scholarly journals Emphysematous cholecystitis, correlation between echography and ct and differential diagnosis. a rare pathology.

2021 ◽  
Vol 44 (1) ◽  
pp. 25-27
Author(s):  
I Garrido Márquez ◽  
Á Moyano Portillo ◽  
E Moya Sánchez
Keyword(s):  
Differential Diagnosis ◽  
Emphysematous Cholecystitis ◽  
El Sistema

Resumen La colecistitis enfisematosa es una presentación infrecuente de la colecistitis aguda, consistente en una inflamación de la vesícula biliar con presencia de gas en su pared, en su luz, o en ambas. Su diagnóstico se realiza mediante pruebas de imagen, si bien existen algunas patologías que pueden dar hallazgos similares y crear confusión, como es el caso de las fístulas bilioentéricas, que consisten en una comunicación anormal entre el sistema biliar y el tracto gastrointestinal que ocurre de forma espontánea. Las imágenes mediante tomografía computarizada suelen ser patognomónicas, siendo el tratamiento quirúrgico definitivo.

scholarly journals Emphysematous cholecystitis: A deadly disguise of a common culprit.

2021 ◽  
Author(s):  
Ashesha Mechineni ◽  
Balraj Singh ◽  
Rajapriya Manickam
Keyword(s):  
Diabetes Mellitus ◽  
Differential Diagnosis ◽  
Gall Bladder ◽  
Bladder Wall ◽  
Radiological Finding ◽  
Emphysematous Cholecystitis ◽  
Gall Bladder Wall ◽  
Micro Organisms

Emphysematous cholecystitis is caused by gas-forming micro-organisms, primarily in patients with immunosuppression and diabetes mellitus. It leads to a signature radiological finding with air in gall bladder wall as described in this report. Clinicians should be aware of this critical differential diagnosis.

scholarly journals Emphysematous cholecystitis

2002 ◽  
Vol 55 (11-12) ◽  
pp. 529-531 ◽  
Author(s):  
Dragos Stojanovic ◽  
Djordje Lalosevic ◽  
Mirjana Stojanovic ◽  
Zorica Caparevic ◽  
Marija Djosev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Hyperbaric Oxygenation ◽  
Clinical Status ◽  
Gallbladder Wall ◽  
Preoperative Preparation ◽  
Radiological Findings ◽  
Clostridium Species ◽  
Basic Principles ◽  
Emphysematous Cholecystitis

Introduction Emphysematous cholecystitis is a rare gallbladder pathology characterized by gas accumulation in the gallbladder wall as a result of severe inflammation, mostly caused by bacteria known as Clostridium species. Case report This is a case report of a 59 year-old male diabetic, with typical anamnestic, clinical, ultrasonographic and radiological findings, pointing to acute cholecystitis of emphysematous form. Surgical and bacteriological procedures confirmed the preoperative findings. Conclusion Reliable findings considering clinical status, ultrasonographic and radiological differential diagnosis, adequate and quick preoperative preparation, cholecystectomy and drainage with appropriate antibiotic treatment and hyperbaric oxygenation, represent the basic principles in diagnostics and treatment of this disease.

scholarly journals Intravascular Hemolysis and Septicemia due toClostridium perfringensEmphysematous Cholecystitis and Hepatic Abscesses

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Justin Cochrane ◽  
Lacie Bland ◽  
Mary Noble
Keyword(s):  
Differential Diagnosis ◽  
Clostridium Perfringens ◽  
Early Identification ◽  
Oxygen Therapy ◽  
Source Control ◽  
Intravascular Hemolysis ◽  
Emphysematous Cholecystitis ◽  
Source Of Infection ◽  
Low Threshold ◽  
Early Source

Context.Clostridium perfringenssepticemia is often associated with translocation from the gastrointestinal or gastrourinary tract and occurs in patients who have malignancy or are immunocompromised.Clostridium perfringenssepticemia is usually fatal without early identification, source control, and antibiotics.Case. We present a case of a 65-year-old female withClostridium perfringenssepticemia secondary to emphysematous cholecystitis, with progression to hepatic abscesses.Conclusion. Septicemia secondary toClostridium perfringensis generally fatal if not detected early. Source control with surgery or percutaneous drainage and early antibiotic therapy is imperative. Hyperbaric oxygen therapy may reduce mortality. Clinicians caring for patients with sepsis and intravascular hemolysis must haveClostridium perfringenssepticemia on their differential diagnosis with a low threshold for starting antibiotics and pursuing source of infection.

Tumor Diagnosis

1982 ◽  
Vol 40 ◽  
pp. 262-265
Author(s):  
Bruce Mackay
Keyword(s):  
Electron Microscopy ◽  
Transmission Electron Microscopy ◽  
Differential Diagnosis ◽  
Light Microscopy ◽  
Clinical Examination ◽  
Ultrastructural Study ◽  
Diagnostic Procedures ◽  
Specific Diagnosis ◽  
Transmission Electron ◽  
Microscopic Diagnosis

The broadest application of transmission electron microscopy (EM) in diagnostic medicine is the identification of tumors that cannot be classified by routine light microscopy. EM is useful in the evaluation of approximately 10% of human neoplasms, but the extent of its contribution varies considerably. It may provide a specific diagnosis that can not be reached by other means, but in contrast, the information obtained from ultrastructural study of some 10% of tumors does not significantly add to that available from light microscopy. Most cases fall somewhere between these two extremes: EM may correct a light microscopic diagnosis, or serve to narrow a differential diagnosis by excluding some of the possibilities considered by light microscopy. It is particularly important to correlate the EM findings with data from light microscopy, clinical examination, and other diagnostic procedures.

Los sujetos que buscan la novedad y los sujetos impulsivos puntúan bajo en matutinidad

2004 ◽  
Vol 11 (5) ◽  
pp. 297-302
Author(s):  
H. Caci ◽  
P. Robert ◽  
P. Boyer
Keyword(s):  
Gen Y ◽  
El Sistema

ResumenLa dimensión bipolar de matutinidad-vespertinidad se refiere a los momentos preferidos del día para llevar a cabo diversas actividades (es decir, la fase del reloj circadiano). Está validada desde un punto de vista biológico, se asocia al menos con un gen y es heredable por medio de un mecanismo epistásico. Se ha utilizado como variable próxima para estudiar las relaciones entre el sistema circadiano, la per-sonalidad y las manifestaciones psicopatológicas: hay una correlación entre la orientación vespertina y la depresión, la extraversión y, pro-bablemente, la impulsividad. Además, hay una posible relación con el temperamento en nifios, segiin teorizaron Thomas y Chess. En este artículo, desarrollamos la hipótesis de que los sujetos impulsivos puntúan bajo en matutinidad realizando un análisis factorial de la Esca- la Compuesta de Matutinidad, el Inventario del Temperamento y el Carácter de Cloninger y el Inventario de Ansiedad como Rasgo de Spielberger en una muestra de 129 varones. Probablemente, los resultados se pueden extender a mujeres. La matutinidad correlaciona negativamente con la búsqueda de novedad (que incluye una faceta de impulsividad), correlaciona positivamente con la persistencia y es independiente de las dimensiones de carácter y la ansiedad como rasgo. La investigación futura puede centrarse en la participación del sistema circadiano en estas dimensiones y facetas de la personalidad, y los beneficios de afiadir manipulaciones cronoterapéuticas en el tratamiento de los trastornos de la personalidad.

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

The Effect of Sensori-Neural Hearing Loss on Threshold-Duration Functions

1968 ◽  
Vol 11 (4) ◽  
pp. 842-852 ◽  
Author(s):  
H. N. Wright
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Time Constant ◽  
Present Series ◽  
Auditory Disorders ◽  
Threshold Duration

Previous findings on the threshold for tones as a function of their duration have suggested that such functions may be systematically affected by sensori-neural hearing losses of cochlear origin. The present series of investigations was designed to explore this relation further and to determine also whether the amount of hearing loss present has any effect upon the results which are obtained. Preliminary studies were also carried out on a conductively impaired listener to indicate whether hearing losses of this type affect the threshold-duration function. The results indicate that the threshold-duration function is systematically affected by sensori-neural hearing losses of cochlear origin. This effect is manifested by a progressive shortening of the time constant relating threshold to duration and is not uniquely related to the amount of hearing loss present. The results obtained from the conductively impaired listener suggested that this type of hearing loss has no effect on the threshold-duration function, thereby implying that such functions may contribute significantly to the differential diagnosis of auditory disorders.

POST-TRANSFUSION PURPURA VS. HEPARIN-INDUCED THROMBOCYTOPENIA: DIFFERENTIAL DIAGNOSIS IN CLINICAL PRACTICE

2000 ◽  
Vol 10 (4) ◽  
pp. 323-324 ◽  
Author(s):  
F. Araujo ◽  
J. J. Sa ◽  
V. Araujo ◽  
M. Lopes ◽  
L. M. Cunha-Ribeiro
Keyword(s):  
Differential Diagnosis ◽  
Clinical Practice ◽  
Heparin Induced Thrombocytopenia

A Historical Review of Complex Regional Pain Syndrome in the “Guides Library”

2009 ◽  
Vol 14 (6) ◽  
pp. 1-9
Author(s):  
Robert J. Barth
Keyword(s):  
Differential Diagnosis ◽  
Complex Regional Pain Syndrome ◽  
Reflex Sympathetic Dystrophy ◽  
International Association ◽  
Historical Review ◽  
Pain Syndrome ◽  
Sixth Edition

Abstract Complex regional pain syndrome (CRPS) is a controversial, ambiguous, unreliable, and unvalidated concept that, for these very reasons, has been justifiably ignored in the “AMA Guides Library” that includes the AMAGuides to the Evaluation of Permanent Impairment (AMA Guides), the AMA Guides Newsletter, and other publications in this suite. But because of the surge of CRPS-related medicolegal claims and the mission of the AMA Guides to assist those who adjudicate such claims, a discussion of CRPS is warranted, especially because of what some believe to be confusing recommendations regarding causation. In 1994, the International Association for the Study of Pain (IASP) introduced a newly invented concept, CRPS, to replace the concepts of reflex sympathetic dystrophy (replaced by CRPS I) and causalgia (replaced by CRPS II). An article in the November/December 1997 issue of The Guides Newsletter introduced CRPS and presciently recommended that evaluators avoid the IASP protocol in favor of extensive differential diagnosis based on objective findings. A series of articles in The Guides Newsletter in 2006 extensively discussed the shortcomings of CRPS. The AMA Guides, Sixth Edition, notes that the inherent lack of injury-relatedness for the nonvalidated concept of CRPS creates a dilemma for impairment evaluators. Focusing on impairment evaluation and not on injury-relatedness would greatly simplify use of the AMA Guides.

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