Essays on Differential Diagnosis

Discussion

Does he experience pain or any shortness of breath when he coughs? Has he used any over the counter drugs before to relieve his pain? Is he a smoker? These questions will enable me to categorize the cough and identify the root cause of the cough. Based on the duration of the cough, I would classify the cough as a chronic cough since it has lasted noted more than eight weeks precisely it has for three months. Chronic coughs mostly result from medications and medical conditions (Kenny, 2017) The diagnostic tests that I want to include in my diagnosis ...

The case is based on acute right quadrant abdominal pain of Mrs. DC who comes to the emergency department. She states that the pain occurred after dinner and has steadily increased. She complains that the pain has increased substantially which has moved towards her back. She also reports to feel bloated and gassy (Yarmish, et al. 2014). The cause of upper right quadrant pain can be due to varied reasons which is based on the general conditions, age, and sex of the patient (Mazzei, et al. 2013). The medical history and physical examination of the patient would help in ...

Atrial Fibrillation

Atrial fibrillation is the most encountered cardiac rhythm disorder in clinical practice. It affects <1% of persons aged <60 years. This prevalence increases to 10% in persons aged >80 years (Amerena, Walters, Mirzaee and Kalman, 2013). Atrial fibrillation is a key differential diagnosis in patients presenting with chest pain, palpitations, shortness of breath, light-headedness, and syncope (Cruickshank, 2008). This paper will examine the differential diagnosis, pathophysiology, and paramedic implications of atrial fibrillation in relation to the case of a 43-year old male who presents with features and ECG findings of atrial fibrillation. It will first examine ...

COPD is a medical condition that is characterized by alteration in lung parenchyma, bronchitis, emphysema and narrowing of the respiratory passages. It occurs as a consequence to chronic inflammation reaction involving the respiratory tract. The mucous secretion and fibrosis associated with chronic inflammation, can cause blockage and narrowing of the airway. Bronchitis refers to inflammation of the inner lining of the lung, while, emphysema is a clinical condition that occurs following the long term destruction of lung parenchyma. Bronchitis and emphysema are both characteristic features of COPD. Destruction of lung parenchyma causes loss of alveolar attachment and decreases the ...

Based on the patient’s subjective and objective assessment, Gastroesophageal Reflux Disease (GERD) and tonsillitis feature predominantly as the most probable causes of the symptoms. While a differential diagnosis points to the possibility of these two diseases, it is evident that tonsillitis can be ruled out from the case since there no signs of swollen tonsils or difficulties in swallowing (Weinberger & Fischer, 2014). Swelling of tonsils and pain are classical symptoms of tonsillitis but based on the subjective assessment findings, these symptoms are absent. As such, this GERD the primary cause of the symptoms and the most probable diagnosis ...

Objective

Apparently, the patient appeared active, cooperative and well developed and nourished. In fact, he showed signs of no distress. However, I took a physical assessment of various parts of his body and noted several observations. To begin with his mouth or throat, the mucus membranes were moist. The regional lymph glands were not swollen, and thus there was no any indication of tonsillar exudate. The pharynx was normal whereas the oropharynx was clear. Moreover, there was no any indication of lymphadenopathy at the cervical lymph nodes. As for the eyes, the Conjunctiva was bilaterally red with a scant watery ...

Age: 75 years

Medical Record No: 66543N History and physical examination conducted: June 21, 2016 Source: The patients presents his own medical history and is a reliable source Chief Complain presented: Abdominal pain The History of the Present Illness Past medical history The patient presents with diabetes diagnosed 10 years ago, that is well controlled with Metoprolol medication. He also presents with depression and the patient uses Prozac medication for depression management. Mr. X had been previously hospitalized in 2010 due to MI and cardiac catheterization was done therefore, the patient present with a positive history of surgery.

Social history

Family history The patient ...

This is a case of a 60 year old elderly with complaints of persistent coughing for at least the past three months with pulmonary secretions. The patient’s name is A.D. (initials used for confidentiality purposes). She lives with her family and it was her daughter, D.F., who brought her to the hospital for medical consult. The doctors from the hospital conducted a comprehensive physical examination and found out what the main problems are; they also laid out an initial plan of action and the parties agreed with a course of action. I encountered numerous challenges when I got ...

PART 1

1. Spherule Spherule is the smaller spherical structure that lives inside the host. Such as, in the case Coccidioides immitis when it enters the host the fungal hyphae breaks into smaller spores and develop into spherules which release endospores through rupturing inside the host. 2. Pyogranulomatous Pyogranuloma is an inflammatory process that involves polymorphonuclear cell infiltration in the affected area of inflammation which can be manifested by the presence of macrophages, mononuclear cells, and lymphocytes. Such as Histoplasma capsulatum infections may result in Pyogranulomatous reactions inside dermal and subcutaneous tissues. 3. Differential Diagnosis Differential diagnosis is a medical term ...

Patient and Study Identification

The patient is a 10-year-old boy sent by the referring specialist neurologist, whom the patient visited after his mother had found him experiencing seizure twice during the past month. The patient was first diagnosed with absence epilepsy when he was 5 years of age, and has not experienced seizures since he was 8 years of age. The purpose of this electroencephalography (EEG) study is to identify the type of epilepsy in this case so that the patient can receive the correct treatment.

History

The patient had a normal birth and experienced healthy development until the age of 5, when his ...

Bovine tuberculosis (TB) refers to a chronic bacterial infection of cattle that distresses some species of mammals. It is a substantial zoonosis that may spread to humans, mainly via the consumption of unpasteurized milk or the inhalation of aerosols. In developed nations, eradication initiatives have eliminated or reduced tuberculosis in cattle. As a result, human disease is currently rare. Nevertheless, reservoirs in wildlife may cause eradication challenging. Bovine tuberculosis remains popular in underdeveloped nations, and severe economic losses may take place from livestock mortalities, trade restrictions, and chronic disease. In some circumstances, this disease can similarly be a grave ...

Introduction

Psychological disorders exhibit various symptoms. In some cases, the symptoms are obvious by observation while in others they are not detectable. A patient may conceal her symptoms with substance abuse and in some cases, the substances abuse tendencies is in it a symptom of an underlying mental disorder. There are various factors that have been identified as causes or stimulators of various conditions. In this research paper, we shall evaluate a case titled Diana Di in an effort to evaluate her symptoms and propose a possible diagnosis. The paper shall cover the diagnostic features, differential diagnosis, cultural, gender and ...

Anti-social personality disorder is a chronic mental condition that affects the way the patient thinks, perceive situations, and relate with other people around. People ailing from this disorder have no feelings with regards to what is considered right and wrong. They often disregard the rights, feelings, and expectations of the people they interact with. It makes the patients malicious in that they tend to treat other people harshly without caring about the outcome of such unfair treatment. They are in conflicts with others since they try to manipulate and treat people with arrogance. The current paper seeks to describe ...

Introduction

The skin is an essential organ in the human body made of a complex membrane of cells, tissues and pigments that hold the body together. Similarly, the skin color is determined by the amount of melanin, the location of melanin and melanocytes, and the presence of caretenoids (Ostler, et al., 2004). Further, the ratio between oxygenated blood and hemoglobin and exogenous or endogenous pigments, also affect the skin color. Melanin is a vital tissue in the skin and the malfunction of melanocytes system, can lead to pigmentation disorder (Rose, 2009). The malfunction of melanocytes system can amount to melanocytic nevi, a ...

1. Clinical presentations

Infective endocarditis is an infection that involves both the endothelial surface of the heart and the valves. The clinical presentations however involve other systems as well and include:

General manifestations whereby patients may complain of cough, weight loss, anorexia, general malaise, back and joint pains. Other general signs include fever which is intermittent in nature, petechiae especially in the conjuctiva and mucous membranes, Osler’s nodes that is, small but painful nodes which appear in the pads of the fingers or toes and splinter hemorrhages under toenails or fingernails which may at times be present (Sabharwal et al. 354).

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1. Define your question using PICO: Patient/Problem, Intervention, Comparison, and Outcome.

Patient/Problem: Children and young people under 19 years old who have nocturnal enuresis (bedwetting). Sub group to include patients with Special needs (learning disabilities, emotional and ADHD)

Intervention: Parent’s choice bed wetting Alarm alone (body worn, bed, vibrating, wireless, voice recorded, multi-tone, bell and pad)

Comparison: Choice compared to clinician’s choice: Treatment with medication desmopressin an ant diuretic hormone or arginine vasopressin Outcome: Reduction/change in number of wet nights, Dry for 14 consecutive nights, Dry for 6 consecutive months (continuing success), Dry for 2 consecutive ...