s):  
Annie Liu ◽  
Neil Shear ◽  
John Wong ◽  
Hagen B. E. Klieb
Keyword(s):  
Differential Diagnosis ◽  
Complete Resolution ◽  
Clinical Presentation ◽  
Signs And Symptoms ◽  
Blastomyces Dermatitidis ◽  
Atypical Case ◽  
Systemic Involvement ◽  
Greater Toronto Area

Blastomycosis is an uncommon infection caused by Blastomyces dermatitidis. While management is fairly straightforward, diagnosis can be quite challenging. We describe a case of a healthy 37-year-old man who presented with progressive mucocutaneous lesions, without lung or other systemic involvement. Treatment with itraconazole resulted in complete resolution of signs and symptoms. This case showcases the variety of blastomycosis clinical presentation and the importance of blastomycosis in the differential diagnosis of verrucous and papillomatous mucocutaneous lesions.

Clinical Study of Right Iliac Fossa Mass Pathology At: Central Vidarbha Region

2020 ◽  
Vol 11 (3) ◽  
pp. 3329-3337
Author(s):  
Anupam Kakade ◽  
Mangesh Padamwar ◽  
Ajonish Kamble ◽  
Yashwant Lamture ◽  
Meenakshi Yeola
Keyword(s):  
Differential Diagnosis ◽  
Iliac Fossa ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Pathological Process ◽  
Clinical Appearance ◽  
Medical College ◽  
Detailed Clinical History ◽  
Interval Appendicectomy ◽  
The Right

One of the most common problems experienced in surgical practice, which challenges the surgeon and needs the ability to diagnose through knowing the anatomy and pathological process that can occur inside the abdomen, is a mass in the right iliac fossa. The purpose of this research was to examine clinical appearance, differential diagnosis and treatment methods for patients with the right iliac fossa.Study was carried out in the Dept. of General Surgery at Jawaharlal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, Sawangi (M), Wardha , Maharashtra , between August 2018 to December 2019. 43 patients with signs and symptoms of right iliac fossa mass were studied by taking detailed clinical history, physical examination, and were subjected to various investigations.In the present study appendicular mass constituted 60.46%, appendicular abscess 09.30% ,ileocaecal tuberculosis 06.97 % , carcinoma caecum 13.95 % , intussusseption02.32%. Patients presented with constitutional symptoms like pain , fever , vomiting , weight loss.Appendicular lump remains the most common entity in right iliac fossa mass patients. Ileocaecal tuberculosis is one of the most common differential diagnosis to be considered for pain abdomen evaluation in rural population. Conservative treatment followed by interval appendicectomy remains the main management modality in appendicular lump. The rare cause of mass in right iliac fossa as intussusception should be kept in mind.

scholarly journals 230FRAIL INTERVENTION THERAPY TEAM: A STEP IN THE RIGHT DIRECTION. EARLY ASSESSMENT IN THE EMERGENCY DEPARTMENT

2016 ◽  
Vol 45 (suppl 2) ◽  
pp. ii13.107-ii56
Author(s):  
Ciara O'Reilly ◽  
Paul Maloney ◽  
Eleanor Alexander ◽  
Paul Bernard ◽  
Yvonne O'Riordan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Early Assessment ◽  
The Right ◽  
Therapy Team

scholarly journals An undiagnosed myasthenia gravis presenting as isolated recurrent acute respiratory failure

2012 ◽  
Vol 03 (01) ◽  
pp. 80-82
Author(s):  
Ram Shri Sharma ◽  
Nalini Sharma ◽  
ME Yeolekar
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Critical Care ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Myasthenia Gravis ◽  
Care Setting ◽  
Signs And Symptoms ◽  
Initial Presentation ◽  
Speech Therapist

ABSTRACTAcute respiratory failure is an uncommon initial presentation of myasthenia gravis (MG). In our case a 22-year-old woman of unrecognized MG presented to the emergency department with isolated respiratory failure as the first presenting symptom. Initially she presented with dysphonia and was managed by speech therapist and ENT surgeons for 3 months. Subsequently, she presented with signs and symptoms of sepsis and went into acute respiratory failure. This case highlights the need to consider MG in the differential diagnosis of an otherwise unexplained respiratory failure in the critical care setting.

scholarly journals A giant isolated right coronary aneurism

2021 ◽  
pp. 20200208
Author(s):  
Chiara Andreoli ◽  
Emilia Biscottini ◽  
Johny Helou ◽  
Federico Crusco ◽  
Francesco Marchetti ◽  
...  
Keyword(s):  
Emergency Department ◽  
Complete Resolution ◽  
Oral Therapy ◽  
Histopathological Analysis ◽  
Purified Protein Derivative ◽  
Lung Scan ◽  
Ulcerative Lesions ◽  
The Right ◽  
Proximal Right Coronary Artery ◽  
Coronary Aneurism

A previously healthy 32-year-old female hailing from Mexico presented to the emergency department with rectorrhagia. Caseating granulomas were detected on histopathological analysis from cecum ulcerative lesions. A purified protein derivative skin test resulted positive. In order to exclude pulmonary tubercolosis a CT lung scan was performed: a rounded and voluminous mass, located above the right atrioventricular cardiac junction, was unexpectedly revealed. Further a cardiac magnetic resonance and a coronary angiography disclosed a giant (5 × 4,8 cm) isolated aneurysm of proximal right coronary artery with severe thrombotic layering. The patient was treated with isoniazid, rifampin, ethambutol, and pyrazinamide; after approximately 2 months of treatment she had complete resolution of cecal lesions. Anticoagulant oral therapy with warfarin was started and the patient was submitted to CABG.

scholarly journals Serotonin Syndrome versus Cannabis Toxicity in the Emergency Department

2020 ◽  
Vol 4 (2) ◽  
pp. 171-173
Author(s):  
Jacob Baltz ◽  
Lamanh Le
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Serotonin Syndrome ◽  
Lower Extremities ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
High Potency ◽  
Marijuana Abuse ◽  
Syndrome Diagnosis ◽  
Ed Visits

As more states legalize marijuana, the potential of marijuana abuse could lead to an increase in the number of emergency department (ED) visits. We describe two patients who presented to the ED with dilated pupils, rigidity in both lower extremities, and clonus in both feet after inhaling the vapor of a highly potent form of marijuana. Serotonin syndrome diagnosis was initially considered in the differential diagnosis. Ultimately, high-potency marijuana abuse was the final diagnosis. Therefore, marijuana toxicity should be considered in ED patients who present with signs and symptoms similar to that of serotonin syndrome.

scholarly journals The Tired Pregnant Woman

2021 ◽  
Vol 5 (4) ◽  
pp. 494-498
Author(s):  
Katie VanNatta ◽  
Nicole Yuzuk ◽  
David Trotter ◽  
Brandon Wisinski
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Pregnant Woman ◽  
Hyperemesis Gravidarum ◽  
Correct Diagnosis ◽  
Signs And Symptoms ◽  
Pregnant Patient ◽  
Initial Assessment ◽  
Case Presentation ◽  
Intermittent Bleeding

Introduction: Many pregnant women develop hyperemesis gravidarum. There are numerous gastrointestinal, genitourinary, neurologic, and metabolic causes to consider in this patient population. Case Presentation: This clinicopathological case presentation details the initial assessment and management of an 18-year-old pregnant patient who presented to the emergency department with a complaint of nausea, vomiting, fatigue, and intermittent bleeding. Discussion: This case takes the reader through the differential diagnosis and evaluation of the patient and the signs and symptoms, including her agitation and tachycardia, that led us to the correct diagnosis.

Large mediastinal neoplasm penetrating the myocardium

Perfusion ◽  
2018 ◽  
Vol 34 (2) ◽  
pp. 170-172
Author(s):  
Mosaad El Banna ◽  
Luis Geraldes ◽  
Julia Grapsa ◽  
Cristiana Ramalhao ◽  
Santhi Adigopula ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Female Patient ◽  
Cardiac Tumor ◽  
Right Heart ◽  
The Right

A 90-year-old female patient presented to the emergency department with abdominal pain. Computed tomography (CT) set the suspicion of a cardiac tumor in the right heart chambers. We describe the presentation, the differential diagnosis and the decision for management of the patient.

Afternoon Tea Hemichorea

2021 ◽  
pp. 10.1212/CPJ.0000000000001048
Author(s):  
Stefan Williams ◽  
Joshua Kirby ◽  
Ana Maria Garcia
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Blood Glucose ◽  
Reperfusion Therapy ◽  
Sudden Onset ◽  
Past Medical History ◽  
Drug Induced ◽  
History Of ◽  
The Right ◽  
Possible Cause

A 78 year old lady, with a past medical history of hypertension, presented to the Accident & Emergency department after a sudden onset of right sided involuntary movements while she was having afternoon tea with her friends. Examination showed isolated unilateral chorea, affecting the right arm and leg (video). Her blood glucose and sodium levels were normal. The MRI head scan showed a left globus pallidus infarct (figure 1). Tetrabenazine was prescribed with very good response, and weaned off after 4 weeks. Hyperkinetic movement disorders are uncommon in acute stroke (1%)1. Lesions in regions functionally connected to the posterolateral putamen are implicated in hyperkinetic movement disorders2. The differential diagnosis includes hyperglycaemia, hyponatraemia and drug-induced chorea. In cases of sudden onset, it is important to recognise stroke as a possible cause to avoid missing reperfusion therapy opportunities

scholarly journals Ununited accessory caudal glenoid ossification centre and associated joint mouse as a cause of lameness in a cat

2019 ◽  
Vol 5 (2) ◽  
pp. 205511691987925
Author(s):  
Boris MA Serck ◽  
Erik EG Wouters
Keyword(s):  
Differential Diagnosis ◽  
Effective Treatment ◽  
Complete Resolution ◽  
Glenohumeral Joint ◽  
Clinical Signs ◽  
Clinical Implications ◽  
Ossification Centre ◽  
Case Summary ◽  
Thoracic Limb ◽  
The Right

Case summary A 16-year-old neutered female domestic shorthair cat was evaluated for chronic lameness of the right thoracic limb. On clinical examination, pain was localised to the right glenohumeral joint. Radiography and arthrography of the right glenohumeral joint revealed an ununited accessory caudal glenoid ossification centre, abbreviated here to ununited caudal glenoid (UCG), and a joint mouse. The UCG and attached joint mouse were removed via arthroscopy and this resulted in complete resolution of the clinical signs. The cat was euthanased 3 years later, for an unrelated cause, having shown no recurrence of lameness. Relevance and novel information UCG should be considered as a differential diagnosis for cats with lameness of the thoracic limb. The clinical implications of a UCG have been described in dogs, but to our knowledge have not yet been described in cats. Excision of the UCG, as described in dogs, may be an effective treatment for this condition.

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