• Title, Summary, Keyword: differential diagnosis

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Comparison among diagnostic tools used for differential diagnosis of blood stasis pattern in Korea, China and Japan (한중일 어혈증 감별진단을 위한 도구의 비교)

  • Kim, Jiwon;Nam, Dong-Hyun
    • The Journal of the Korean Medicine Diagnostics
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    • v.22 no.1
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    • pp.1-10
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    • 2018
  • Objectives The purpose of this study is to compare the representative differential diagnosis methods of blood stasis pattern used in Korea, China and Japan, and then to characterize each diagnostic method. Methods Through the journal databases, we have selected representative tools that were developed for differential diagnosis of blood stasis pattern in Korea, China and Japan. In order to characterize the selected check-lists or questionnaires, we investigated the number of items, contents, score calculation method, internal consistency, and accuracy of each selected tool. Results A total of four diagnostic tools were finally selected; quantitative diagnosis scale of blood stasis syndrome (QDSBSS), diagnostic criteria for blood stasis (DCBS), blood stasis questionnaire (BSQ), and blood stasis syndrome questionnaire (BSSQ). The key points in the differential diagnosis for blood stasis were different for each of the diagnostic tool. The key point was oral mucosa (including tongue) status in the QDSBSS. Meanwhile it was abdominal pain/resistance in the DCBS, and general pain in the BSQ. Accuracy of the QDSBSS, the BSQ and the BSSQ were powerful but all of them was not generalized. Conclusions Therefore, it is desirable to select and apply a plurality of appropriate tools according to the characteristics of the blood stasis patients.

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Radiological Diagnosis of vomitting in infant and children (소아의 구토에 대한 방사선학적 진단)

  • Kim, In-Won
    • Journal of Korea Association of Health Promotion
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    • v.1 no.1
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    • pp.21-25
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    • 2003
  • Vomiting in pediatric patient is frequently encountered problem in emergency room or outpatient clinic. In differential diagnosis, age of the patient or accompanying symptoms should be considered in the differential diagnosis. Accurate diagnosis is very important because surgical treatment is necessary in some of the conditions. Imaging diagnosis of conservative modality such as upper gastrointestinal series or colon study is still important radiological examination in the initial differential diagnosis, but recently ultrasonography offers accurate diagnosis in many situations. The cause of vomiting in pediatric are diverse according to the age group :neonatal sepsis, necrotizing enterocolitis, or hypertrophic pyloric stenosis in neonates : gastroesophageal reflux, viral enteritis, or intussusception in infant: midgut volvulus, appendicitis, metabolic disorders, or increased intracranial pressure also an be the cause. knowledge of radiological findings of normal gastrointestinal tract is important to recognize abnormalities. A discussion of radiological findings in variable surgical conditions to present as vomiting in pediatric patients is offered.

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A Study on the Differential Diagnosis of Postpartum Pain (산후신통의 감별 진단에 대한 연구)

  • Park, Jang-Kyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.1
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    • pp.104-115
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    • 2020
  • Objectives: The purpose of this study is to discuss the differential diagnosis of postpartum pain. Methods: In this study, postpartum pain cases reported in the Journal of Korean Medicine were investigated, and a case of postpartum patient who diagnosed syringomyelia was reported. Results: Patients with autoimmune diseases who complained of postpartum pain had a different course of treatment process and they had related family history. Patients with syringomyelia also differed from the usual treatment process. Conclusions: In patients with postpartum pain who differ from usual treatment process, differential diagnosis of autoimmune disease and syringomyelia is necessary.

Pathologic differential diagnosis of metastatic carcinoma in the liver

  • Park, Jeong Hwan;Kim, Jung Ho
    • Clinical and Molecular Hepatology
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    • v.25 no.1
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    • pp.12-20
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    • 2019
  • The liver is one of the most common sites to which malignancies preferentially metastasize. Although a substantial number of liver malignancies are primary tumors, including hepatocellular carcinoma and intrahepatic cholangiocarcinoma, the metastasis of carcinomas to the liver is relatively common and frequently encountered in clinical settings. Representative carcinomas that frequently metastasize to the liver include colorectal carcinoma, breast carcinoma, neuroendocrine tumors, lung carcinoma, and gastric carcinoma. The diagnostic confirmation of suspected metastatic lesions in the liver is generally achieved through a histopathologic examination of biopsy tissues. Although morphology is the most important feature for a pathologic differential diagnosis of metastatic carcinomas, immunohistochemical studies facilitate the differentiation of metastatic carcinoma origins and subtypes. Useful immunohistochemical markers for the differential diagnosis of metastatic carcinomas in the liver include cytokeratins (CK7, CK19, and CK20), neuroendocrine markers (CD56, synaptophysin, and chromogranin A), and tissue-specific markers (CDX2, SATB2, TTF-1, GCDFP-15, mammaglobin, etc.). Here, we provide a brief review about the pathologic differential diagnosis of major metastatic carcinomas in the liver.

Fever and rash (발열과 발진)

  • Kang, Jin Han
    • Korean Journal of Pediatrics
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    • v.50 no.2
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    • pp.132-137
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    • 2007
  • Patients with febrile illness and skin rashes need full and immediate attention. In general, these diseases show mild manifestations and good prognosis. However, causalities of some diseases with fever and rash may be life threatening or trivial. So, the differential diagnosis for those patients is extensive. A through history, a careful physical examination and close observation of clinical progress are very helpful and essential to confirming the diagnosis. Histories of recent travel, drug or specific food ingestion, exposure to human or an animal source of infection may be useful to discover the cause. Although laboratory tests can be useful in making the diagnosis, laboratory results usually are not available immediately. Knowledge and experiences of such diseases may be helpful to reduce the differential diagnosis to a few major possibilities. Rashes can be categorized as petechial, maculopapular, vesicular, urticarial and erythematous. Potential causes include infectious pathogens such as virus, bacteria, rickettsiae, spirohetes, connective tissue diseases, allergic diseases and heamto-oncologic diseases. Because the severity of these diseases can vary mild to life threatening, physicians must perform prompt management decisions regarding empirical therapies. In this article, the differential etiological diagnosis of each type rash is reviewed and discussed, and with emphasis on intensive care of life threatening febrile diseases with rashes that are seen in our country.

Implementation of an interval Based expert system for diagnoisis of Oriental Traditional Medicine

  • Phuong, Nguyen-Hoang;Duong, Uong-Huong;Kwak, Yun-Sik
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • pp.486-495
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    • 2001
  • This paper describes an implementation of the interval based expert system for syndrome differential diagnosis of Oriental Traditional Medicine (OTM). An approximate reasoning model using fuzzy logic for syndrome differential diagnosis is proposed. Based on this model, we implemented the system for diagnosing Eight rule diagnosis, organ diagnosis and then final differential syndrome of OTM. After carrying out inference process, the system will provide patient\`s syndromes differentiation diagnosis in the intervals and will give the explanation, which helps the user to understand the obtained conclusions.

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IFS DECISION MAKING PROCESSES TO DIFFERENTIAL DIAGNOSIS OF HEADACHE

  • Kim, Soon-Ki
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • pp.264-267
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    • 1998
  • We are dealing with the preliminary diagnosis from the information of headache interview chart. We quantify the qualitative information based on the interview chart by dual scaling. Prototype of fuzzy diagnostic sets and the neural linear regression methods are established with these quantified data, These new methods can be used to classify new patient's tone of diseases with certain degrees of belief and its concerned symptoms. We call these procedures as neural Fuzzy Differential Diagnosis of Headache (NFDDH-1). Also we investigate three measures to medical diagnosis, where relations between symptoms and diseases are described by intutionistic fuzzy set (IFS) data. Two measures are described by nin-max and max-min IFS operators, respectively. Another measure is the similarity degree, i.e., IFS distance between patient's symptoms and prototypes of diseases. We consider some reasonable criteria for three measures in order to determine the label of headache, We will establish hree measures in NFDDH-2 and combine two packages as NFDDH

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Diagnosis and Treatment of TMJ Disc Displacement (턱관절 관절원판 변위의 진단 및 치료)

  • Kwon, Jeong-Seung
    • The journal of the Korean dental association
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    • v.58 no.6
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    • pp.364-376
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    • 2020
  • Internal derangement of the temporomandibular joint (TMJ) is condition in which articular disc has become displaced from its normal functional relationship with the mandibular condyle and the articular portion of the temporal bone. Common types of internal derangement include disc displacement with reduction (with or without intermittent locking), and disc displacement without reduction (with or without limited opening) classified according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Treatment varies depending on diagnosis. Therefore, differential diagnosis should be made for appropriate treatment.

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Differential Diagnosis of Hirschsprung's Disease (Hirschsprung's Disease의 감별 진단)

  • Yoo, Soo-Young
    • Advances in pediatric surgery
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    • v.8 no.1
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    • pp.54-61
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    • 2002
  • Hirschsprung's disease (HD) is usually diagnosed in the newborn period and early infancy. The common presentation of HD in newborns consists of a history of delayed passage of meconium within the first 48 hours of life. The differential diagnosis in newborns is one of the clinical challenges of this disorder. A number of medical conditions which cause functional obstruction of the intestines are easily excluded. Neonates with meconium ileus, meconium plug syndrome, distal ileal atresia and low imperforate anus often present in a manner similar to those with HD in the first few days of life. Abdominal radiographs may help to diagnose complete obstruction such as intestinal atresia. Microcolon on contrast enema can be shown in cases with total colonic aganglionosis, ileal atresia or meconium ileus. Suction rectal biopsy or frozen section biopsy at operation is essential for differential diagnosis in such cases. HD is also considered in any child who has a history of constipation regardless of age. Older children with functional constipation may have symptoms that resemble those of HD and contrast enema is usually diagnostic. However, children with other motility disorders generally referred to as chronic idiopathic intestinal pseudoobstruction present with very similar symptoms and radiographic findings. These disorders are classified according to their histologic characteristics.; visceral myopathy, visceral neuropathy, intestinal neuronal dysplasia (IND), hypoganglionosis, immature ganglia, internal sphincter achalasia. Therefore, the workup for motility disorders should include rectal biopsy not only to confirm the presence of ganglion cells but also evaluate the other pathologic conditions.

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Application of Computed Tomography for Differential Diagnosis of Glioma Stoke and Simple Cerebral Hemorrhage

  • Li, Xiao-Li;Zhou, Fa-Ming;Shangguan, Shou-Qin;Zou, Wen-Qin;Deng, Yan-Qing;Chen, Tao;Chen, Guang-Hui
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3425-3428
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    • 2014
  • Objective: To explore the value of computed tomography (CT) in the differential diagnosis of glioma stroke and simple cerebral hemorrhage. Materials and Methods: A total of 45 patients with glioma stroke and stroke as the initial symptom in our hospital from Jun., 2009 to Oct., 2013 were selected along with 50 individuals with simple cerebral hemorrhage in the same period randomly collected as a control group. The CT results in both groups were analyzed and compared. Results: In the observation group, there were 25 patients with astrocytoma (55.6%), 11 with oligodendroglioma (24.4%), 8 with ependymoma (17.2%) and 1 with glioblastoma multiforma (GBM, 2.22%). Additionally, the major CT manifestation was coexistence of hemorrhage and tumor signs. By comparison, it could be found that the proportions of patients respectively with peripheral edema and space-occupying effect in the observation group were significantly higher than in the control group (P<0.01). Conclusions: Application of CT examination combined with medical history in patients has very important clinical value in the differential diagnosis of glioma stroke and simple cerebral hemorrhage.